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  • Abstract Number: 1679 • ACR Convergence 2025

    Does First-Line b- or tsDMARDs Choice Influence Progression to Difficult-to-Treat Rhumatoid arthritis? Insights from our longitudinal RA UCLouvain Brussels cohort

    Cécile VAN MULLEM1, Francesco NATALUCCI1, Stéphanie DIERCKX1, Aleksandra AVRAMOVSKA1, Tatiana SOKOLOVA2 and Patrick Durez1, 1Cliniques Universitaires Saint-Luc – Université catholique de Louvain (UCLouvain) – Institut de Recherche Expérimentale et Clinique (IREC), Rheumatology, Brussels, Belgium, 2Cliniques Universitaires Saint-Luc – Université catholique de Louvain (UCLouvain) – Institut de Recherche Expérimentale et Clinique (IREC), Rheumatology, Brussels, Brussels Hoofdstedelijk Gewest, Belgium

    Background/Purpose: The management of Rheumatoid Arthritis (RA) has markedly advanced, enabling the achievement of disease control and remission. Nevertheless, a proportion of patients remains refractory…
  • Abstract Number: 1698 • ACR Convergence 2025

    X Chromosome DNA Methylation Changes Suggest Epigenetic Contributions to Immune Dysregulation in Male Lupus

    Desire Casares Marfil1, Gülşah Kavrul Kayaalp2, Vafa Guliyeva2, Özlem Akgün2, Şeyma Türkmen3, Elif Kilic Konte4, Sezgin Sahin4, Ozgur Kasapcopur5, Betul Sozeri6, Selçuk Sözer Tokdemir7, Nuray Aktay Ayaz8 and Amr Sawalha1, 1University of Pittsburgh, Pittsburgh, PA, 2Istanbul University Faculty of Medicine, Istanbul, Turkey, 3University of Health Sciences, Umraniye Research and Training Hospital, Istanbul, Turkey, 4Istanbul University Cerrahpasa Medical School, Istanbul, Turkey, 5Istanbul University-Cerrahpasa, Cerrahpasa Medical School, istanbul, Turkey, 6Health sciences university, Istanbul, Turkey, 7Istanbul University, Istanbul, Turkey, 8Istanbul University Medical School, Istanbul, Turkey

    Background/Purpose: DNA methylation plays a critical role in the pathogenesis of lupus. Although most epigenetic studies have focused on autosomal regions, the X chromosome remains…
  • Abstract Number: 1714 • ACR Convergence 2025

    The perimenopause period is associated with increased levels of disease activity in psoriatic arthritis

    Lihi Eder1, Xianwei Li2, Sahil Koppikar3, Iliana Lega4, Dafna D. Gladman5, Vinod Chandran1 and Richard Cook6, 1University of Toronto, Toronto, ON, Canada, 2Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Canada, 3Women's College Hospital & University of Toronto, Markham, ON, Canada, 4University of Toronto and Women’s College Hospital, Toronto, Canada, 5Schroeder Arthritis Institute, Krembil Research Institute, Toronto Western Hospital, Division of Rheumatology, Toronto, ON, Canada, 6University of Waterloo, Waterloo, Canada

    Background/Purpose: Perimenopause is associated with a wide spectrum of symptoms, including mood changes, sleep disturbances, and joint pains. Limited information exists on the effect of…
  • Abstract Number: 1747 • ACR Convergence 2025

    Risk of serious infection in patients with rheumatoid arthritis-associated interstitial lung disease or bronchiectasis: A matched cohort study

    QIANRU ZHANG1, Ying Qi2, Xiaosong Wang3, Gregory McDermott4, Sung Hae Chang5, Mark Chaballa6, Vadim Khaychuk7, Misti Paudel8 and Jeffrey Sparks9, 1Brigham and Women’s Hospital/Beijing Tsinghua Changgung Hospital, Cambridge, MA, 2Brigham and Women’s Hospital, Boston, 3Brigham and Women's Hospital, Natick, MA, 4Brigham and Women's Hospital, Brookline, MA, 5Soonchunhyang University College of Medicine, Cheonan, MA, South Korea, 6Bristol Myers Squibb, Princeton, NJ, 7Bristol Myers Squibb, Pennington, NJ, 8Brigham and Women's Hospital, Division of Rheumatology, Inflammation, and Immunity, Boston, MA, 9Brigham and Women's Hospital, Boston, MA

    Background/Purpose: RA-associated lung disease (RA-LD), including RA-associated interstitial lung disease (RA-ILD) and RA-associated bronchiectasis (RA-BR), contributes significantly to morbidity and mortality in RA patients. RA…
  • Abstract Number: 1626 • ACR Convergence 2025

    A Delphi Exercise Informing the Development of Criteria to Measure Response to Treatment in Giant Cell Arteritis

    Medha Soowamber1, Milena Bond2, Catalina Sanchez Alvarez3, Carol Langford4, Sibel Aydin5, FRANK BUTTGEREIT6, Dario Camellino7, Maria Cid8, Peter Grayson9, Bernhard Hellmich10, Tanaz Kermani11, Nader Khalidi12, Sarah Mackie13, Alfred Mahr14, Eric L Matteson3, Mehrdad Maz15, Peter Merkel16, Paul Monach17, Lorna Neill18, Cristina Ponte19, Carlo Salvarani20, Wolfgang Schmidt21, Peter Villiger22, Kenneth Warrington23, Christian Dejaco24, Sofia Ramiro25 and Zahi Touma26, 1Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 2South Tyrol Health Trust and Teaching Hospital of the Paracelsus Medical University, Brunico, Italy, 3Mayo Clinic College of Medicine and Science, Rochester, MN, 4Cleveland Clinic, Moreland Hills, OH, 5Department of Medicine, University of Ottawa, The Ottawa Hospital Research Institute, Ottawa, ON, Canada, 6Charité University Medicine Berlin, Berlin, Berlin, Germany, 7"La Colletta" hospital, Azienda Sanitaria Locale 3 Genovese, Arenzano, Italy, 8Department of Autoimmune Diseases (member of European Reference Network RITA), Hospital Clinic, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 9National Institutes of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Chevy Chase, MD, 10Department of Internal Medicine, Rheumatology, Pulmonology, Nephrology and Diabetology, Medius Kliniken Kirchheim/Teck, University Tübingen, Tübingen, Germany, Kirchheim-Teck, Germany, 11David Geffen School of Medicine, University of California, Los Angeles, CA, 12Department of Medicine, McMaster University and St. Joseph’s Healthcare, Hamilton, Canada, 13University of Leeds, Leeds, United Kingdom, 14Klinik für Rheumatologie, Kantonspital St Gallen, St Gallen, Switzerland, 15The University of Kansas Medical Center, Kansas City, KS, 16University of Pennsylvania, Philadelphia, PA, 17VA Boston Healthcare System, Boston, MA, 18Patient Charity Polymyalgia Rheumatica and Giant Cell Arteritis Scotland, Nethy Bridge, United Kingdom, 19Unidade Local de Saúde de Santa Maria, Lisbon, Portugal, 20Unit of Rheumatology, Azienda USL - IRCCS di Reggio Emilia, and University of Modena and Reggio Emilia, Reggio Emilia, Italy, 21Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology Berlin-Buch; Waldfriede Hospital, Rheumatology, Berlin, Germany, 22Medical Center Monbijou, Rheumatology and Clinical Immunology, Bern, Switzerland, 23Mayo Clinic, ROCHESTER, MN, 24Medical University of Graz, Graz, Austria, 25Leiden University Medical Center, Bunde, Netherlands, 26University of Toronto, Toronto, ON, Canada

    Background/Purpose: The therapeutic landscape of giant cell arteritis (GCA) is growing rapidly but there are currently no internationally standardized criteria for assessing response to treatment…
  • Abstract Number: 1591 • ACR Convergence 2025

    Novel autoantibodies in patients with systemic sclerosis and gastrointestinal dysfunction provide insight into disease pathogenesis

    Zsuzsanna McMahan1, Claudia Pedroza2, Katie Lee3, Bingrui Chen3, Ami Shah4, Jody Hooper5, Srinivas Puttapaka6, Livia Casciola-Rosen7 and Subhash Kulkarni8, 1UT Health Houston, Houston, TX, 2UTHealth Houston Institute for Clinical Research & Learning Health Care, Texas, TX, 3UTHealth Houston, Houston, TX, 4Johns Hopkins Rheumatology, Baltimore, MD, 5Stanford University, Stanford, CA, 6BIDMC/Harvard, Boston, MA, 7Johns Hopkins University, Baltimore, MD, 8BIDMC, Boston, MA

    Background/Purpose: Gastrointestinal (GI) dysfunction is common and often debilitating in systemic sclerosis (SSc). Though it affects most patients, mechanisms are poorly understood and biomarkers for…
  • Abstract Number: 1605 • ACR Convergence 2025

    Combined Anti-IL-5/IL-5R and Dupilumab Therapy in Eosinophilic Granulomatosis with Polyangiitis: A European Retrospective Study

    Miriam Guerini1, Pavel Novikov2, Roberto Padoan3, Georgina Espigol-Frigole4, Jan Willem Cohen Tervaert5, Vincent Grobost6, Laurent Guilleminault7, Jan Walter Schroeder8, Bernhard Hellmich9, Joana Martins-Martinho10, Camillo Ribi11, Mathieu Groh12 and Benjamin Terrier13, 1IRCCS Policlinico S. Matteo, University of Pavia, Pavia, Italy, 2Sechenov University, Moscow, Russia, 3University of Padova, Padova, Italy, 4Hospital Clínic de Barcelona, Barcelona, Spain, 5University of Alberta, Edmonton, AB, Canada, 6Internal medicine, CHU Clermont Ferrand Estaing, Clermont Ferrand, France, 7CHU Toulouse, Toulouse University, Toulouse, France, 8ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy, 9Klinik für Innere Medizin, Rheumatologie und Immunologie, medius Klinik Kirchheim, Kirchheim unter Teck, Germany, 10ULS Santa Maria, Lisbon, Portugal, 11Lausanne University Hospital / University of Lausanne, Lausanne, Switzerland, 12Hôpital Foch, Suresnes, France, 13Cochin Hospital, Paris, France

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA) is a small-vessel vasculitis characterized by asthma, ear, nose, and throat (ENT) symptoms, eosinophilia, and systemic involvement. Despite the…
  • Abstract Number: 1713 • ACR Convergence 2025

    Diagnostic Delay in Psoriatic Arthritis and its Impact on Radiological Outcomes: A Systematic Review and Meta-analysis of 23,894 Patients

    Mohamed Abdelsalam1, Menat Alla Ayman Ali Mahdy2, Maryam Lasheen3, Hadeer Hafez4, Nourhan Abouelella5, Abdelhfeez Moshrif6 and Mohamed Reda Awad7, 1Misr University For Science and Technology, 6 october, Al Jizah, Egypt, 2Misr University For Science and Technology, Nasr City, Al Qahirah, Egypt, 3Misr University For Science and Technology, Helwan, Al Qahirah, Egypt, 46th October University, 6 october, Al Jizah, Egypt, 5Faculty of Medicine, Misr University for Science and Technology, 6 october, Al Jizah, Egypt, 6Al Azhar University, Asyut, Egypt, assyut, Asyut, Egypt, 7Al Azhar University, Cairo, Egypt, Giza, Al Jizah, Egypt

    Background/Purpose: Psoriatic arthritis (PsA) remains widely underdiagnosed and misdiagnosed worldwide, leading to delays in appropriate management and increased disease burden. While diagnostic delay has been…
  • Abstract Number: 1720 • ACR Convergence 2025

    Comparison of Mortality Trends in Adults with Systemic Lupus Erythematosus and Cutaneous Lupus Erythematosus: A 21-Year Analysis Using CDC WONDER DATABASE.

    Khadija Mohib1, Rameez Qasim2, Zaiya Waseem3, Shaheer Ahmad4 and Ahmad Ali Hussain5, 1Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, 2Allama Iqbal Medical College Lahore, Lahore, Pakistan, 3AtlantiCare Regional Medical Center, New Jersey, 4Allama Iqbal Medical College, Lahore, Pakistan, 5Allama Iqbal Medical College Lahore, Lahore

    Background/Purpose: Systemic Lupus Erythematosus (SLE) and Cutaneous Lupus Erythematosus (CLE) are chronic autoimmune diseases with significant morbidity and mortality, collectively accounting for approximately 5,000 deaths…
  • Abstract Number: 1753 • ACR Convergence 2025

    Axial Psoriatic Arthritis is Phenocopied in a Humanized Mouse Model

    Christopher Ritchlin1, Javier Rangel-Moreno2, Angel Rangel-Garcia3, Marissa Krantz4, Madison Brien2, Thiloginy Sathilaseenlan2, Jeffrey Fox5, Ronald Wood2 and Maria de la Luz Garcia-Hernandez3, 1University of Rochester Medical Center, Canandaigua, NY, 2University of Rochester, Rochester, NY, 3University of Rochester, West Henrietta, NY, 4University of Rochester, Bethesda, MD, 5University od Rochester, Rochester, NY

    Background/Purpose: Psoriatic arthritis (PsA) is a complex and heterogeneous inflammatory disorder involving the axial skeleton in approximately 30% of patients. The mechanisms that underlie psoriatic…
  • Abstract Number: 1722 • ACR Convergence 2025

    Defining Safe Hydroxychloroquine Blood Levels: Time to Switch to Precision Monitoring for Optimized Lupus Care

    Shivani Garg1, Benoit Blanchet2, Yann Nguyen3, Fauzia Hollnagel4, Ada Clarke5, Michelle Petri6, Murray Urowitz7, John Hanly8, Caroline Gordon9, Sang-Cheol Bae10, Juanita Romero-Diaz11, Jorge Sanchez-Guerrero12, Ann Clarke13, Sasha Bernatsky14, Daniel Wallace15, David A. Isenberg16, Anisur Rahman16, Joan Merrill17, Paul Fortin18, Dafna D. Gladman19, Ian Bruce20, Ellen Ginzler21, Mary Anne Dooley22, Rosalind Ramsey-Goldman23, Susan Manzi24, Andreas Jönsen25, Graciela Alarcón26, Ronald van Vollenhoven27, Cynthia Aranow28, Murat Inanc29, Meghan mackay30, Guillermo Ruiz-Irastorza31, S. Sam Lim32, Murat Inac33, Kenneth Kalunian34, Søren Jacobsen35, Christine Peschken11, Diane Kamen36, Anca Askanase37, Jill Buyon38, Julie Chezel5, Alicja Puszkiel39 and Nathalie Costedoat-Chalumeau40, 1University of Madison, School of Medicine and Public Health, Madison, WI, 2National Referral Centre for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, Paris, France, 3Department of Internal Medicine, Beaujon Hospital, AP-HP Nord, Université Paris Cité, Clichy, France, Clichy, France, 4University of Wisconsin, School of Medicine and Public Health, Madison, Madison, WI, 5Cochin Hospital, Paris, France, 6Johns Hopkins University School of Medicine, Timonium, MD, 7University of Toronto, Toronto, ON, Canada, 8Dalhousie University, Halifax, NS, Canada, Halifax, NS, Canada, 9Department of Inflammation and Ageing, College of Medicine and Health, University of Birmingham, Birmingham, United Kingdom, 10Hanyang University Medical Center, Seoul, South Korea, 11University of Manitoba, Winnipeg, MB, Canada, 12Mount Sinai Hospital and University Health Network, Toronto, Canada, 13Division of Rheumatology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 14Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 15Cedars Sinai Medical Center, Studio City, CA, 16University College London, London, United Kingdom, 17Oklahoma Medical Research Foundation, Oklahoma, 18Centre ARThrite - CHU de Québec - Université Laval, Quebec, QC, Canada, 19Schroeder Arthritis Institute, Krembil Research Institute, Toronto Western Hospital, Division of Rheumatology, Toronto, ON, Canada, 20Centre for Public Health, Faculty of Medicine, Health and Life Sciences, Queen’s University Belfast, Belfast, United Kingdom, 21SUNY Downstate Health Sciences University, New York, NY, 22UNC physician network, Chapel Hill, NC, 23Northwestern University Feinberg School of Medicine, Chicago, IL, 24Lupus Center of Excellence, Autoimmunity Institute, Allegheny Health Network, Pittsburgh, PA, 25Department of Clinical Sciences, Lund University, Lund, Sweden, 26The University of Alabama at Birmingham, Oakland, CA, 27Department of Rheumatology, Amsterdam University Medical Centre, Amsterdam, Netherlands, 28Institute of Molecular Medicine, Feinstein Institutes for Medical Research, Manhasset, NY, 29Istanbul University, Istanbul, Turkey, 30Feinstein Institutes for Medical Research, Manhasset, NY, 31Biobizkaia Health Research Institute, Barakaldo, Spain, 32Emory University School of Medicine, Atlanta, GA, 33Istanbul University, Istanbul, 34UC San Diego, La Jolla, CA, 35Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, 36Medical University of South Carolina, Johns Island, SC, 37Columbia University Medical Center, New York, NY, 38NYU Grossman School of Medicine, New York, NY, 39Cochin Hospital, Paris, 40Inserm DR Paris 5, Paris, France

    Background/Purpose: Current guidelines recommend using hydroxychloroquine (HCQ) dose ≤5.0 mg/kg for managing SLE. However, 6-fold higher SLE flares, including those requiring hospitalizations, are noted with…
  • Abstract Number: 1703 • ACR Convergence 2025

    Predicting Rheumatoid Arthritis Flare Using Longitudinal Cytokine Trajectories, Machine Learning and Spatial Transcriptomic Imaging

    Wittaya Suwakulsiri1, Lukas Andriessen2, Coline Fournier3, Saritha Kodikara4, Amy Anderson5, Jasmine Sim5, Kim-Anh Le Cao4, Yann Abraham6, Kevin Wei7, Kenneth Baker5, Arthur Pratt8, Mihir Wechalekar9, John Isaacs10 and Ranjeny Thomas1, 1Frazer Institute, University of Queensland, Brisbane, Queensland, Australia, 2Frazer Institute, University of Queensland, Woolloongabba, Queensland, Australia, 3Melbourne Integrative Genomics & School of Mathematics and Statistics, The University of Melbourne, Melbourne, Australia, 4Melbourne Integrative Genomics & School of Mathematics and Statistics, The University of Melbourne, Melbourne, Victoria, Australia, 5Translational and Clinical Research Institute, NIHR Newcastle Biomedical Research Centre, Newcastle University and The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle, United Kingdom, 6DeepLife, Vernon, France, 7Brigham and Women's Hospital at Harvard Medical School, Boston, MA, 8University of Newcastle, Newcastle, United Kingdom, 9Flinders Medical Centre, Adelaide, Australia, 10Newcastle University, Newcastle upon Tyne, United Kingdom

    Background/Purpose: Many patients living with rheumatoid arthritis (RA) can achieve remission with modern treat-to-target disease-modifying anti-rheumatic drugs (DMARDs), albeit with the risks associated with long-term…
  • Abstract Number: 1728 • ACR Convergence 2025

    Longitudinal Proteomic Signatures for Prediction of Immune-Related Adverse Events during Immune Checkpoint Inhibitors therapy: A Machine Learning-Guided Prospective Biomarker Discovery Study

    Jiana Chen1, Jiaqi Xu1, Ziyue Zhou2, Xu Jiang1 and Huaxia Yang1, 1Department of Rheumatology and Clinical Immunology, National Clinical Research Center for Dermatologic and Immunologic Diseases, the Ministry of Education Key Laboratory, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 100730, Beijing, China, Beijing, China (People's Republic), 2peiking meidical, beijing

    Background/Purpose: Immune checkpoint inhibitors (ICIs), while revolutionary in cancer treatment, may induce severe or even fatal immune-related adverse event (irAE). The mechanisms underlying irAE development…
  • Abstract Number: 1667 • ACR Convergence 2025

    Recurrent or Incident Pericarditis With Concurrent Autoimmune Disease: Stable Control With Rilonacept Interleukin-1 Pathway Inhibition

    Zachary Daniel1, Summia Afridi1, Michael Allen2 and Khoa Ngo1, 1Albany Medical College, Albany, NY, 2Albany Med, Albany, NY

    Background/Purpose: Up to 30% of patients with incident pericarditis will develop recurrent pericarditis (RP), with severe impact on quality of life. More than 20% of…
  • Abstract Number: 1742 • ACR Convergence 2025

    S100B in Childhood-onset Systemic Lupus Erythematosus: Associations with Disease Features, Interferon Levels, and Cognitive Functioning

    Ganesh Ramanathan1, Justine Ledochowski2, Oscar Mwizerwa3, Tala El Tal4, Lawrence Ng5, Asha Jeyanathan6, Adrienne Davis6, Ann Yeh6, Linda Hiraki2, Deborah Levy2, Zahi Touma7, Joan Wither8, Busisiwe Zapparoli9, Ashley Danguecan10 and Andrea Knight10, 1The Hospital for Sick Children, Brampton, ON, Canada, 2The Hospital for Sick Children, Toronto, ON, Canada, 3University of Toronto, The Hospital for Sick Children, Toronto, ON, Canada, 4Children's Hospital of Eastern Ontario (CHEO), Ottawa, ON, Canada, 5The Hospital for Sick Children, Toronto, Canada, Toronto, ON, Canada, 6The Hospital for Sick Children, Toronto, Canada, 7University of Toronto, Toronto, ON, Canada, 8University Health Network, Toronto, ON, Canada, 9The Hospital for Sick Children, Etobicoke, ON, Canada, 10Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Cognitive impairment is common in childhood-onset systemic lupus erythematosus (cSLE), particularly in domains like executive function and attention. However, attributing cognitive difficulties to brain…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

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