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  • Abstract Number: 788 • 2016 ACR/ARHP Annual Meeting

    Unresolving C4 Hypocomplementemia Associates with a Different Spectrum of Disease in SLE and Is More Important Than Transiently Low Levels

    Laura Durcan1, Wei Fu2 and Michelle Petri3, 1University of Washington, Seattle, WA, 2Division of Rheumatology, School of Medicine, Johns Hopkins University, Baltimore, MD, 3Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Hypocomplementemia is common in systemic lupus erythematosus (SLE) and is included in classification criteria and disease activity indices. Whether persistently low complement levels (C3,…
  • Abstract Number: 789 • 2016 ACR/ARHP Annual Meeting

    Use of Nominal Group Technique to Determine Candidate Items for SLE Classification Criteria Development

    Sindhu R. Johnson1, Dinesh Khanna2, Ricard Cervera3, Nathalie Costedoat-Chalumeau4, Dafna D. Gladman5, Bevra H. Hahn6, Falk Hiepe7, Jorge Sanchez-Guerrero8, Elena Massarotti9, Dimitrios Boumpas10, Karen H. Costenbader11, David I. Daikh12, David Jayne13, Thomas Dörner14, Diane L. Kamen15, Marta Mosca16, Rosalind Ramsey-Goldman17, Josef S. Smolen18, David Wofsy19 and Martin Aringer20, 1Division of Rheumatology, Toronto Western Hospital, Mount Sinai Hospital, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 2University of Michigan, Ann Arbor, MI, 3Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Spain, 4Internal Medicine, Cochin University Hospital, Paris, France, 5Rheumatology, Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada, 6Division of Rheumatology, UCLA David Geffen School of Medicine, Los Angeles, CA, 7Charité – Universitätsmedizin, Berlin, Germany, 8University of Toronto, Toronto, Canada; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico city, Mexico, 9Rheumatology, Immunology, & Allergy, Harvard Medical School, Brigham & Women's Hosp, Boston, MA, 10University of Athens, Athens, Greece, 11Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 12Rheumatology, UCSF/VA Medical Center, San Francisco, CA, 13Medicine, Addenbrooke's Hospital, Cambridge, United Kingdom, 14Department of Medicine/Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany, 15Medicine/Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 16Clinical and Experimental Medicine, University of Pisa, Rheumatology Unit, Pisa, Italy, 17FSM, Northwestern University, Chicago, IL, 18Medical University of Vienna and Hietzing Hospital, Vienna, Austria, 19University of California, San Francisco, San Francisco, CA, 20Medicine III, University Medical Center and Faculty of Medicine at the TU Dresden, Dresden, Germany

    Background/Purpose:  Criteria for the classification of SLE are being developed with the support of EULAR and ACR. Two independent exercises (expert-based Delphi exercise and data-driven…
  • Abstract Number: 790 • 2016 ACR/ARHP Annual Meeting

    Assessment of the Construct Validity of the Lupus Low Disease Activity State (LLDAS) – an Expert Opinion Case Study

    Vera Golder1, Molla Huq2, Kate Franklyn3, Alicia Calderone4, Aisha Lateef5, Chak Sing Lau6, Sandra V. Navarra7, Timothy Godfrey4,8, Shereen Oon4, Alberta Y. Hoi3, Eric F Morand3, Mandana Nikpour9 and Asia Pacific Lupus Collaboration, 1Southern Clinical School, Centre for Inflammatory Diseases, Monash University, Melbourne, Australia, 2Department of Medicine (Rheumatology), Melbourne University, Melbourne, Australia, 3Centre for Inflammatory Diseases, Monash University, Melbourne, Australia, 4St. Vincent’s Hospital, Melbourne, Australia, 5Medicine/Rheumatology, National University Health System, Singapore, Singapore, 6Univ Dept of Medicine, Queen Mary Hospital, Hong Kong, Hong Kong, 7Rheumatology, University of Santo Tomas Hospital, Manila, Philippines, 863 Sutton Street, St. Vincent’s Hospital, Melbourne, Australia, 9Melbourne University, Melbourne, Australia

    Background/Purpose:  Systemic lupus erythematosus (SLE) has historically lacked clear treat-to-target definitions. The recently reported Lupus Low Disease Activity State (LLDAS) definition, combining disease activity and…
  • Abstract Number: 791 • 2016 ACR/ARHP Annual Meeting

    The International Consensus on Standardized Nomenclature of Antinuclear Antibody HEp-2 Cell Patterns (ICAP) Initiative – Update and Its Impact

    Edward K.L. Chan1, Jan Damoiseaux2, Gabriel Carballo3, Karsten Conrad4, Wilson de Melo Cruvinel5, Paulo Francescantonio5, Marvin J. Fritzler6, Ignacio Garcia-De La Torre7, Manfred Herold8, Tsuneyo Mimori9, Minoru Satoh10, Carlos Von Muhlen11, Luis E C Andrade12 and representing committee and translation team members, 1Dept of Oral Biology, University of Florida, Gainesville, FL, 2Central Diagnostic Laboratory, Maastricht University Medical Center, Maastricht, Netherlands, 3Hospital Carlos G. Durand, Buenos Aires, Argentina, 4Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany, 5Pontifícia Universidade Católica de Goiás, Goiânia, Brazil, 6Medicine, University of Calgary, Calgary, AB, Canada, 7Immunology & Rheumatology, Centro de Est. de Invest. Bas. y Clin., S.C., Guadalajara, JAL, Mexico, 8Medical University of Innsbruck, Innsbruck, Austria, 9Kyoto University Graduate School of Medicine, Kyoto, Japan, 10Department of Clinical Nursing, School of Health Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan, 11Rheumatology, Rheuma Clinic Dr. von Muhlen, Porto Alegre, Brazil, 12Pediatric Rheumatology Unit, Universidade Federal de São Paulo, São Paulo, Brazil

    Background/Purpose:  The indirect immunofluorescence (IIF) pattern observed in the antinuclear antibody (ANA) test provides an initial assessment of autoantibody responses in candidate patients who have…
  • Abstract Number: 792 • 2016 ACR/ARHP Annual Meeting

    Systemic Lupus Erythematosus (SLE) Responder Index [SRI(4)] Response Is Associated with Global Benefit in Patients with Moderate to Severe SLE

    R Furie1, L Wang2, J Drappa2 and G Illei2, 1Northwell Health, Great Neck, NY, 2MedImmune, Gaithersburg, MD

    Background/Purpose: Post-hoc analysis of two Phase III studies of belimumab1 showed that an SRI(4) response is associated with clinically meaningful benefits, irrespective of treatment assignment.…
  • Abstract Number: 793 • 2016 ACR/ARHP Annual Meeting

    Multi-Parametric Model Development for Assessing Lupus Nephritis and Disease Activity

    Christopher Sjöwall1, Chelsea Bentow2, Mary Ann Aure2, Gabriella Lakos2, Peter Martis2 and Michael Mahler2, 1Rheumatology/AIR, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden, 2Research and Development, Inova Diagnostics, San Diego, CA

    Multi-parametric model development for assessing lupus nephritis and disease activity Christopher Sjӧwall1, Chelsea Bentow2, Mary Ann Aure2, Gabriella Lakos2, Peter Martis2, Michael Mahler2 1AIR/Rheumatology, Department…
  • Abstract Number: 794 • 2016 ACR/ARHP Annual Meeting

    Development and Initial Validation of a Novel Lupus Disease Activity Index to Account for Glucocorticoids: Sledai-2K Glucocorticoids Index (SGI)  

    Zahi Touma1, Dafna D Gladman2, Jiandong Su3 and Murray Urowitz1, 1Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2University of Toronto, Toronto, ON, Canada, 3Rheumatology, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada

    Background/Purpose:  It is challenging to describe disease activity in SLE in the context of multiple levels of glucocorticoids (GC) treatment. We aim to develop and…
  • Abstract Number: 795 • 2016 ACR/ARHP Annual Meeting

    Low Disease Activity in Systemic Lupus Erythematosus: An Achievable Goal?

    Chiara Tani1, Roberta Vagelli1, Chiara Stagnaro2, Linda Carli3,4, Viola Signorini5 and Marta Mosca1, 1Clinical and Experimental Medicine, University of Pisa, Rheumatology Unit, Pisa, Italy, 2Department of Clinical and Experimental Medicine, University of Pisa, Rheumatology Unit, Pisa, Italy, 3GenOMec PhD, University of Siena, Italy, 4Clinical and Experimental Medicine, Rheumatology Unit, Pisa, Italy, 5Rheumatology Unit, Pisa, Italy

    Background/Purpose: To date, there is no generally accepted definition for remission in SLE, thus a possible goal in the treat-to-target strategy might be low disease…
  • Abstract Number: 796 • 2016 ACR/ARHP Annual Meeting

    Establishment of an International Autoantibody Standard for Anti-DFS70/LEDGF Antibodies: Proof-of-Concept Study for a Novel Strategy for the Setting up of International Autoantibody Standards

    Alessandra Dellavance1, Danielle Baldo1 and Luis Eduardo C. Andrade2, 1Research and Development Department, Fleury Medicine and Health Laboratories, São Paulo, Brazil, 2Rheumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, UNIFESP-EPM, Sao Paulo, Brazil

    Background/Purpose: Robust, certified, and traceable reference material for autoantibody testing is vital for the validity of results obtained in the clinical laboratory. International standards for…
  • Abstract Number: 797 • 2016 ACR/ARHP Annual Meeting

    Randomized Clinical Trials of Systemic Lupus Erythematosus: Evaluating Differences in the Enrolled Populations

    Niti Goel1,2, Brandon Barrett3, Ann Duncan4, Margaret-Beth Gallagher1 and Marsha Mackey3, 1Quintiles, Inc., Durham, NC, 2Duke University School of Medicine, Durham, NC, 3Quintiles, Inc., Rockville, MD, 4Quintiles, Inc., Reading, Berkshire, United Kingdom

    Background/Purpose: Background/Purpose: Randomized controlled trials (RCTs) in SLE identify specific populations of interest for eligibility, but still vary in the recruited populations.  These differences may…
  • Abstract Number: 798 • 2016 ACR/ARHP Annual Meeting

    Oxidized Phospholipids,Lipoprotein(a) and Glycosphingolipid Associated B-1,4 Galactosyltransferase in a Johns Hopkins Cohort of Patients with Systemic Lupus Erythematosus

    Subroto Chatterjee1, Michelle Petri2, Steven Jones3 and Vignesh Sadras1, 1Pediatrics-Cardiology Division, Johns Hopkins University School of Medicine, Baltimore, MD, 2Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD, 3Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD

    Oxidized Phospholipids, Lipoprotein (a) and Glycosphingolipid Associated B- 1,4 Galactosyltransferase in a Johns Hopkins cohort of patients with Systemic Lupus Erythematosus. Background/Purpose: Systemic lupus erythematosus(SLE)…
  • Abstract Number: 799 • 2016 ACR/ARHP Annual Meeting

    Biomarker Identification & Molecular Sub-Classification in Systemic Sclerosis for Precision Medicine Using RNA-Seq

    Elisha D.O. Roberson1,2, Li Cao1, David J. Morales-Heil1, Benjamin Korman3 and John Varga4, 1Department of Medicine, Washington University, St. Louis, MO, 2Department of Genetics, Washington University, St. Louis, MO, 3Department of Rheumatology, Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL, 4Rheumatology and Dermatology, Northwestern University, Feinberg School of Medicine Scleroderma Program, Chicago, IL

    Background/Purpose: Systemic sclerosis (SSc) is a complex and highly heterogeneous disease with multi-organ involvement. Accurate tools for disease sub-classification are lacking. In most patients, skin…
  • Abstract Number: 800 • 2016 ACR/ARHP Annual Meeting

    An Altered Cardiovascular System Development Gene Expression Signature in Skin is a Hallmark of Limited Cutaneous Systemic Sclerosis

    Emma C. Derrett-Smith1,2, Viktor Martyanov3, Cecilia B. Chighizola4, Pia Moinzadeh5, Korsa Khan6, Tammara A. Wood3, Pier Luigi Meroni7, David Abraham8, Voon H. Ong9, Michael Whitfield3 and Christopher Denton8, 1Centre for Rheumatology and Connective Tissue Diseases, UCL Division of Medicine, London, United Kingdom, 2Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, 3Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 4Department of Clinical Sciences and Community Health, University of Milan, IRCCS Istituto Auxologico Italiano, Milano, Italy, 5Department of Rheumatology, UCL Division of Medicine, London, United Kingdom, 6Centre For Rheumatology and Connective Tissue Diseases, UCL Division of Medicine, London, United Kingdom, 7Rheumatology Department, University of Milan, Istituto Ortopedico Gaetano Pini, Milano, Italy, 8Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 9Rheumatology, UCL Division of Medicine, London, United Kingdom

     Background/Purpose: Limited cutaneous SSc (lcSSc) is characterised by less extensive skin fibrosis but patients can develop major internal organ complications and vascular manifestations. Gene expression…
  • Abstract Number: 801 • 2016 ACR/ARHP Annual Meeting

    Multi-Tissue Gene Expression Pathway Analysis of Emerging Therapeutics in a TGFβ Dependent Mouse Model of Systemic Sclerosis

    Emma C. Derrett-Smith1,2, Shiwen Xu3, Rachel K. Hoyles4 and Christopher Denton5, 1Centre for Rheumatology and Connective Tissue Diseases, UCL Division of Medicine, London, United Kingdom, 2Rheumatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom, 3Division of Medicine, ​Centre for Rheumatology and Connective tissue disease, University College London, London, United Kingdom, 4Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom, 5Division of Medicine, Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom

    Background/Purpose:   We have previously investigated the interplay between TGFβ, BMP, VEGF and endothelin in SSc using the TβRIIΔk-fib strain, a transgenic mouse model in…
  • Abstract Number: 802 • 2016 ACR/ARHP Annual Meeting

    Whole Transcriptome Profiling through RNA Sequencing Reveals Differentially Expressed Sense-Antisense Gene Pairs in Patients with Systemic Sclerosis

    Tobias Messemaker1,2, Loubna Chadli3, Varshna Goelela3, Maaike Boonstra4, Annemarie Dorjee4, Stefan Andersen3, Harald Mikkers2, Tom WJ Huizinga4, Zhenghui Li5, Guoshuai Cai5, Michael Whitfield6, René Toes7, Jamil Aarbiou3, Jeroen De Groot3, Jeska K. de Vries-Bouwstra4 and Fina Kurreeman4, 1Department of Rheumagoloty, Leiden University Medical Center, Leiden, Netherlands, 2Department of Molecular cell Biology, Leiden University Medical Center, Leiden, Netherlands, 3Charles River Nederland B.V., Leiden, Netherlands, 4Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 5Department of Genetics, Geisel School of Medicine at Dartmouth, Hanover, NH, 6Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Hanover, NH, 7Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: Systemic sclerosis (SSc) is an autoimmune disease characterized by fibrosis of skin and multiple organs. Morbidity and mortality are high and pathogenesis is poorly…
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