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  • Abstract Number: 1785 • 2015 ACR/ARHP Annual Meeting

    Clinical Characteristics and Relative Factors of Infections in Southern Chinese Patients with Systemic Lupus Erythematosus

    Zhongping Zhan, Dongying Chen, Qian Qiu and Liuqin Liang, Department of Rheumatology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

    Background/Purpose: To determine the clinical characteristics and to identify relative factors of infection in patients with Systemic Lupus Erythematosus, to provide a data for making…
  • Abstract Number: 1786 • 2015 ACR/ARHP Annual Meeting

    Improvements in Health-Related Quality of Life and Fatigue Following Administration of an IL-6 Monoclonal Antibody (PF-04236921) in an Enriched Population of Subjects with Active SLE

    Vibeke Strand1, Annette Diehl2, Jared Christensen2, Joseph Wajdula2, Sudhakar Sridharan3 and Paul J Healey2, 1Biopharmaceutical Consultant, Portola Valley, CA, 2Pfizer Inc, New York City, NY, 3PPD Inc, Rockville, MA

    Background/Purpose: The 10 mg dose of PF-04236921 showed evidence of efficacy in a phase 2 randomized controlled trial (RCT) in SLE.1,2 Here patient-reported outcomes (PROs)…
  • Abstract Number: 1787 • 2015 ACR/ARHP Annual Meeting

    Innate Immunity, Arterial Inflammation and Vascular Stiffness in Patients with Systemic Lupus Erythematosus

    Monica Purmalek1, Simantini Sakhardande1, Yenealem Temesgen-Oyelakin2, Alice Fike3, Taufiq Salahuddin4, Balaji Natarajan4, Zerai Manna2, Elizabeth Joyal2, Sarfaraz Hasni2, Nehal N. Mehta4 and Mariana J. Kaplan1, 1Systemic Autoimmunity Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 2National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 3Office of the Clinical Director, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 4NHLBI, National Institutes of Health, Bethesda, MD

    Background/Purpose: Patients with systemic lupus erythematosus (SLE) show a striking increase in risk of atherosclerotic cardiovascular disease (CVD) not explained by Framingham risk, compared to…
  • Abstract Number: 1788 • 2015 ACR/ARHP Annual Meeting

    Lipoprotein Subfractions and Cardiovascular Disease in Systemic Lupus Erythematosus

    Simantini Sakhardande1, Monica Purmalek1, Maureen Sampson2, Yenealem Temesgen-Oyelakim3, Alice Fike4, Taufiq Salahuddin5, Balaji Natarajan5, Zerai Manna6, Elizabeth Joyal6, Marcus Chen5, Sarfaraz Hasni6, Nehal N. Mehta5,7, Alan Remaley5 and Mariana J. Kaplan1, 1Systemic Autoimmunity Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 2CC/NIH, Bethesda, MD, 3Office of the Clinical Director,National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 4Office of the Clinical Director, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 5NHLBI, National Institutes of Health, Bethesda, MD, 6National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 7National Heart Lung Blood Institute, Cardiovascular and Pulmonary Division, NHLBI, National Institutes of Health, Bethesda, MD

    Background/Purpose: Risk of atherosclerotic cardiovascular disease (CVD) is significantly enhanced in systemic lupus erythematosus (SLE) compared to age and gender matched controls. While this risk…
  • Abstract Number: 1789 • 2015 ACR/ARHP Annual Meeting

    Infections Observed in Rituximab Treated Patients with Refractory Systemic Lupus Erythematosus (SLE): Results from a National Multicentre Register

    Eoghan M. McCarthy1,2, Emily Sutton3, David A. Isenberg4, Anisur Rahman4, Benjamin Rhodes5, Peter Hewins6, Neil J McHugh7, Ben Parker8, Bridget Griffiths9, Peter Lanyon10, Edward M. Vital11, Lee-Suan Teh12, Mohammed Akil13, Hazem Youssef14, David P. D'Cruz15, Munther Khamashta16, Nicola Erb17, David Jayne18, Christopher J. Edwards19, Athiveer Prabu20, Michael Batley21, Nagui Gendi22, Bhaskar Dasgupta23,24, Richard J. Stratton25, Chee-Seng Yee26, Asad Zoma27, Caroline Gordon28, Antoni Chan29, Steven Young Min30, Shirish Dubey31, Jon King32, Denise De Lord33, Edmond O'Riordan34, Rachel Jeffery35, Waji Hassan36, Marian Regan37 and Ian N. Bruce38, 1NIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester University Hospital NHS Foundation Trust, Manchester, United Kingdom, 2The University of Manchester, Centre for Musculoskeletal Research, Institute of Inflammation and Repair, Manchester Academic Health Science Centre, Mmanchester, United Kingdom, 3University of Manchester, Manchester Academic Health Science Centre, Arthritis Research UK Centre for Epidemiology, Manchester, United Kingdom, 4Centre for Rheumatology Research, University College London, London, England, 5Rheumatology, Queen Elizabeth Hospital, Birmingham, United Kingdom, 6Queen Elizabeth Hospital, Birmingham, United Kingdom, 7Rheumatology, Bath Institute of Rheumatic Diseases, Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom, 8Stopford Building, Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Institute of Inflammation and Repair, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom, 9Rheumatology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom, 10Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom, 11Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 12Department of Rheumatology, Royal Blackburn Hospital, Blackburn, United Kingdom, 13Sheffield Center Rheumatic Dis, Sheffield South Yorkshire, United Kingdom, 14Department of Rheumatology, NHS Grampian, Aberdeen, United Kingdom, 15Louise Coote Lupus Unit, Guy's and St Thomas' Hospital, London, United Kingdom, 16Louise Coote Lupus Unit, St Thomas' Hospital, London, United Kingdom, 17Department of Rheumatology, The Dudley Group NHS Foundation Trust, Dudley, United Kingdom, 18Medicine, Addenbrooke's Hospital, Cambridge, United Kingdom, 19University Hospital Southampton, Southampton, United Kingdom, 20Worcester Royal Hospital, Worcester, Worcester, United Kingdom, 21Rheumatology, Maidstone and Tunbridge Wells Hospital, Kent, United Kingdom, 22Rheumatology, Basildon & Thurroch University Hospitals NHS Trust, Basildon, Essex, United Kingdom, 23Southend University Hospital, Southend, United Kingdom, 24Rheumatology, Southend University Hospital, Essex, United Kingdom, 25Centre for Rheumatology and Connective Tissue Disease, University College London, London, United Kingdom, 26Department of Rheumatology, Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Doncaster, United Kingdom, 27Rheumatology, Hairmyres Hospital, East Kilbride, United Kingdom, 28Rheumatology Research Group, School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 29Rheumatology, Royal Berkshire NHS Foundation Trust, Reading, United Kingdom, 30Rheumatology, Queen Alexandra Hospital, Portsmouth, United Kingdom, 31Rheumatology, University Hospitals Coventry and Warwickshire, Coventry, United Kingdom, 32Rheumatology, Derriford Hospital, Plymouth, United Kingdom, 33Rheumatology, Queen Elizabeth the Queen Mother Hospital, East Kent, United Kingdom, 34Renal Medicine, Salford Royal Foundation Trust, Manchester, United Kingdom, 35Rheumatology, Northampton General Hospital, Northampton, United Kingdom, 36Rheumatology, University Hospitals of Leicester, Leicester, United Kingdom, 37Rheumatology, Royal Derby Hospital, Derby, United Kingdom, 38Central Manchester University Hospital NHS Foundation Trust and Manchester Academic Health Science Centre, NIHR Manchester Musculoskeletal Biomedical Research Unit, Manchester, United Kingdom

    Background/Purpose: SLE is associated with a significantly increased risk of infection. Both disease activity and the medications required to control disease are contributory factors. Rituximab…
  • Abstract Number: 1790 • 2015 ACR/ARHP Annual Meeting

    Mycophenolate Mofetil Suppresses Humoral Response to Pneumococcal Vaccine in Patients with Systemic Lupus Erythematosus and Other Autoimmune Diseases

    Mark Tratenberg1,2, Julia Ash1, Kirk Sperber1, Amy Wasserman3 and Slavica Bobic1, 1Rheumatology, New York Medical College, Valhalla, NY, 2Medicine-Rheumatology, New York Medical College, Valhalla, NY, 3New York Medical College, Valhalla, NY

    Background/Purpose: To determine the efficacy of pneumococcal polysaccharide vaccine (PPV-23) in patients on mycophenolate mofetil (MMF) therapy and compare efficacy to other DMARDS.Methods:   In…
  • Abstract Number: 1791 • 2015 ACR/ARHP Annual Meeting

    Does Renin-Angiotensin System Blockade Protect Lupus Nephritis Patients from Atherosclerotic Cardiovascular Events?  a Case-Control Study

    Konstantinos Tselios1, Dafna Gladman2, Jiandong Su2 and Murray Urowitz2,3, 1Medicine, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Rheumatology, U of Toronto, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Angiotensin converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) are currently used as an adjuvant treatment in lupus nephritis (LN) patients for the…
  • Abstract Number: 1792 • 2015 ACR/ARHP Annual Meeting

    Optimal Monitoring for Coronary Heart Disease Risk in Systemic Lupus Erythematosus Patients:  a Systematic Review

    Konstantinos Tselios1, Barry J. Sheane2, Dafna Gladman3 and Murray Urowitz3,4, 1Medicine, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Rheumatology, St James Hospital, Dublin, Ireland, 3Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 4Rheumatology, U of Toronto, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Premature coronary heart disease (CHD) represents a significant cause of morbidity and mortality in systemic lupus erythematosus (SLE). Several studies have been conducted to…
  • Abstract Number: 1793 • 2015 ACR/ARHP Annual Meeting

    Is There a Relationship Between Antimalarial Treatment and Elevated Muscle Enzymes in Systemic Lupus Erythematosus

    Konstantinos Tselios1, Dafna Gladman2, Jiandong Su2 and Murray Urowitz2,3, 1Medicine, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 2Rheumatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 3Rheumatology, U of Toronto, Toronto Western Hospital, Toronto, ON, Canada

    Background/Purpose: Elevated muscle enzymes in the course of systemic lupus erythematosus (SLE) usually represent active myositis or drug-related toxicity. Lipid-lowering agents and, less frequently, antimalarials…
  • Abstract Number: 1794 • 2015 ACR/ARHP Annual Meeting

    Unexplained Decline in Rates of Cardiovascular Events in a Large Cohort of SLE Patients

    Michelle Petri1 and Laurence S Magder2, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2University of Maryland School of Medicine, Baltimore, MD

    Background/Purpose: We have observed a decline in rates of cardiovascular events in systemic lupus erythamatosus (SLE) pateints in our clinic. In this work presented below,…
  • Abstract Number: 1795 • 2015 ACR/ARHP Annual Meeting

    Long-Term Safety and Efficacy of Tacrolimus for Lupus Nephritis Patients in Real World Setting -Results from 5 Year Interim Analysis of Post Marketing Surveillance of 1376 Patients in Japan-

    Tsutomu Takeuchi1 and Naoko Wakasugi2, 1Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, 2Astellas Pharma Inc., Tokyo, Japan

    Background/Purpose: Tacrolimus (Tac) is an immunosuppressive macrolide that blocks T cell activation by specifically inhibiting calcineurin. Some randomized controlled studies have shown that TAC is an…
  • Abstract Number: 1796 • 2015 ACR/ARHP Annual Meeting

    Progression of Atherosclerosis Might be Prevented By Decrease of Serum Resistin Level after Glucocorticoid Therapy in Patients with Systemic Autoimmune Disease

    Shotaro Masuoka, Nahoko Tanaka, Natsuko Kusunoki, Tatsuhiro Yamamoto, Kaichi Kaneko, Sei Muraoka, Makoto Kaburaki, Kotaro Shikano, Natsuki Fujio, Hiroshi Sato, Mai Kawazoe, Emiko Shindo, Soichi Yamada, Kenji Takagi, Toshihiro Nanki and Shinichi Kawai, Division of Rheumatology, Department of Internal Medicine, School of Medicine, Faculty of Medicine, Toho University, Tokyo, Japan

    Background/Purpose: Development of atherosclerosis is accelerated in patients with systemic autoimmune diseases. However, underlying mechanisms of accelerated atherosclerosis remains unknown, and the impact of pharmacotherapies…
  • Abstract Number: 1797 • 2015 ACR/ARHP Annual Meeting

    Insulin Resistance Is Not Associated with Increased Risk of Subclinical Atheromatosis in Patients with Systemic Lupus Erythematosus from Northern Spain

    Leyre Riancho-Zarrabeitia1, Alfonso Corrales2, Nuria Vegas-Revenga1, Lucía Dominguez-Casas1, Javier Rueda-Gotor2, Montserrat Santos-Gómez1, Maria T. García-Unzueta3, Ricardo Blanco1 and Miguel Angel Gonzalez-Gay1, 1Rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL, Santander, Spain, 2rheumatology, Hospital Universitario Marqués de Valdecilla. IDIVAL, Santander, Spain, 3Biochemistry, Hospital Universitario Marqués de Valdecilla. IDIVAL, Santander, Spain

    Background/Purpose: Metabolic syndrome is a recently defined clustering of cardiovascular risk (CV) factors associated with insulin resistance (IR) and an increased risk of CV disease.…
  • Abstract Number: 1798 • 2015 ACR/ARHP Annual Meeting

    Progression of Noncalcified and Calcified Coronary Plaque (by CT Angiography) in SLE

    Michelle Petri1, Armin Zadeh1, Adnan Kiani1 and Laurence S Magder2, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2University of Maryland School of Medicine, Baltimore, MD

    Background/Purpose: Accelerated atherosclerosis leading to premature coronary artery disease remains the major cause of late death in SLE.  Coronary artery calcium (CAC) is a late…
  • Abstract Number: 1799 • 2015 ACR/ARHP Annual Meeting

    IgG Levels Correlate Inversely with Proteinuria Among Participants in the Abatacept and Cyclophosphamide Combination Therapy for Lupus Nephritis Trial, but Hypogammaglobulinemia Was Not Associated with an Increased Risk of Serious Infection

    Sara G. Murray1, Noha Lim2, Michael Stahly2, Dawn Smilek3 and David Wofsy4, 1Medicine, University of California, San Francisco, San Francisco, CA, 2Immune Tolerance Network, Bethesda, MD, 3Immune Tolerance Network, San Francisco, CA, 4University of California, San Francisco, San Francisco, CA

    Background/Purpose: Hypogammaglobulinemia has been associated with serious infectious adverse events (SIAE) and may occur during immunosuppressive therapy for lupus nephritis (LN). It is possible that…
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