ACR Meeting Abstracts

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  • Abstract Number: 2428 • 2016 ACR/ARHP Annual Meeting

    Autoantibody Diversity in Pediatric Patients Undergoing Evaluation for Autoimmune Encephalitis: A Retrospective Investigation

    Anne E Tebo1, Thomas Haven2, Aimee O. Hersh3 and Eyal Muscal4, 1Pathology, University of Utah School of Medicine and ARUP Laboratories, Salt Lake City, UT, 2Department of Pathology, University of Utah, ARUP Institute of Clinical and Experimental Pathology, Salt Lake City, UT, 3Pediatrics/Rheumatology, University of Utah, Salt Lake City, UT, 4Immunology, allergy and Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX

    Background/Purpose:  Antibodies directed against N-methyl-D-aspartate type glutamate receptor (NMDAR), voltage-gated potassium channel (VGKC) or glutamic acid decarboxylase (GAD65) are frequently associated with autoimmune encephalitis (AE)…
  • Abstract Number: 2429 • 2016 ACR/ARHP Annual Meeting

    Mechanisms for the Development of Lung Fibrosis in Sting-Associated Vasculopathy with Onset in Infancy (SAVI)

    Adriana Almeida de Jesus1, Louise Malle1, Dan Yang2, Bernadette Marrero1, Yin Liu3, Gina A. Montealegre Sanchez1, Dawn C. Chapelle4, Hanna Kim4, Michelle O'Brien4, Gregor Dueckers5, Suzanne Ramsey6, Joseph R. Fontana7, Steven M. Holland8, Yan Huang1, Suvimol Hill9, Laisa Santiago10, Benito Gonzalez11, Paul Brogan12, Juergen Brunner13, Ebun Omoyinmi14, Athimalaipet V Ramanan15, Amy Paller16, Olcay Y. Jones17, Seza Ozen18, Stephen Brooks4, Zuoming Deng4, Manfred Boehm19, Raphaela Goldbach-Mansky20 and Helmut Wittkowski21, 1National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD, 2National Heart, Lung, and Blood Institute (NHLBI), NIH, Bethesda, MD, 3Scientific Review Branch, NIAMS, NIH, Bethesda, MD, 4NIAMS/NIH, Bethesda, MD, 5Helios Kliniken - Kinderklinik, HELIOS Klinikum Krefeld, Krefeld, Germany, 6Pediatric Rheumatology, IWK Health Centre, Halifax, NS, Canada, 7Cardiovascular and Pulmonary Branch, NHLBI, NIH, Bethesda, MD, 8Laboratory of Clinical Infectious Disease, NIAID, NIH, Bethesda, MD, 9Radiology Department, Clinical Center, NIH, Bethesda, MD, 10Johns Hopkins All Children's Hospital Rheumatology, Saint Petersburg, FL, 11Luis Calvo Mackenna Hospital, Santiago, Chile, 12UCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom, 13Department of Pediatrics, Medical University Innsbruck, Innsbruck, Austria, 14University College London Institute of Child Health, London, United Kingdom, 15University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom, 16Departments of Dermatology and Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA;, Chicago, IL, 17Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, 18Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, ANKARA, Turkey, 19Laboratory of Cardiovascular Regenerative Medicine, National Heart, Lung, and Blood Institute (NHLBI), NIH, Bethesda, MD, 20Translational Autoinflammatory Disease Studies, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD, 21Department of Pediatric Rheumatology and Immunology, University Hospital of Muenster, Münster, Germany

    Background/Purpose:  STING-Associated Vasculopathy with Onset in Infancy (SAVI) is a monogenic autoinflammatory interferonopathy caused by gain-of-function mutations in TMEM173/STING, a nucleic acid sensor adaptor linked…
  • Abstract Number: 2430 • 2016 ACR/ARHP Annual Meeting

    Mutations in the Tyrosine-Protein Kinase Lyn Cause an Early-Onset Neutrophilic Vasculitis Syndrome

    Adriana Almeida de Jesus1, Gina A. Montealegre1, Helen Freeman2, Neil Martin3, Ebun Omoyinmi4, Bernadette Marrero1, Katherine R. Calvo5, Chyi-Chia Richard Lee6, April D. Brundidge7, David Kleiner8, Stephen Hewitt8, Dawn C. Chapelle7, Yan Huang1, Nirali Shah8, Stephen Brooks7, Eric Meffre9, Paul Brogan10, Hyesun Kuehn11, Sergio Rosenzweig12, Melinda Merchant8, Zuoming Deng7, Susan Moir13 and Raphaela Goldbach-Mansky14, 1National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD, 2Raigmore Hospital, Inverness, United Kingdom, 3Royal Hospital for Children, Glasgow, United Kingdom, 4University College London Institute of Child Health, London, United Kingdom, 5Department of Laboratory Medicine, Hematology Section, National Institutes of Health Clinical Center, Bethesda, MD, 6Dermatopathology Section, Laboratory of Pathology, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, 7NIAMS/NIH, Bethesda, MD, 8National Cancer Institute, NIH, Bethesda, MD, 9Department of Immunobiology, Yale University School of Medicine, New Haven, CT, 10UCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom, 11Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, 12Department of Laboratory Medicine/NIH, Bethesda, MD, 13National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 14Translational Autoinflammatory Disease Studies, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD

    Background/Purpose: Tyrosine-protein kinase Lyn is a Src-family tyrosine kinase expressed by hematopoietic and non-hematopoietic cell types. Phosphorylation of a tyrosine residue at position 508 renders…
  • Abstract Number: 2431 • 2016 ACR/ARHP Annual Meeting

    Characterization of Innate Immune Cells in Patients with the Interferon-Mediated Autoinflammatory Diseases Sting Associated Vasculopathy with Onset in Infancy (SAVI) and Chronic Atypical Neutrophilic Dermatosis with Lipodystrophy and Elevated Temperature (CANDLE)

    Bernadette Marrero1, Yin Liu2, Katherine R. Calvo3, Angelique Biancotto4, Yan Huang1, Adriana Almeida de Jesus1, Gina A. Montealegre Sanchez1 and Raphaela Goldbach-Mansky5, 1National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD, 2Scientific Review Branch, NIAMS, NIH, Bethesda, MD, 3Department of Laboratory Medicine, Hematology Section, National Institutes of Health Clinical Center, Bethesda, MD, 4Center for Human Immunology, Autoimmunity and Inflammation, NHLBI/NIH, Bethesda, MD, 5Translational Autoinflammatory Disease Studies, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD

    Background/Purpose:   We recently described two rare autoinflammatory interferonopathies, STING Associated Vasculopathy with Onset in Infancy (SAVI) and Chronic Atypical Neutrophilic Dermatosis with Lipodystrophy and…
  • Abstract Number: 2432 • 2016 ACR/ARHP Annual Meeting

    Immune Abnormalities Leading to Exaggerated Production of IFN-Gamma (IFNγ) and the Therapeutic Response to an Anti-IFNγ Antibody in a Patient with NRLC4 Mediated Disease

    Claudia Bracaglia1, Giusi Prencipe2, Manuela Pardeo1, Geneviève Lapeyre3, Emiliano Marasco2, Antonella Insalaco1, Walter Ferlin3, Robert Nelson3, Cristina de Min3 and Fabrizio De Benedetti1, 1Division of Rheumatology, Ospedale Pediatrico Bambino Gesù IRCCS, Roma, Italy, Rome, Italy, 2Division of Rheumatology, Ospedale Pediatrico Bambino Gesù IRCCS, Rome, Italy, 3NovImmune S.A., Geneva, Switzerland

    Background/Purpose: Animal and human data suggest that IFNγ plays a pathogenic role in HLH. A phase 2 trial with the anti-IFNγ monoclonal antibody NI-0501 in…
  • Abstract Number: 2433 • 2016 ACR/ARHP Annual Meeting

    Trends  in Use of Hydroxychloroquine during Pregnancy in SLE Patients from 2001 to 2012

    Bonnie L. Bermas1, Seoyoung Kim2,3, Krista Huybrechts4, Sonia Hernandez-diaz5, Brian T. Bateman6 and Rishi J. Desai7, 1Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 3Division of Pharmacoepidemiology and Pharmocoeconomics, Brigham and Women's Hospital, Boston, MA, 4Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Boston, MA, 5Harvard School of Public Health, Boston, MA, 6Division of Pharmacoepidemiology and Pharocoeconomics, Brigham and Women's Hospital, Boston, MA, 7PharmacoEpidemiology & PharmacoEconomics, Brigham & Women's Hospital, Boston, MA

    Background/Purpose : Data suggest that hydroxychloroquine (HCQ) use during systemic lupus erythematosus (SLE) pregnancies improves outcomes. In the past decade, single-center studies report that a…
  • Abstract Number: 2435 • 2016 ACR/ARHP Annual Meeting

    Counseling on Family Planning and Contraception, and Pregnancy Outcome in Women with Rheumatic Diseases: Analysis of 398 Patient-Reported Questionnaires from a Multicenter Italian Study

    Francesca Dall'Ara1, Maria Grazia Lazzaroni1, Laura Andreoli1, Marilia Rodrigues2, Carolina Benigno3, Elena Bartoloni-Bocci4, Corrado Capochiaro5, Cecilia B. Chighizola6, Paola Conigliaro7, ADA Corrado8, Salvatore D'Angelo9, maria favaro10, Elena Generali11, Maria Gerosa12, M larosa13, Marianna Meroni14, Melissa Padovan15, Giulia Pazzola16, Susanna Peccatori17, Imma Prevete18, Véronique Ramoni19, G Sebastiani20, Chiara Tani21, Marica Trevisani22, M Vadacca23, Ester Vivaldelli24, E Visalli25, L Zuliani26, A Afeltra23, Elena Baldissera27, Antonio Brucato28, Francesco Paolo Cantore29, Roberto Caporali30, Maurizio Cutolo31, Andrea Doria32, Rosario Foti33, Armando Gabrielli34, Roberto Gerli35, Marcello Govoni36, Armin Maier24, Nazzarena Malavolta37, Pier Luigi Meroni38, Giovanni Minisola18, Carlo Maurizio Montecucco39, Marta Mosca40, Ignazio Olivieri41, Giuseppe Paolazzi42, Roberto Perricone43, N Romeo44, Amelia Ruffatti45, Maria Grazia Sabbadini5, Carlo Salvarani46, Carlo Selmi47, Luigi Sinigaglia48 and Angela Tincani1, 1Rheumatology and Clinical Immunology, Spedali Civili and University of Brescia, Brescia, Italy, 2Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal, Coimbra, Portugal, 3University Federico II, Napoli, Italy, Napoli, Jamaica, 4Department of Medicine, Rheumatology Unit, University of Perugia, Perugia, Italy, 5Ospedale San Raffaele, Milano, Italy, milano, Italy, 6Department of Clinical Sciences and Community Health, University of Milan, IRCCS Istituto Auxologico Italiano, Milano, Italy, 7Policlinico and University of Tor Vergata, Roma, Italy, roma, Italy, 8Ospedali Riuniti of Foggia, Foggia, Italy, foggia, Italy, 9Rheumatology Department of Lucania, San Carlo Hospital of Potenza and Madonna delle Grazie Hospital of Matera, matera, Italy, 10Rheumatology Unit, University and Azienda Ospedaliera of Padova, Padova, Italy, padova, Italy, 11Rheumatology and Clinical Immunology, Humanitas Research Hospital, Rozzano (MI), Italy, 12University of Milan, Istituto Ortopedico Gaetano Pini, Milano, Italy, 13University and Azienda Ospedaliera of Padova, Padova, Italy, padova, Italy, 14University of Genova-IRCCS San Martino Genova, Genova, Italy and ASST Papa Giovanni XXIII, Bergamo, Italy, genova, Italy, 15Department if Clinical and Experimental Medicine, University of Ferrara, Section of Rheumatology, Ferrara, Italy, 16Rheumatology Unit, Internal Medicine Department, Arcispedale Santa Maria Nuova - IRCCS, Reggio Emilia, Italy, 17Azienda Provinciale Servizi Sanitari, Trento, Italy, trento, Italy, 18Azienda Ospedaliera San Camillo, Roma, Italy, Roma, Italy, 19Rheumatology, Policlinico San Matteo, Pavia, Italy, 2015 Azienda Ospedaliera San Camillo, Roma, Italy, roma, Italy, 21Clinical and Experimental Medicine, University of Pisa, Rheumatology Unit, Pisa, Italy, 22Rheumatology Unit, Internal Medicine, Policlinico S.Orsola-Malpighi, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy, 23University Campus Biomedico, Roma, Italy, roma, Italy, 24Ospedale of Bolzano, Bolzano, Italy, bolzano, Italy, 25A.O.U. Policlinico Vittorio Emanuele, Catania, Italy, catania, Italy, 26Ospedali Riuniti and University of Ancona, Ancona, Italy, ancona, Italy, 27Internal Medicine and Clinical Immunology, Vita-Salute San Raffaele University, Milan, Italy, 28Internal Medicine, Hospital Papa Giovanni XXIII, Bergamo, Italy, 29Ospedali Riuniti of Foggia, Foggia, Italy, Foggia, Italy, 30Università di Pavia, Pavia, Italy, 31Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Genoa, Italy, Genova, Italy, 32Rheumatology Unit, Department of Medicine - DIMED, Department of Medicine-DIMED, University of Padova, Padova, Italy, 33Rheumatology Unit, Vittorio-Emanuele University Hospital of Catania, Catania, Italy, 34Medical Clinic Unit, Department of Internal Medicine, Ospedali Riuniti, Ancona, Italy, 35Clinical and Experimental Medicine, Rheumatology Unit, University of Perugia, Italy, Perugia, Italy, 36Department of Clinical and Experimental Medicine, Rheumatology Unit-Azienda Ospedaliera-Universitaria Sant'Anna, Ferrara, Italy, 37Internal medicine Unit, Policlinico S. Orsola Malpighi, Bologna, Italy, 38Rheumatology Department, University of Milan, Istituto Ortopedico Gaetano Pini, Milano, Italy, 39Division of Rheumatology, University of Pavia School of Medicine, IRCCS Policlinico San Matteo Foundation, Pavia, Italy, 40Rheumatology Unit, University of Pisa, Pisa, Italy, 41U.O. Reumatologia, A.O. Ospedale San Carlo, Potenza, Italy, 42Rheumatology Unit, Santa Chiara Hospital, Trento, Italy, 43Rheumatology, allergology and clinical immunology, University of Rome Tor Vergata, Rome, Italy, 44Ospedale S.Croce e Carle, Cuneo, Italy, cuneo, Italy, 45Azienda Ospedaliera of Padova, University of Padova, Padova, Italy, 46Rheumatology Unit, Arcispedale S Maria Nuova, IRCCS, Reggio Emilia, Italy, 47Internal Medicine- Unit of Rheumatology and Clinical Immunology, Humanitas Clinical and Research Center, Rozzano, Italy, 48University of Milan, Milan, Italy, milano, Italy

    COUNSELING ON FAMILY PLANNING AND CONTRACEPTION, AND PREGNANCY OUTCOME IN WOMEN WITH RHEUMATIC DISEASES: ANALYSIS OF 398 PATIENT-REPORTED QUESTIONNAIRES FROM A MULTICENTER ITALIAN STUDYBackground/Purpose: Rheumatic…
  • Abstract Number: 2436 • 2016 ACR/ARHP Annual Meeting

    Birth Outcomes Significantly Worsen after the Development of Systemic Lupus Erythematosus in a Population-Based Registry

    Mary Abraham1, Lexi Rene1, Cristina Drenkard2 and S. Sam Lim3, 1Department of Medicine, Emory University, Atlanta, GA, 2Emory University School of Medicine, Atlanta, GA, 3Medicine, Emory University School of Medicine, Atlanta, GA

    Background/Purpose: SLE mothers are known to have higher rates of pre-term birth and low birth weight compared to women in the general population. We evaluated…
  • Abstract Number: 2437 • 2016 ACR/ARHP Annual Meeting

    Causes of Cesarean Section and Labor Induction in Systemic Lupus Erythematosus and Rheumatoid Arthritis Pregnancies

    Amanda M. Eudy, Laura Neil and Megan E. B. Clowse, Rheumatology, Duke University Medical Center, Durham, NC

    Background/Purpose: Women with SLE and RA have an increased risk of delivering a preterm infant. However, the causes of these preterm births remain unknown. Some…
  • Abstract Number: 2438 • 2016 ACR/ARHP Annual Meeting

    Increased Risk of Postpartum Depression in SLE Pregnancies

    Evelyne Vinet1, Susan Scott2, Debbie Ehrmann Feldman3, Christian A. Pineau4 and Sasha Bernatsky2, 1Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 2Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 3School of Rehabilitation, Université de Montréal, Montreal, QC, Canada, 4McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: Chronic diseases have been shown to be a strong risk factor for postpartum depression. Although there is a 2-fold increased risk of major depression…
  • Abstract Number: 2439 • 2016 ACR/ARHP Annual Meeting

    Effect of Pregnancy Counseling on the Outcome of Pregnancies in Women with Systemic Lupus Erythematosus: A Prospective Observational Study

    Rebecca Fischer-Betz1, Lisa Kueppers2, Ralph Brinks2, Oliver Sander3, Christof Specker4 and Matthias Schneider3, 1Policlinic of Rheumatology and Hiller Research Unit Rheumatology, Heinrich-Heine University, Duesseldorf, Duesseldorf, Germany, 2Department of Rheumatology&Hiller Research Unit, Heinrich-Heine-University, Duesseldorf, Germany, 3Department of Rheumatology & Hiller Research Unit, Heinrich-Heine-University, Duesseldorf, Germany, 4Rheumatology and Clinical Immunology, Kliniken Essen Sued, Essen, Germany

    Background/Purpose: Pregnancies in women with systemic lupus erythematosus (SLE) are associated with increased frequencies of adverse pregnancy outcomes (APOs). Preconception counseling including risk stratification and…
  • Abstract Number: 2440 • 2016 ACR/ARHP Annual Meeting

    First Results from the Prospective German Pregnancy Register

    Rebecca Fischer-Betz1, Christina Bungartz2, Jutta Richter1, Angela Zink3, Matthias Schneider1, Anja Weiss2, Joachim Listing4 and Anja Strangfeld5, 1Department of Rheumatology & Hiller Research Unit, Heinrich-Heine-University, Duesseldorf, Germany, 2German Rheumatism Research Centre, Berlin, Germany, 3Epidemiology Unit, German Rheumatism Research Center and Charité University Medicine, Berlin, Germany, 4German Rheumatism Research Center, Berlin, Germany, 5Epidemiology, German Rheumatism Research Center, Berlin, Germany

    Background/Purpose: There is limited evidence on the safety of treatment during pregnancy and lactation. With the increasing number of new therapeutic options for inflammatory rheumatic…
  • Abstract Number: 2441 • 2016 ACR/ARHP Annual Meeting

    Rheumatoid Arthritis Flares and Pregnancy Outcomes Among Women in a Longitudinal Registry

    Sara K. Tedeschi, Michelle Frits, Christine Iannaccone, Michael Weinblatt, Nancy A. Shadick and Bonnie L. Bermas, Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: Rheumatoid arthritis (RA) has been reported to improve during 50-60% of pregnancies. In this study, we evaluated RA disease activity during pregnancy and pregnancy…
  • Abstract Number: 2442 • 2016 ACR/ARHP Annual Meeting

    Use of Nonsteroidal Anti-Inflammatory Drugs in Pregnant Women with Inflammatory Arthritis

    Neda Amiri1, Gretchen Bandoli2, Diana L Johnson2 and Christina D. Chambers2, 1Division of Rheumatology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada, 2Pediatrics, University of California, San Diego, La Jolla, CA

    Use of Nonsteroidal Anti-inflammatory Drugs in Pregnant Women with Inflammatory Arthritis Background/Purpose: Nonsteroidal anti-inflammatory drugs (NSAIDs) are generally contraindicated in the third trimester of pregnancy…
  • Abstract Number: 2443 • 2016 ACR/ARHP Annual Meeting

    Pregnancy Comorbidities and Outcomes in Psoriasis and Psoriatic Arthritis: A Prospective Cohort Study

    Neda Amiri1, Gretchen Bandoli2 and Christina Chambers2, 1Division of Rheumatology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada, 2Pediatrics, University of California, San Diego, La Jolla, CA

    Pregnancy Comorbidities and Outcomes in Psoriasis and Psoriatic Arthritis: A Prospective Cohort Study Background/Purpose: While there is some evidence that women with psoriasis (Pso) and…
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