ACR Meeting Abstracts

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  • Abstract Number: 1597 • 2017 ACR/ARHP Annual Meeting

    Arthritis and Hydroxychloroquine Are Associated with Decreased Risk of Macrophage Activation Syndrome Among Adults Hospitalized with SLE

    Kristin D'Silva1, Ezra Cohen2, David J. Kreps3, Mary Beth Son2 and Karen H. Costenbader3, 1Internal Medicine, Brigham and Women's Hospital, Boston, MA, 2Boston Children's Hospital, Boston, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: Macrophage activation syndrome (MAS) is an uncommon but potentially fatal complication of SLE. We conducted a case-control study comparing hospitalized adults with SLE with…
  • Abstract Number: 1598 • 2017 ACR/ARHP Annual Meeting

    Shrinking Lung Syndrome in Systemic Lupus Erythematosus Patients: A Diagnosis We Should Suspect More Often

    Didem Saygin1, Chris Lau2, Marco Lopez-Velazquez3 and Kristin B. Highland4, 1Internal Medicine, Department of Internal Medicine, Cleveland Clinic, Cleveland, Cleveland, OH, 2Pulmonary and Critical Care, Cleveland Clinic, Cleveland, OH, 3Internal Medicine, Cleveland Clinic, Cleveland, OH, 4Rheumatology.org, Cleveland Clinic, Cleveland, OH

    Background/Purpose: Shrinking lung syndrome (SLS) is a rare pulmonary manifestation of systemic lupus erythematosus (SLE) characterized by dyspnea, pleuritic chest pain, restriction on pulmonary function…
  • Abstract Number: 1599 • 2017 ACR/ARHP Annual Meeting

    GRADE-Based Recommendations for the Diagnosis and Monitoring of Systemic Lupus Erythematosus in Canada

    Stephanie Keeling1, Zainab Alabdurubalnabi2, J. Antonio Avina-Zubieta3, Susan Barr4, Louise Bergeron5, Sasha Bernatsky6, Josiane Bourré-Tessier7, Ann E. Clarke8, Alexandra Baril-Dionne9, Jan Dutz2, Stephanie Ensworth10, Aurore Fifi-Mah11, Paul R. Fortin12, Dafna D Gladman13, Derek Haaland14, John G. Hanly15, Linda T Hiraki16, Sara Hussein9, Kimberly Legault17, Deborah M. Levy16, Lily Lim18, Mark Matsos19, Emily McDonald20, Jorge Medina-Rosas21, Jordi Pardo Pardo22, Christine A. Peschken23, Christian Pineau24, Janet E. Pope25, Tamara Rader26, Jennifer Reynolds2, Earl Silverman16, Manon Suitner9, Konstantinos Tselios27, Murray Urowitz28, Zahi Touma29, Evelyne Vinet30 and Nancy Santesso17, 1Department of Medicine, University of Alberta, Division of Rheumatology, Edmonton, AB, Canada, 2Medicine, University of British Columbia, Vancouver, BC, Canada, 3Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada, 4Medicine, University of Calgary, Calgary, AB, Canada, 5Canadian Arthritis Patient Alliance, Toronto, ON, Canada, 6Divisions of Rheumatology and Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 7Rheumatology, University of Montreal, Montreal, QC, Canada, 8Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 9Université de Montréal, Montreal, QC, Canada, 10University of British Columbia, Vancouver, BC, Canada, 11University of Calgary, Calgary, AB, Canada, 12Medicine, CHU de Quebec - Universite de Laval, Quebec, QC, Canada, 13Centre for Prongosis Studies in The Rheumatic Diseases, Toronto Western Hospital, Krembil Research Institute, Toronto, ON, Canada, 14Rheumatology, Clinical Immunology & Allergy, McMaster University, Barrie, ON, Canada, 15Division of Rheumatology, Department of Medicine and Department of Pathology, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada, 16Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 17McMaster University, Hamilton, ON, Canada, 18Hospital for Sick Children, Toronto, ON, Canada, 19Medicine, McMaster University, McMaster, ON, Canada, 20Medicine, McGill University, Montreal, QC, Canada, 21Rheumatology, Universidad de la Sabana, Bogota, Colombia, 22Centre for Practice Changing Research, Ottawa Hospital Research Institute, Ottawa, ON, Canada, 23RR 149G, Univ of Manitoba, Winnipeg, MB, Canada, 24Division of Rheumatology, McGill University Health Centre, Montreal, QC, Canada, 25Department of Medicine, Division of Rheumatology, University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 26The Ottawa Hospital - General Campus, Trials Search Coordinator Knowledge Translation Specialist Cochrane Musculoskeletal Group Centre for Practice Changing Research, Ottawa, ON, Canada, 27Medicine, University of Toronto, Toronto, ON, Canada, 28Centre for Prognosis Studies in the Rheumatic Diseases, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 29Rheumatology, University of Toronto, Division of Rheumatology, Institute of Health Policy, Management and Evaluation, Toronto, ON, Canada, 30Divisions of Rheymatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: To develop GRADE-based recommendations for the diagnosis and monitoring of systemic lupus erythematosus patients in Canada.Methods:  Recommendations were developed using the GRADE (Grading of…
  • Abstract Number: 1600 • 2017 ACR/ARHP Annual Meeting

    Lupus Nephritis Is Associated with Increased Rates of Hospitalization for Adverse Events on a Glucocorticoid Toxicity Index and in-Hospital Mortality Compared with Non-Renal Lupus and Matched Controls: An Analysis of Insurance Claims Data

    Katherine Belendiuk1, Huong Trinh2, Matthew Cascino1, Leonard Dragone1, Daniel Keebler1, Jay Garg1 and Paul Brunetta1, 1Genentech, Inc., South San Francisco, CA, 2Genentech, South San Francisco, CA

    Background/Purpose: Systemic lupus erythematosus (SLE) is heterogeneous in its clinical prognosis and lupus nephritis (LN) is a major cause of morbidity and mortality among children…
  • Abstract Number: 1601 • 2017 ACR/ARHP Annual Meeting

    Hydroxychloroquine Non-Adherence Is Associated with Higher Sledai Scores in a Predominantly Hispanic Population

    Alexandra Perel-Winkler1, Kayla Neville1, James Miceli1, Samantha Nguyen1, Miya Okado1, Laura Geraldino-Pardilla1, Teja Kapoor1, Jon T. Giles2 and Anca Askanase1, 1Rheumatology, Columbia University College of Physicians & Surgeons, New York, NY, 2Division of Rheumatology, Columbia University College of Physicians & Surgeons, New York, NY

    Background/Purpose: Non-adherence to medication has been shown to impact mortality, morbidity, and health care utilization in SLE and ranges from 40-80% depending on the methods…
  • Abstract Number: 1602 • 2017 ACR/ARHP Annual Meeting

    Fatigue in Systemic Lupus: The Role of Disease Activity and Its Mediators

    Desiree R Azizoddin1, Meenakshi Jolly2, Joel A. Block3 and Perry M. Nicassio4, 1Department of Medicine and Behavioral Sciences, Rush University, Chicago, IL, 2Rush, Chicago, IL, 3Division of Rheumatology, Rush University Medical Center, Chicago, IL, 4Cousins Center for PNI, UCLA, LA, CA

    Background/Purpose: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that leads to a variety of negative health outcomes. Though treatment continues to advance, fatigue…
  • Abstract Number: 1603 • 2017 ACR/ARHP Annual Meeting

    Lupus Low Disease Activity State:  Can We Relax the Definition and Still Achieve Low Risk of SLE-Related Damage?

    Michelle Petri1, Daniel Goldman2 and Laurence S Magder3, 1Medicine (Rheumatology), Division of Rheumatology, Johns Hopkins University School of Medicine, MD, USA, Baltimore, MD, 2Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Epidemiology and Public health, University of Maryland School of Medicine, Baltimore, MD

    Background/Purpose: Lupus low disease activity state (LLDAS) is a systemic lupus erythematosus (SLE) outcome measure that combines low disease activity and a 7.5 mg limit…
  • Abstract Number: 1604 • 2017 ACR/ARHP Annual Meeting

    Validation of Remission and Lupus Low Disease Activity State As Predictors of Organ Damage in SLE

    Michelle Petri1, Daniel Goldman2 and Laurence S Magder3,4, 1Medicine (Rheumatology), Division of Rheumatology, Johns Hopkins University School of Medicine, MD, USA, Baltimore, MD, 2Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Epidemiology and Public Health, Johns Hopkins University School of Medicine, Baltimore, MD, 4Epidemiology and Public health, University of Maryland School of Medicine, Baltimore, MD

    Background/Purpose: Outcome measures that combine control of SLE activity and prednisone reduction are clinically relevant. A clinical goal in SLE is to reduce risk of…
  • Abstract Number: 1605 • 2017 ACR/ARHP Annual Meeting

    Lupus Low Disease Activity State Protects Against Most Subtypes of Organ Damage in SLE

    Michelle Petri1, Daniel Goldman2 and Laurence S Magder3, 1Medicine (Rheumatology), Division of Rheumatology, Johns Hopkins University School of Medicine, MD, USA, Baltimore, MD, 2Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Epidemiology and Public health, University of Maryland School of Medicine, Baltimore, MD

    Background/Purpose: In SLE the most common types of organ damage are osteoporotic fractures and cataracts. Other types of organ damage, such as end stage renal…
  • Abstract Number: 1606 • 2017 ACR/ARHP Annual Meeting

    Cancer in an SLE Inception Cohort: Smoking May out-Perform Tumor Markers As a Risk Predictor

    Sasha Bernatsky1, Murray Urowitz2, John G Hanly3, Ann E. Clarke4, Marvin J. Fritzler5, Caroline Gordon6, Juanita Romero-Diaz7, Graciela S. Alarcón8, Sang-Cheol Bae9, Michelle Petri10, Joan T. Merrill11, Daniel J. Wallace12, Paul R. Fortin13, Dafna D Gladman14, David A. Isenberg15, Anisur Rahman16, Susan Manzi17, Ola Nived18, Gunnar K. Sturfelt19, Christine A. Peschken20, Jorge Sanchez-Guerrero21, Guillermo Ruiz-Irastorza22, Cynthia Aranow23, Ronald F van Vollenhoven24, Asad Zoma25, Kristján Steinsson26, Munther A Khamashta27, Ellen M. Ginzler28, Anca Askanase29, Kenneth C. Kalunian30, Mary Anne Dooley31, S. Sam Lim32, Diane L. Kamen33, Søren Jacobsen34, Manuel Ramos-Casals35, Murat Inanc36, Jennifer LF Lee37 and Rosalind Ramsey-Goldman38, 1Divisions of Rheumatology and Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 2Centre for Prognosis Studies in the Rheumatic Diseases, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Division of Rheumatology, Department of Medicine and Department of Pathology, Queen Elizabeth II Health Sciences Centre and Dalhousie University, Halifax, NS, Canada, 4Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 5Medicine, University of Calgary, Calgary, AB, Canada, 6Rheumatology Research Group, Institute of Inflammation and Ageing,, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 7Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico city, Mexico, 8University of Alabama at Birmingham, Birmingham, AL, 9Department of Rhematology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea, Republic of (South), 10Medicine (Rheumatology), Division of Rheumatology, Johns Hopkins University School of Medicine, MD, USA, Baltimore, MD, 11Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 12Rheumatology, Cedars-Sinai Medical Center, Beverly Hills, CA, 13Université Laval, CHU de Québec, Québec, QC, Canada, 14Department of Medicine, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 15Centre for Rheumatology, Division of Medicine, University College London, London, United Kingdom, 16Rayne Institute, Centre for Rheumatology Research, UCL Division of Medicine, London, United Kingdom, 17Medicine, Allegheny Health Network, Pittsburgh, PA, 18Department of Rheumatology, University Hospital, Lund, Sweden, 19Department of Rheumatology, Univ Hospital Lund, Lund, Sweden, 20RR 149G, Univ of Manitoba, Winnipeg, MB, Canada, 21Division of Rheumatology, Toronto Western Hospital, Toronto, AB, Canada, 22Biocruces Health Research Institute, Barakaldo, Spain, 23Autoimmune and Musculoskeletal Disease, The Feinstein Institute for Medical Research, Manhasset, NY, 24AMC, F4-214, Amsterdam Rheumatology and Immunology Center, Amsterdam, Netherlands, 25University of Glasgow, Glaskow, United Kingdom, 26Rheumatology, Univ. Hospital, Reykjavik, Iceland, 27Lupus Research Unit, Lupus Research Unit, The Rayne Institute, King's College London School of Medicine, St Thomas' Hospital, London, United Kingdom, 28Rheumatology, Division of Rheumatology, Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY, 29Rheumatology, Columbia University, New York, NY, 30Division of Rheumatology, Allergy & Immunology, UCSD School of Medicine Center for Innovative Therapy, La Jolla, CA, 31UNC Kidney Centre, Chapel Hill, NC, 32Division of Rheumatology, Emory University School of Medicine, Atlanta, GA, 33Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 34Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark, 35Hospital Clinic, Barcelona, Spain, 36Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 37Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 38FSM, Northwestern University, Chicago, IL

    Background/Purpose: We assessed incident cancers in a large inception SLE cohort, and examined demographic and clinical factors, including tumor-related autoantibodies against proliferating cell nuclear antigen…
  • Abstract Number: 1607 • 2017 ACR/ARHP Annual Meeting

    Tumor-Related Autoantibodies and Cancers in SLE: A Case-Control Study from a Single Centre

    Sasha Bernatsky1, Ann E. Clarke2, Joyce Rauch3, Christian Pineau4, Evelyne Vinet5 and Marvin J. Fritzler6, 1Divisions of Rheumatology and Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 2Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 3Division of Rheumatology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 4Rheumatology, McGill University Health Center, Montreal, QC, Canada, 5Divisions of Rheymatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 6Medicine, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Patients with systemic lupus (SLE) have altered cancer profiles compared to the general population, with a higher risk of some cancers (e.g. lymphoma) and…
  • Abstract Number: 1608 • 2017 ACR/ARHP Annual Meeting

    Entheseal Involvement in Systemic Lupus Erythematosus: An Ultrasound Study

    Andrea Di Matteo1, Emilio Filippucci2, Edoardo Cipolletta2, Valentina Lato2, Jana Hurnakova3,4, Iulia Satulu5, Rossella De Angelis2 and Walter Grassi2, 1Polytechnic University of Marche, Rheumatology Clinic, Jesi, Italy, 2Polytechnic University of Marche, Rheumatology Clinic, jesi, Italy, 31st Faculty of Medicine, Institute of Rheumatology and Department of Rheumatology, Prague, Czech Republic, 4University Hospital Motol, Department of Pediatric and Adult Rheumatology, Prague, Czech Republic, 5Rheumatology Department, Internal Medicine Clinic, Kalmar County Hospital, kalmar, Sweden

    Background/Purpose: A recent study revealed ultrasound (US) findings indicative of entheseal involvement in a small group of patients with systemic lupus erytemathosus (SLE), raising the…
  • Abstract Number: 1609 • 2017 ACR/ARHP Annual Meeting

    Telomere Length and Coronary Artery Atherosclerosis in Patients with Systemic Lupus Erythematosus

    Nathan Stein1, Joseph F. Solus1, Annette M. Oeser1, Paolo Raggi2, C Michael Stein1 and Michelle J. Ormseth3, 1Vanderbilt University Medical Center, Nashville, TN, 2University of Alberta, Edmonton, AB, Canada, 3Medicine, Vanderbilt University Medical Center, Nashville, TN

    Background/Purpose:  Coronary atherosclerosis increases with age but is more prevalent in patients with systemic lupus erythematosus (SLE) independent of chronological age; this increased prevalence has…
  • Abstract Number: 1610 • 2017 ACR/ARHP Annual Meeting

    The Impact of Alcohol Use on Cardiovascular Events and Overall Mortality in Women with Systemic Lupus Erythematosus

    April Jorge1, Leo Lu2, Yuqing Zhang3, Sharan K. Rai4 and Hyon K. Choi4, 1Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Allergy, Immunology, and Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3School Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Women with SLE have an increased risk of cardiovascular disease (CVD) and premature death. In the general population, moderate alcohol intake is associated with…
  • Abstract Number: 1611 • 2017 ACR/ARHP Annual Meeting

    Increased Body Mass Index May Not be a Risk Factor for the Development of Lupus Nephritis

    Yu Pei Chock1, Abhijeet Danve1, Wei Fu2 and Michelle Petri3, 1Rheumatology, Yale University, New Haven, CT, 2Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Medicine (Rheumatology), Division of Rheumatology, Johns Hopkins University School of Medicine, MD, USA, Baltimore, MD

    Background/Purpose: Studies have indicated that increased body mass index (BMI) is a risk factor for development of Chronic Kidney Disease (CKD). Obesity is a low…
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