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  • Abstract Number: 2035 • 2016 ACR/ARHP Annual Meeting

    Dosage Contribution of a Non-Classical HLA Gene, HLA-Doa, to the Risk of Rheumatoid Arthritis

    Yukinori Okada1, Akari Suzuki2, Katsunori Ikari3, Chikashi Terao4, Yuta Kochi2, Koichiro Ohmura5, Koichiro Higasa5, Masato Akiyama2, Kyoto Ashikawa2, Masahiro Kanai2, Jun Hirata1, Naomasa Suita1, Yik-Ying Teo6, Huji Xu7, Sang-Cheol Bae8, Yukihide Momozawa2, koichi Matsuda9, Shigeki Momohara10, Atsuo Taniguchi10, Ryo Yamada5, Tsuneyo Mimori5, Michiaki Kubo2, Matthew A. Brown11, Soumya Raychaudhuri12, Fumihiko Matsuda5, Hisashi Yamanaka10, Yoichiro Kamatani2 and Kazuhiko Yamamoto9, 1Osaka University, Osaka, Japan, 2Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan, 3Inst of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 4Departments of Genetics and Rheumatology, Brigham and Women'’s Hospital, Harvard Medical School, Boston, MA, 5Kyoto University Graduate School of Medicine, Kyoto, Japan, 6Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore, 7The Second Military Medical University, Shanghai, Japan, 8Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea, The Republic of, 9The University of Tokyo, Tokyo, Japan, 10Tokyo Women's Medical University, Tokyo, Japan, 11The University of Queensland Diamantina Institute, Brisbane, Australia, 12Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Despite the progress in human leukocyte antigen (HLA) causal variant mapping, independent localization of major histocompatibility complex (MHC) risk from classical HLA genes is…
  • Abstract Number: 2036 • 2016 ACR/ARHP Annual Meeting

    Whole Exome Sequencing in Early Onset Systemic Lupus Erythematosus

    Ezgi Deniz Batu1, Can Kosukcu2, Ekim Z. Taskiran2, Sema Akman3, Kubra Ozturk4, Betul Sozeri5, Erbil Unsal6, Zelal Ekinci4, Yelda Bilginer7, Mehmet Alikasifoglu2 and Seza Ozen8, 1Department of Pediatrics, Divison of Rheumatology, Hacettepe University Faculty of Medicine, ANKARA, Turkey, 2Department of Medical Genetics, Hacettepe University Faculty of Medicine, ANKARA, Turkey, 3Department of Pediatrics, Division of Nephrology-Rheumatology, Akdeniz University Faculty of Medicine, Antalya, Turkey, 4Department of Pediatrics, Division of Rheumatology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey, 5Pediatric Rheumatology, Erciyes University Faculty of Medicine, Kayseri, Turkey, 6Dokuz Eylul University, Izmir, Turkey, 7Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 8Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, ANKARA, Turkey

    Background/Purpose:  Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder with different genetic and environmental factors playing role in its pathogenesis. Early onset SLE, familial…
  • Abstract Number: 2037 • 2016 ACR/ARHP Annual Meeting

    Proteostasis Dysregulation and Autoinflammation in Patients with TRNT1 Deficiency

    Angeliki Giannelou1, Qing Zhou2, Hongying Wang3, Abu-Asab Mones4, Hong-Wei Sun5, Deborah L. Stone6, Amanda K. Ombrello7, Wanxia L. Tsai8, Stephen Brooks9, Jehad H. Edwan5, Kimberly Risma10, Lucie Sramkova11, Abdullah Al Sonbul12, Sarita Joshi13, Helen C. Su14, Karyl Barron14, Massimo G. Gadina15, Gustavo Gutierrez-Cruz5, Markus Hafner5, Ivona Aksentijevich16 and Daniel L. Kastner16, 1National Human Genome Research Institute, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 2National Human Genome Research Institute, National Institutes of Health, Inflammatory Disease Branch, Bethesda, MD, 3National Human Genome Research Institute, Bethesda, MD, 4National Eye Institute, National Institutes of Health, Bethesda, MD, 5National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 6Inflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 7Inflammatory Disease Section, NHGRI, National Institutes of Health, Bethesda, MD, 8National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, 9NIAMS/NIH, Bethesda, MD, 10Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 11Charles University 2nd Faculty of Medicine and UH Motol, Prague, Czech Republic, 12King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia, 13Nationwide Children's Hospital, Columbus, OH, 14National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 15Translational Immunology Section, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 16National Human Genome Research Institute, National Institutes of Health, Inflammatory Disease Section, Bethesda, MD

    Background/Purpose: Hypomorphic mutations in the TRNT1gene result in a syndrome of sideroblastic anemia, immunodeficiency, periodic fevers and developmental delay (SIFD). The TRNT1 enzyme is essential…
  • Abstract Number: 2038 • 2016 ACR/ARHP Annual Meeting

    Pediatric Rheumatology Care and Outcomes Improvement Network Demonstrates Improvement on Quality Measures for Children with Juvenile Idiopathic Arthritis

    C. April Bingham1, Jesse Pratt2, Cagri Yildirim-Toruner3, Ronald Laxer4, Beth Gottlieb5, Jennifer E. Weiss6, Tzielan Lee7, Sheetal S. Vora8, Jon M. Burnham9, Julia Harris10, Judyann C. Olson11, Murray Passo12, Michelle Batthish13, Michael Shishov14, Kerry Ferraro15, Deborah M. Levy16, Christine O'Brien17, Kristi Whitney-Mahoney17, Nancy Griffin18, Anne Paul19 and Esi Morgan20, 1Penn State Health Children's Hospital, Hershey, PA, 2Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Rheumatology, Nationwide Children's Hospital, Columbus, OH, 4Div of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 5Pediatrics, Cohen Children's Medical Center, Lake Success, NY, 6Hackensack Univ Med Ctr, Hackensack, NJ, 7Pediatric Rheumatology, Stanford University School of Medicine, Palo Alto, CA, 8Pediatric Rheumatology, Medical College of Wisconsin, Milwaukee, WI, 9Pediatric Rheumatology, Children's Hospital Philadelphia, Philadelphia, PA, 10Children's Mercy Kansas City, Kansas City, MO, 11Ped/MACC Fund Research Ctr, Medical College of Wisconsin, Milwaukee, WI, 12Pediatric Rheumatology, Medical University of South Carolina, Charleston, SC, 13Division of Pediatric Rheumatology, McMaster Children's Hospital, Hamilton, ON, Canada, 14Pediatric Rheumatology, Phoenix Children's Hospital, Phoenix, AZ, 15Pediatric Rheumatology Care and Outcomes Improvement Network, Cincinnati, OH, 16Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 17The Hospital for Sick Children, Toronto, ON, Canada, 18James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 19Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 20Pediatric Rheumatology, Cincinnati Children's Hospital, Cincinnati, OH

    Background/Purpose: Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN) is a growing multi-center network organized on a learning health system model designed to improve outcomes…
  • Abstract Number: 2039 • 2016 ACR/ARHP Annual Meeting

    Assessing Barriers to Uveitis Screening in Patients with JIA: A Qualitative Study

    Laura Ballenger1, Kyla Driest2 and Stacy P. Ardoin3, 1Nationwide Children's Hospital, Columbus, OH, 2Rheumatology, Nationwide Children's Hospital, Columbus, OH, 3Pediatric & Adult Rheumatology, Ohio State University, Columbus, OH

    Background/Purpose: Uveitis is a major complication in patients with juvenile idiopathic arthritis (JIA) can be completely asymptomatic until vision loss develops. In order to prevent ocular…
  • Abstract Number: 2040 • 2016 ACR/ARHP Annual Meeting

    Responsiveness of Patient Reported Outcomes Measurement Information System Measures in RA Patients Starting or Switching a DMARD

    Alyssa Wohlfahrt1, Clifton Bingham III2, Zhi Zhang1, Marcy Bolster3, Larry W. Moreland4, Tuhina Neogi5, Kristine Phillips6 and Yvonne C. Lee7, 1Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 2Johns Hopkins University, Baltimore, MD, 3Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 4Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 5Clinical Epidemiology, Boston University School of Medicine, Boston, MA, 6Rheumatology, University of Michigan, Ann Arbor, MI, 7Rheumatology Immunology & Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: The Patient Reported Outcome Measurement Information System (PROMIS) is an NIH-developed metric for assessing multidimensional aspects of health across different conditions. Prior RA studies…
  • Abstract Number: 2041 • 2016 ACR/ARHP Annual Meeting

    Validity and Reliability of Patient Reported Outcomes Measurement Information System (PROMIS®) Global Health Short Form in Patients with SLE

    Shanthini Kasturi1, Jayme C. Burket2, Jessica Berman1, Kyriakos A. Kirou1, Alana B. Levine1, Lisa R. Sammaritano1 and Lisa Mandl1, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Healthcare Research Institute, Hospital for Special Surgery, New York, NY

    Background/Purpose: The measurement of patient reported outcomes (PROs) is a growing priority for performance improvement in clinical care of chronic conditions such as SLE. Measuring…
  • Abstract Number: 2042 • 2016 ACR/ARHP Annual Meeting

    Improving the Overall Pneumococcal Vaccination Rate in Lupus Patients at the Rheumatology Clinic

    Shivani Garg1, Aliza Lipson2 and Katina Tsagaris3, 1Rheumatology, Emory University, Atlanta, GA, 2Rheumatology, EMORY UNIVERSITY, atlanta, GA, 3Rheumatology, EMORY UNIVERSITY, Atlanta, GA

    Background/Purpose: The risk of developing invasive pneumococcal pneumonia is 13 times higher in Lupus patients in comparison with general population. CDC anticipates 7.6 Million-Dollar medical…
  • Abstract Number: 2043 • 2016 ACR/ARHP Annual Meeting

    Feasibility and Accuracy of Translating a Patient Safety Quality Measure into an Automated e-Measure

    Chris Tonner1, Gabriela Schmajuk2, Laura Trupin3 and Jinoos Yazdany3, 1Rheumatology, University of California, San Francisco, San Francisco, CA, 2San Francisco VA Medical Center, University of California, San Francisco, San Francisco, CA, 3Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Physician payments in the U.S. are shifting from fee-for-service to a value-based system, which will require quality measures to be extracted automatically from the…
  • Abstract Number: 2044 • 2016 ACR/ARHP Annual Meeting

    Effect of Pregnancy on Disease Flares in Patients with Systemic Lupus Erythematosus

    Amanda M. Eudy1,2, Anna Maria Siega-Riz2, Stephanie Engel2, Nora Franceschini2, Annie Green Howard3, Megan E. B. Clowse1 and Michelle Petri4, 1Rheumatology, Duke University Medical Center, Durham, NC, 2Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 3Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, 4Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: There are conflicting results about the effect pregnancy has on the health of systemic lupus erythematosus (SLE) women. The objective of the current analysis…
  • Abstract Number: 2045 • 2016 ACR/ARHP Annual Meeting

    Early Preeclampsia Risk in Lupus Pregnancy: A Swedish Population-Based Register Investigation

    Julia F Simard1,2, Elizabeth V. Arkema3, Cathina Nguyen4, Elisabet Svenungsson5, Anna-Karin Wikstrom6,7, Kristin Palmsten8 and Jane E. Salmon9, 1Division of Epidemiology, Health Research and Policy Department, and Division of Immunology & Rheumatology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 2Clinical Epidemiology Unit, Dept of Medicine, Karolinska Institutet, Stockholm, Sweden, 3Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 4Health Research & Policy, Stanford School of Medicine, Stanford, CA, 5Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 6Department of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden, 7Clinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Stockholm, Sweden, 8Department of Pediatrics, University of California, San Diego, La Jolla, CA, 9Division of Rheumatology, Hospital for Special Surgery, Weill Cornell Medicine, New York, NY

    Background/Purpose:  Early preeclampsia is a serious pregnancy complication characterized by abnormal placentation and diffuse maternal endothelial cell dysfunction, and requires emergent delivery which may be…
  • Abstract Number: 2046 • 2016 ACR/ARHP Annual Meeting

    The Low-Dose Intravenous Cyclophosphamide Euro-Lupus Regimen Does Not Impact the Ovarian Reserve of Lupus Patients, As Measured By Serum Anti-Mullerian Hormone Levels

    Séverine Nieuwland1, Farah Tamirou1, Damien Gruson2, Frédéric Debiève3, Bernard R. Lauwerys1 and Frédéric A. Houssiau1, 1Rheumatology Department, Cliniques universitaires Saint-Luc, Brussels, Belgium, 2Clinical Chemistry Department, Cliniques universitaires Saint-Luc, Brussels, Belgium, 3Obstetrics Department, Cliniques universitaires Saint-Luc, Brussels, Belgium

    Background/Purpose: The low-dose intravenous (IV) cyclophosphamide (CY) Euro-Lupus (EL) regimen (cumulative dose 3g) has been developped to reduce gonadal toxicity. Although no case of premature menopause…
  • Abstract Number: 2047 • 2016 ACR/ARHP Annual Meeting

    Impact of in Utero Hydroxychloroquine Exposure on the Risk of Cutaneous Neonatal Lupus Erythematosus

    Julie Barsalou1, Nathalie Costedoat-Chalumeau2, Adey Berhanu3, Cesar Fors-Nieves4, Ummara Shah5, Patrick Brown6, Carl Laskin7, Nathalie Morel8, Kateri Levesque9, Jill P. Buyon10, Earl Silverman6 and Peter M. Izmirly11, 1Pediatric Rheumatology, Hospital for Sick Children, Toronto, ON, Canada, 2Internal Medicine, Cochin University Hospital, Paris, France, 3Rheumatology Fellowship Program, NYU Langone Medical Center/NYU School of Medicine, New York, NY, 4Division of Rheumatology, NYU School of Medicine, New York, NY, 5Medicine, Strong Memorial Hospital, University of Rochester, Rochester, NY, 6University of Toronto, Toronto, ON, Canada, 7Medicine, Rheumatology and Obstetrics and Gynecology, University of Toronto and LifeQuest Centre for Reproductive Medicine, Toronto, ON, Canada, 8Internal Medicine Department, Cochin Hospital, “René-Descartes Paris V” University, Paris, France, 9Internal Medicine, CHU Ste-Justine, Montréal, QC, Canada, 10Medicine, Tisch Hospital, New York, NY, 11New York University School of Medicine, New York, NY

    Background/Purpose: Histopathologic studies of cutaneous neonatal lupus erythematosus (cNLE) lesions usually show interface dermatitis. Hydroxychloroquine (HCQ) is an effective treatment for interface dermatitis seen in…
  • Abstract Number: 2048 • 2016 ACR/ARHP Annual Meeting

    Evaluating Transfer of Certolizumab Pegol into Breast Milk: Results from a Prospective, Postmarketing, Multicenter Pharmacokinetic Study

    Megan E. B. Clowse1, Frauke Förger2, Caroline Hwang3, John Thorp4, Radboud J. E. M. Dolhain5, Astrid van Tubergen6, Laura Shaughnessy7, Jeff Simpson8, Marie Teil9, Nathalie Toublanc10, Maggie Wang8 and Thomas W. Hale11, 1Rheumatology, Duke University School of Medicine, Durham, NC, 2Rheumatology, Clinical Immunology and Allergology, Inselspital University Hospital of Bern, Bern, Switzerland, 3Keck Hospital of USC, Los Angeles, CA, 4University of North Carolina at Chapel Hill, Chapel Hill, NC, 5Rheumatology, University Medical Center Rotterdam, Rotterdam, Netherlands, 6Maastricht University Medical Center, Maastricht, Netherlands, 78010 Arco Corporate Drive, Sui, UCB Pharma, Raleigh, NC, 8UCB Pharma, Raleigh, NC, 9UCB Pharma, Slough, United Kingdom, 10UCB Pharma, Brussels, Belgium, 11Texas Tech University School of Medicine, Amarillo, TX

    Background/Purpose: Women with chronic inflammatory diseases, including rheumatic diseases and Crohn’s disease (CD), face uncertainty regarding the safety of the use of biologics during breastfeeding.…
  • Abstract Number: 2049 • 2016 ACR/ARHP Annual Meeting

    Serious Infections in RA Offspring Exposed to Tumor Necrosis Factor Inhibitors

    Evelyne Vinet1, Cristiano S. Moura2, Jeffrey R. Curtis3, Christian A. Pineau4, Michal Abrahamowicz2 and Sasha Bernatsky5, 1Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 2Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 3Center for Education and Research on Therapeutics, University of Alabama at Birmingham, Birmingham, AL, 4McGill University Health Centre, Montreal, QC, Canada, 5Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: Tumor Necrosis Factor inhibitors (TNFi) are increasingly used during RA pregnancy. Most of these are actively transported across the placenta, reaching higher fetal than maternal…
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