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  • 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…
  • Abstract Number: 1800 • 2015 ACR/ARHP Annual Meeting

    A Novel Anti-CD28 Domain Antibody Antagonist Shows a Favorable Pharmacokinetic, Pharmacodynamic and Safety Profile

    R Shi1, M Honczarenko1, S Zhang2, CA Fleener3, J Mora1, S Lee1, X Liu1, DE Shevell1, Z Yang1, H Wang1 and B Murthy1, 1Bristol-Myers Squibb, Princeton, NJ, 2GlaxoSmithKline, King of Prussia, PA, 3Pfizer Inc, Groton, CT

    Background/Purpose: Antagonism of the CD28 costimulation receptor is thought to block T-cell activation, making this a promising target for the treatment of many autoimmune diseases,…
  • Abstract Number: 1801 • 2015 ACR/ARHP Annual Meeting

    Hydroxychloroquine Retinopathy: Application of the 2011 Screening Guidelines in an Academic Practice

    Syed Mahmood Shah, Michelle Petri and Hendrik Scholl, Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: The risk of end-stage retinopathy (bull’s eye maculopathy) from hydroxychloroquine (HCQ) is low (0.65%, Wolfe and Marmor, 2010). With recent advances in retinal structure…
  • Abstract Number: 1802 • 2015 ACR/ARHP Annual Meeting

    Hydroxychloroquine Level Variants and Predictors in a Connective Tissue Disease Population

    Ann Biehl1, Maryam Ghaderi-Yeganeh2, Zerai Manna3, Abhijit Dasgupta4, Mariana J. Kaplan5 and Sarfaraz Hasni3, 1Department of Pharmacy, National Institutes of Health Clinical Center, Bethesda, MD, 2National Institutes of Arthritis, Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 3National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 4National Institutes of Arthritis, Musculoskeletal and Skin Diseases,, National Institutes of Health, Bethesda, MD, 5Systemic Autoimmunity Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD

    Background/Purpose: Hydroxychloroquine (HCQ) dose adjustment in patients with impaired renal function has been suggested to prevent toxicity. However, evidence to support this practice is scant. …
  • Abstract Number: 1803 • 2015 ACR/ARHP Annual Meeting

    Serum Adipocyte Fatty Acid-Binding Protein Level Is Elevated in Patients with Systemic Lupus Erythematosus (SLE) but Not Associated with Biophysical Markers of Cardiovascular Disease

    Anselm Mak1,2, Herbert Schwarz3, Nien Yee Kow2, Sen Hee Tay4 and Lieng Hsi Ling2,5, 1National University Health System, Singapore, Singapore, 2Medicine, National University of Singapore, Singapore, Singapore, 3Physiology, National Unversity of Singapore, Singapore, Singapore, 4National University of Singapore, Singapore, Singapore, 5National Unversity Heart Centre Singapore, National Unversity Health System, Singapore, Singapore

    Background/Purpose: Adipocyte fatty acid-binding protein (aFABP) is an intracellular lipid-binding protein expressed in adipocytes and macrophages, particularly in inflammatory conditions. Recently, high circulating serum aFABP…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

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