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  • Abstract Number: 759 • 2015 ACR/ARHP Annual Meeting

    Prolactin Level Is Independently Associated with Circulating CD4+CD28null in Systemic Lupus Erythematosus Patients

    Manuel Ugarte-Gil1,2, César Sánchez-Zúñiga3, Rocio V. Gamboa-Cardenas1, Madeley Aliaga-Zamudio3, Francisco Zevallos1, Giannina Tineo-Pozo3, Jorge M. Cucho-Venegas1, Ana Mosqueira-Riveros3, Risto Perich-Campos1,4, Jose Alfaro-Lozano1, Mariela Medina1, Zoila Rodriguez-Bellido1,4, Graciela S. Alarcon5 and Cesar A. Pastor-Asurza1,4, 1Rheumatology, Hospital Guillermo Almenara Irigoyen. EsSalud, Lima, Peru, 2Universidad Cientifica del Sur, Lima, Peru, 3Molecular Biology, Hospital Guillermo Almenara Irigoyen. EsSalud, Lima, Peru, 4Universidad Nacional Mayor de San Marcos, Lima, Peru, 5Medicine, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose: Peripheral CD4+CD28null T-cells are a subset of long-lived cytotoxic CD4+ T-cells with pro-inflammatory functions, and they are increased in autoimmune and cardiovascular diseases. Prolactin…
  • Abstract Number: 760 • 2015 ACR/ARHP Annual Meeting

    Impact of Baseline Concomitant Medication Use on Belimumab Efficacy and Safety in Patients with Systemic Lupus Erythematosus (SLE)

    Andreas Schwarting1, Mary Anne Dooley2, David Roth3, Lisa Edwards4, April Thompson4 and Barbara Wilson4, 1ACURA Kliniken, Bad Kreuznach, Germany, 2University of North Carolina, Chapel Hill, NC, 3GlaxoSmithKline, King of Prussia, PA, 4GlaxoSmithKline, Chapel Hill, NC

    Background/Purpose: Belimumab is licensed as add-on therapy to standard lupus care (SoC) in patients with active SLE. Physicians have inquired about the efficacy and safety…
  • Abstract Number: 761 • 2015 ACR/ARHP Annual Meeting

    Neurometabolic Alterations in Korean Lupus Patients with Chronic Daily Headache

    Ji-Min Kim1, Tae-Han Lee1, Chang-Nam Son1, Sung Soo Kim2, Hyuk Won Chang3 and Sang-Hyon Kim1, 1Division of Rheumatology, Department of Internal Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, South Korea, 2Division of Rheumatology, Department of Internal Medicine, Ulsan University School of Medicine, GangNeung Asan Hospital, Gangneung, South Korea, 3Department of Radiology, Keimyung University School of Medicine, Daegu, South Korea

    Background/Purpose: Neuropsychiatric systemic lupus erythematosus (SLE) includes a broad spectrum of neurologic and psychiatric manifestations. One of the most commonly observed neuopsychiatric symptoms is headache.…
  • Abstract Number: 762 • 2015 ACR/ARHP Annual Meeting

    The Interferon Signature Correlates with Longitudinal Disease Severity in Systemic Lupus Erythematosus, but Adds Little to Conventional Prognostic Indicators

    Arundip Asaduzzaman1, Babak Noamani2, Denisse Bonilla3, Dafna Gladman4, Murray Urowitz5,6, Paul R. Fortin7, Carolina Landolt-Marticorena8 and Joan E. Wither9, 1Rheumatology, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada, 2Genetics and developmental biology, University Health Network, Toronto, ON, Canada, 3University Health Network, Toronto, ON, Canada, 4Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 5University of Toronto, Toronto, ON, Canada, 6Rheumatology, U of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 7Université Laval, CHU de Québec, Québec, QC, Canada, 81E420/Div of Rheumatology, University Health Network, Toronto, ON, Canada, 9Rheumatology, University Health Network, Toronto, ON, Canada

    Background/Purpose: Type I interferon (IFN) is thought to play an important part in the pathophysiology of systemic lupus erythematosus (SLE), and cross-sectional data suggests an…
  • Abstract Number: 763 • 2015 ACR/ARHP Annual Meeting

    Lupus-Related SNPs and Risk of Diffuse Large B-Cell Non-Hodgkin Lymphoma

    Sasha Bernatsky1,2, John Spinelli3, Patrick M. Gaffney4, Karin E Smedby5, Rosalind Ramsey-Goldman6, Sophia Wang7 and Ann E. Clarke8, 1Rheum/Clin. Epid., McGill MUHC/RVH, Montreal, QC, Canada, 2Clinical Epidemiology, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada, 3School of Population and Public Health, University of British Columbia, Vancouver, QC, Canada, 4Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden, 6Fsm # M300, Northwestern University, Chicago, IL, 7Division of Cancer Etiology, Department of Population Sciences, Beckman Research Institute, Duarte, CA, 8Immunology/Epidemiology, Montreal General Hospital, Montreal, QC, Canada

    Background/Purpose: The determinants behind the increased risk of non-Hodgkin Lymphoma (NHL) in systemic lupus (SLE) are unclear. The most common type of NHL in SLE…
  • Abstract Number: 764 • 2015 ACR/ARHP Annual Meeting

    Gastrointestinal Adverse Events of Azathioprine in Daily Clinical Practice: Independent of Thiopurine Methyltransferase Activity

    Eun Young Ahn1, Hyun Mi Kwon1, Sung-Hwan Park2, Yeong Wook Song1 and Kichul Shin3, 1Division of Rheumatology, Department of Internal Medicine, Seoul National University Hospital, Seoul, South Korea, 2Division of Rheumatology, Department of Internal Medicine, Seoul St. Mary's Hospital, Seoul, South Korea, 3Division of Rheumatology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea

    Background/Purpose: Azathioprine (AZA) is a commonly used immunosuppressive agent for a number of systemic rheumatic diseases. Although it is regarded to be relatively safe to…
  • Abstract Number: 765 • 2015 ACR/ARHP Annual Meeting

    Clinical Improvements in Systemic Lupus Erthematosus Are Correlated to Cellular and Soluble Biomarkers in Classical Complement Pathway

    Chaim Putterman1, Jill P. Buyon2, Richard Furie3, Rosalind Ramsey-Goldman4, Kenneth Kalunian5, John Conklin6, Tyler O'Malley7, Derren Barken8 and Thierry Dervieux7, 1Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 2NYU School of Medicine, New York, NY, 3NSLIJHS, Lake Success, NM, 4Northwestern University Feinberg School of Medicine, Chicago, IL, 5UCSD School of Medicine, La Jolla, CA, 61261 Liberty Way Suite C, Exagen Diagnostics, Vista, CA, 7Research and Development, Exagen Diagnostics, Vista, CA, 8Exagen Diagnostics, Vista, CA

    Background/Purpose : There is a need to identify biomarkers that track disease response in systemic lupus erythematosus (SLE).  The value of various biomarkers in monitoring…
  • Abstract Number: 766 • 2015 ACR/ARHP Annual Meeting

    Clinical and Immunological Characteristics of 150 Systemic Lupus Erythematosus Patients in Urban Jamaica

    Keisha Maloney1, Trevor Ferguson2 and Karel De Ceulaer3, 1Department of Medicine,, University of the West Indies, Kingston 7, Jamaica, 2Epidemiology Research Unit, Tropical Medicine Research Institute, University of the West Indies, Kingston 7, Jamaica, 3Internal Medicine, University of the West Indies, Kgn 7, Jamaica

    Background/Purpose: Epidemiological studies in systemic lupus erythematosus (SLE) have been reported in the literature in many countries and ethnic groups. Although SLE in Jamaica has…
  • Abstract Number: 767 • 2015 ACR/ARHP Annual Meeting

    Estimating the Pre-Test Probability of Systemic Lupus Erythematosus By Utilizing Anti-Double Stranded DNA and Cell Bound Complement Activation Products Testing from Rheumatology Based Practices in the United States

    Stuart L. Silverman1, Derren Barken2, John Conklin3, Claudia Ibarra4 and Thierry Dervieux5, 1OMC Clinical Research Center, Beverly Hills, CA, 2Exagen Diagnostics, Vista, CA, 31261 Liberty Way Suite C, Exagen Diagnostics, Vista, CA, 4Clinical Laboratory, Exagen Diagnostics, Vista, CA, 5Research and Development, Exagen Diagnostics, Vista, CA

    Background/Purpose : Clinicians are aware that the interpretation of any clinical diagnostic test and post-test probability of disease is highly influenced by pre-test probability or…
  • Abstract Number: 768 • 2015 ACR/ARHP Annual Meeting

    The Lupus Foundation of America Rapid Evaluation of Activity in Lupus (LFA-REAL) Instrument Correlates Between Trained Clinical Investigators and Clinicians

    Anca Askanase1, Teja Kapoor2, Cynthia Aranow3, Karen H. Costenbader4, Jennifer Grossman5, Diane L. Kamen6, S. Sam Lim7, Mimi Kim8, Paola Daly9,10, Leslie M. Hanrahan11 and Joan T. Merrill12, 1NYU School of Medicine, New York, NY, 2Columbia University, New York, NY, 3Feinstein Institute for Medical Research, Mahasset, NY, 4Rheumatology, Immunology & Allergy, Brigham & Women's Hospital, Boston, MA, 5Rheumatology, UCLA, LA, CA, 6Medicine, Medical University of South Carolina, Charleston, SC, 7Emory University School of Medicine, Atlanta, GA, 8Biostatistics and Research Design Resource, Albert Einstein Coll Med, Bronx, NY, 9Lupus Foundation of America, Washington DC, DC, 10Lupus Foundation of America, Washington, DC, 11Lupus Fnd of America, Washington, DC, 12Oklahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose:   Current SLE disease activity measures, such as SLEDAI and BILAG, can be challenging to score and interpret, making them impractical for use in…
  • Abstract Number: 769 • 2015 ACR/ARHP Annual Meeting

    Evaluation of Soluble Alpha-Klotho in Neuropsychiatric Systemic Lupus Erythematosus

    Kunihiro Ichinose1, Takeshi Ushigusa2, Masataka Umeda1, Tomohiro Koga2, Atsushi Kawakami2 and Shuntaro Sato3, 1Department of Immunology and Rheumatology, Nagasaki University, Nagasaki, Japan, 2Department of Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan, 3Clinical Research Center, Nagasaki University Hospital, Nagasaki, Japan

    Evaluation of Soluble alpha-Klotho in Neuropsychiatric Systemic Lupus ErythematosusABSTRACTBackground/Purpose: Neuropsychiatric systemic lupus erythematosus (NPSLE) is a serious complication in SLE that presents a variety of…
  • Abstract Number: 770 • 2015 ACR/ARHP Annual Meeting

    Circulating Levels of iC3b and C3 Correlate with Sledai-2K Responder Index-50 (S2K RI-50) Disease Activity Scores: The Castle (Complement Activation Signatures in Systemic Lupus Erythematosus) Study

    Alfred Kim1, Vibeke Strand2, Nancy Mathis1, Deepali Sen3, Jonathan Miner3, Elizabeth Schramm1, Robin Bruchas4, Nick Staten4, Paul Olson4, Chad Stiening4 and John Atkinson1, 1Rheumatology, Washington University School of Medicine, Saint Louis, MO, 2Adjunct, Division of Immunology / Rheumatology, Stanford University, Palo Alto, CA, 3Division of Rheumatology, Washington University School of Medicine, Saint Louis, MO, 4Kypha, Inc., Saint Louis, MO

    Background/Purpose: A major unmet need in SLE is the identification of a biomarker that consistently tracks with disease activity. One current approach is measuring complement…
  • Abstract Number: 771 • 2015 ACR/ARHP Annual Meeting

    Convergent Validity of New Disease Assessment Instruments in Systemic Lupus Erythematosus in Relation to Sledai-2K

    Christopher Collins1, W. Winn Chatham2, Howard Busch3, Norman B. Gaylis4, Emily Hautamaki5 and Siva Narayanan6, 1MedStar Washington Hospital Center, Washington, DC, 2Medicine/Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 3Science & Research Institute, Jupiter, FL, 4Arthritis & Rheumatic Disease Specialties, Aventura, FL, 5Ipsos Healthcare, Washington, DC, 6Global Evidence, Value and Access, Ipsos Healthcare, Washington, DC

    Background/Purpose: Current validated disease assessment instruments (DAIs) in systemic lupus erythematosus (SLE) such as SLEDAI-2K and BILAG, require disease expertise and/or involve complex scoring systems,…
  • Abstract Number: 772 • 2015 ACR/ARHP Annual Meeting

    Post-Phlebotomy Stability of Soluble and Cellular Forms of Complement Activation: Implications in SLE Diagnostic Assays

    John Conklin1, Basil Jones2, Tyler O'Malley3, Duncan Poling4, JoAnne Ligayon5, Leilani Wolover6, Ying Qu7, Claudia Ibarra8, Puja Chitkara9 and Thierry Dervieux3, 11261 Liberty Way Suite C, Exagen Diagnostics, Vista, CA, 2Exagen Diagnostics, Vista, CA, 3Research and Development, Exagen Diagnostics, Vista, CA, 4Research and Development, Exagen Diagnostics Inc., Vista, CA, 5Flow Cytometry, Exagen Diagnostics Inc., Vista, CA, 6Research and Development, Exagen Diagnostics, Inc., Vista, CA, 7Exagen Diagnostic Inc, Vista, CA, 8Clinical Laboratory, Exagen Diagnostics, Vista, CA, 9Rheumatology, Center For Arthritis and Rheumatologic Excellence, Chula Vista, CA

    Background/Purpose: Deregulation and activation of the classical complement system is known to be associated with systemic lupus erythematosus (SLE). As such, several investigators have proposed…
  • Abstract Number: 773 • 2015 ACR/ARHP Annual Meeting

    Clinical Evaluation of Patients with Positive Antibodies to Extractable Nuclear Antigens but Negative ANA

    Megan L. Krause1, Michael Ettore2, Melissa R. Snyder3, Cynthia S. Crowson4 and Kevin G. Moder1, 1Rheumatology, Mayo Clinic, Rochester, MN, 2Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 3Laboratory Medicine, Mayo Clinic, Rochester, MN, 4Health Sciences Research, Mayo Clinic, Rochester, MN

    Background/Purpose: In the setting of a negative ANA, antibodies to extractable nuclear antigens (ENA) should be correspondingly negative, but alternative clinical scenarios occasionally arise.  This…
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