ACR Meeting Abstracts

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  • Abstract Number: 0679 • ACR Convergence 2023

    Long-term Safety of Rituximab (Mabthera) in Granulomatosis with Polyangiitis (GPA) or Microscopic Polyangiitis (MPA): Rituximab Surveillance Study in VASculitis (RIVAS)

    Lisa Uchida1, Dr Rachel Jones2, Rona Smith1, Claudia Loechel3, Maria King3, Marianna Nodale4, Simon Bond4, Raashid Luqmani5, David Gray5, Joe Barrett5 and David Jayne6, 1Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 2Vasculitis and Lupus Clinic, Addenbrooke's Hospital, Cambridge, United Kingdom, 3Vasculitis and Lupus Clinic, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 4Cambridge Clinical Trials Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 5Nuffield Department of Orthopedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 6University of Cambridge, Cambridge, United Kingdom

    Background/Purpose: Rituximab is a first-line treatment for remission induction and the prevention of relapse in ANCA-associated vasculitis (AAV). There is a paucity of real-world data…
  • Abstract Number: 0680 • ACR Convergence 2023

    Risk Factors for Hypogammaglobulinemia and Association with Relapse and Severe Infections in ANCA-Associated Vasculitis: A Retrospective Single-Centre Cohort Study

    Johanne LIBERATORE1, Yann Nguyen2, Jerome HADJADJ3, Pascal Cohen4, Luc Mouthon5, Xavier Puéchal6, Loic Guillevin7 and Benjamin Terrier8, 1Centre Hospitalier ANGOULEME, Angouleme, France, 2Department of Internal Medicine, Hôpital Beaujon, AP-HP, Clichy, France., Montmorency, France, 3Cochin Hospital, Paris, France, 4CHU Cochin, Paris, France, 5Hopital Cochin - Paris University, Paris, France, 6National Referral Center for Rare Systemic Autoimmune Diseases, Paris, France, 7University Paris Descartes, Paris, France, 8Department of Internal Medicine, Hôpital Cochin, AP-HP, Paris, France

    Background/Purpose: B-cell depletion induced by rituximab (RTX) in ANCA-associated vasculitis (AAV) is a risk factor for hypogammaglobulinemia. Aggregating data on the kinetics of gammaglobulin levels…
  • Abstract Number: 0647 • ACR Convergence 2023

    Prevalence and Risk Factors of Left Ventricular Diastolic Dysfunction in Systemic Sclerosis: Insights from New Echocardiographic Parameters

    Irene Carrión-Barberà1, Laura Triginer2, Laura Tío2, Anna Pros3, Laia Belarte Tornero1, Sara Valdivielso More1, Sonia Ruiz Bustillo1, Joan Vime Jubany1, Nuria Farré López1 and Ronald Morales Murillo1, 1Hospital del Mar, Barcelona, Spain, 2Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain, 3Department of Rheumatology, Hospital del Mar, Barcelona, Spain

    Background/Purpose: Systemic sclerosis (SSc) is a rare autoimmune connective tissue disease that can affect multiple organs including the heart. Primary heart involvement in SSc refers…
  • Abstract Number: 0681 • ACR Convergence 2023

    Real-World Outcomes for Remission Induction in Working-Age Adults with Severe Anti-Neutrophil Cytoplasmic Antibody-associated Vasculitis

    Itay Marmor1, Katelin Nickel2, Matthew Keller2, Guy Hazan3, Kevin Baszis4, Anthony French5 and Mary Hartman2, 1Dana-Dwek Children's Hospital, Hod Hasharon, Israel, 2Washington University in St. Louis, St. Louis, MO, 3Soroka University Medical Center, Beer Sheva, Israel, 4Washington Univ in St. Louis School of Medicine, St. Louis, MO, 5Washington University School of Medicine, St. Louis, MO

    Background/Purpose: Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), including Granulomatosis with Polyangiitis (GPA) and Microscopic Polyangiitis (MPA), often manifests with life-threatening complications. Cyclophosphamide (CYC) and rituximab…
  • Abstract Number: 0579 • ACR Convergence 2023

    Sub-types of Ischemic Stroke in Systemic Lupus Erythematosus,-associations with STAT4 and HLA-DRB1 Risk Genotypes

    Liisa Hopia1, Anna Laveskog2, Dag Leonard3, Andreas Jonsen4, Johanna.T Gustafsson2, Iva Gunnarsson5, Agneta Zickert6, Gunnel Nordmark7, Anders Bengtsson4, Leonid Padyukov8, Johanna Sandling3, Ann-Christine Syvänen9, Lars Rönnblom3, Magnus Andersson1 and Elisabet Svenungsson6, 1Department of Clinical Neuroscience, Unit of Neurology, Karolinska Institutet och Karolinska Universitetssjukhuset, Stockholm, Sweden, 2Karolinska Institutet, Stockholm, Sweden, 3Rheumatology, Department of Medical Sciences, Uppsala University, Uppsala, Sweden, 4Rheumatology, Department of Clinical Sciences, Lund University, Lund, Sweden, 5Department of Medicine Solna, Unit of Rheumatology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden, 6Department of Medicine Solna, Unit of Rheumatology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden, 7Department of Medical Sciences, Section of Rheumatology, Uppsala University, Uppsala, Sweden, 8Karolinska Institutet, Solna, Sweden, 9Department of Medical Sciences, Molecular Medicine, Uppsala University, Uppsala, Sweden

    Background/Purpose: Ischemic stroke is 2-3 times more common in patients with SLE as compared to the general population, and genetic susceptibility in the STAT4 and…
  • Abstract Number: 0622 • ACR Convergence 2023

    The Effectiveness of Breath-holding Test to Predict Pulmonary Function in Systemic Sclerosis Patients Using Machine Learning Model

    Jina Yeo1, Min Hyuk Lim2, Ju Yeon Kim3, Ji In Jung4, Saram Lee2 and Eun Bong Lee3, 1Division of Rheumatology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, South Korea, 2Department of Transdisciplinary Medicine, Seoul National University Hospital, Seoul, South Korea, 3Seoul National University Hospital, Seoul, South Korea, 4Division of Rheumatology, Department of Internal Medicine, Seoul National University Hospital, Seoul, South Korea

    Background/Purpose: Pulmonary involvement is major causes of mortality in patients with systemic sclerosis (SSc). The breath-holding test (BHT), rapid bedside test, is a useful surrogate…
  • Abstract Number: 0563 • ACR Convergence 2023

    Urinary Neutrophil Gelatinase-associated Lipocalin (NGAL) as a Mediator of the Association Between Particulate Matter Exposure and Disease Activity in Systemic Lupus Erythematosus

    Ji-Hyoun Kang1, Hyemin Jeong2, Sung-Eun Choi2, Dong-Jin Park2, Han Joo Baek3, Hyo-Jin Choi4, Jae Hyun Jung5 and Shin-Seok Lee2, 1Chonnam National University Hospital, Gwangju, South Korea, 2Chonnam National University Medical School & Hospital, Gwangju, South Korea, 3Gil Medical Center, Gachon University College of Medicine, Inchon, South Korea, 4Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea, 5Korea University Ansan Hospital, Ansan-si, South Korea

    Background/Purpose: Neutrophil gelatinase-associated lipocalin (NGAL) is an acute-phase glycoprotein increased by inflammatory stimuli, oxidative stress, and tissue injury. Although NGAL is associated with global and…
  • Abstract Number: 0452 • ACR Convergence 2023

    Real Life Safety and Survival of Targeted Therapies in Arthritis Patients over Age of 65

    Elena Grau Garcia1, Pablo Francisco Muñoz Martínez2, Laura Mas Sanchez3, Alba Maria Torrat Noves1, Daniel Ramos Castro1, Carmen Riesco Barcena1, Anderson Victor Huaylla Quispe1, Iago Alcantara Alvarez1, Belen Villanueva Mañez1, Samuel Leal Rodriguez1, Ines Canovas Olmos1, Hikmat Charia1, Marta De la Rubia Navarro1, Luis Gonzalez Puig1, Jose Ivorra Cortes1, Isabel Martinez Cordellat1, Carmen Najera Herranz1, Rosa Negueroles Albuixech1, Jose Eloy Oller Rodriguez1, Ernesto Tovar Sugrañes1, Elvira Vicens Bernabeu1 and Jose Andres Roman Ivorra4, 1Rheumatology Department. HUP La Fe, Valencia, Spain, 2Rheumatology Department. HUP La Fe, Sagunto, Spain, 3Rheumatology Department. HUP La Fe, Valéncia, Spain, 4Hospital Universitari i Politècnic la Fe, Valencia, Spain

    Background/Purpose: Prognosis for chronic inflammatory arthritis is drastically improved over previous decades and older patients are treated with targeted therapies (TTs) (biological or synthetic targeted…
  • Abstract Number: 0629 • ACR Convergence 2023

    Negative Affect, Anxiety and Fatigue Moderate the Association Between Pain Intensity and Physical Function in People with Systemic Sclerosis

    Daniel Whibley1, Yen Chen1, Anna Kratz1, Dinesh Khanna1 and Susan Murphy2, 1University of Michigan, Ann Arbor, MI, 2University of Michigan, Plymouth, MI

    Background/Purpose: Pain is a common symptom of systemic sclerosis (SSc), affecting over 80% of those living with the condition, with over a third experiencing pain…
  • Abstract Number: 0646 • ACR Convergence 2023

    Racial Variability in Immune Responses Only Partially Explains Differential Systemic Sclerosis Disease Severity

    Kamini Kuchinad1, Ji Soo Kim1, Adrianne Woods1, Gwen Leatherman1, Laura Gutierrez2, Maureen Mayes3, Robyn Domsic4, Paula Ramos5, Richard Silver5, John Varga6, Lesley Ann Saketkoo7, Suzanne Kafaja8, Victoria Shanmugam9, Jessica Gordon10, Lorinda Chung11, Elana Bernstein12, Pravitt Gourh13, Francesco Boin14, Daniel Kastner15, Scott Zeger16, Livia Casciola-Rosen1, Fred Wigley1 and Ami Shah17, 1Department of Rheumatology, Johns Hopkins Medicine, Baltimore, MD, 2Johns Hopkins Medicine, Baltimore, MD, 3Division of Rheumatology, University of Texas McGovern Medical School, Houston, TX, 4University of Pittsburgh, Pittsburgh, PA, 5Medical University of South Carolina, Charleston, SC, 6University of Michigan, Ann Arbor, MI, 7University Medical Center - Comprehensive Pulmonary Hypertension Center and ILD Clinic Programs // New Orleans Scleroderma and Sarcoidosis Patient Care & Research Centeris, New Orleans, LA, 8UCLA Department of Medicine, Division of Rheumatology, Los Angeles, CA, 9Victoria Shanmugam, MD, Great Falls, VA, 10Hospital for Special Surgery, New York, NY, 11Department of Medicine, Division of Immunology and Rheumatology, Stanford University School of Medicine, Woodside, CA, 12Columbia University, New York, NY, 13National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 14Cedars-Sinai Medical Center, Los Angeles, CA, 15National Human Genome Research Institute, Bethesda, MD, 16Johns Hopkins University, Baltimore, MD, 17Department of Medicine, Division of Rheumatology, Johns Hopkins University School of Medicine, Ellicott City, MD

    Background/Purpose: Individuals with self-identified Black race have a higher incidence of systemic sclerosis (SSc), develop SSc at a younger age, and have a more severe…
  • Abstract Number: 0676 • ACR Convergence 2023

    Mepolizumab Can Achieve Glucocorticoid Discontinuation in Eosinophilic Granulomatosis with Polyangiitis Patients Regardless of IgE Levels: A Retrospective Study at a Single Center

    Takashi Yamane1 and Akira Hashiramoto2, 1Kakogawa Central City Hospital, Kakogawa, Japan, 2Kobe University Graduate School of Health Sciences, Kobe, Japan

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA) is a systemic vasculitis associated with eosinophil infiltration and Anti-neutrophil cytoplasmic antibody (ANCA) production. Mepolizumab (MPZ), an anti-IL-5 monoclonal…
  • Abstract Number: 0462 • ACR Convergence 2023

    Breastfeeding Intention in Systemic Lupus Erythematosus Patients

    Susana Villamizar Pérez1, Nicole Josianne Paris1, Melissa Serna Góngora1, Ariel Brener1, Jerson Claros1, Maria Pia Izaguirre Germain1, Barbara Pérez Cepas2, Marina Micelli3, Gabriel Sequeira1 and Eduardo Mario Kerzberg1, 1Hospital Dr. JM Ramos Mejia, Ciudad Autonoma de Buenos Aires, Argentina, 2Hospital medico policial Churruca Visca, Ciudad Autonoma de Buenos Aires, Argentina, 3RELESSAR, CABA, Argentina

    Background/Purpose: Breastfeeding in systemic lupus erythematosus (SLE) has received little attention and the limited data available suggest that women with SLE have lower breastfeeding rates…
  • Abstract Number: 0678 • ACR Convergence 2023

    Benralizumab in Eosinophilic Granulomatosis with Polyangiitis

    Adrien Cottu1, Matthieu Groh2, Charlène Desaintjean3, Sylvain Marchand-Adam4, Loic Guillevin5, Xavier Puéchal6, Estibaliz Lazaro7, Maxime Samson8, Camille Taillé9, Cécile-Audrey Durel10, Elisabeth Diot11, Sarah Nicolas11, Laurent Guilleminault12, Mikael Ebbo13, Pascal Cathébras14, Clairelyne Dupin9, Halil Yildiz15, Nabil Belfeki16, Gregory Pugnet17, Pierre Chauvin18, Stephane Jouneau19, François Lifermann20, Jean-Philippe Martellosio21, Vincent Cottin22 and Benjamin Terrier23, 1Department of Internal Medicine, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France, 2National Referral Center for Hypereosinophilic Syndrome (CEREO), Hôpital Foch, Suresnes, France, 3Department of Respiratory Diseases, Hôpital Louis Pradel, Lyon, France, 4CHRU Tours, service de pneumologie et d'explorations fonctionnelles respiratoires, Tours, France, 5University Paris Descartes, Paris, France, 6National Referral Center for Rare Systemic Autoimmune Diseases, Paris, France, 7Bordeaux Hospital University, Pessac, France, 8Department of Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 9AP-HP, Bichat Hospital, Reference Center for Rare Pulmonary Diseases and University of Paris Cité, Inserm 1152, Paris, France, 10CHU Lyon, Lyon, France, 11Service de médecine interne et immunologie clinique, CHU Tours, Tours, France, 12Department of respiratory and allergic diseases, Toulouse University Hospital Center, Toulouse, France, 13Aix Marseille Univ, APHM, hôpital de la Timone, Internal Medicine Department, Marseille, France, 14Department of Internal medicine, Hôpital Nord, CHU St Etienne, Saint-Etienne, France, 15Saint Luc Hospital, Bruxelles, Belgium, 16Service de Médecine Interne et Immunologie Clinique. Groupe Hospitalier Sud Île de France, Melun, France, 17CHU Toulouse Rangueil Service de Medecine Interne et Immunologie Clinique, Toulouse, France, 18Department of Respiratory Diseases, Rennes University Hospital, Rennes, France, 19Amicus, Boca Raton, FL, 20Department of Internal Medicine, Centre Hospitalier de Dax, Dax, France, 21Service de médecine interne, maladies infectieuses et tropicales, CHU de Poitiers, Poitiers, France, 22Coordinating Reference Center for Rare Pulmonary Diseases, Louis Pradel Hospital, University of Lyon, INRAE, Lyon, France, 23Department of Internal Medicine, Hôpital Cochin, AP-HP, Paris, France

    Background/Purpose: Gucocorticoid (GC)-dependant asthma and ENT exacerbations may persist in more than 80% of eosinophilic granulomatosis with polyangiitis (EGPA). The MIRRA trial demonstrated the efficacy…
  • Abstract Number: 0561 • ACR Convergence 2023

    Frequency of Anti-Ro Antibodies in Systemic Lupus Erythematosus Patients: Insights from Multicenter and National Registry

    Lucia Margarita Mendoza Martinez1, Joan Manuel Dapeña1, Juan Manuel Bande1, Maria Alejandra Medina1, Silvia Papasidero1, José caracciolo1, Rosana Quintana2, Lucila Garcia2, Carla Andrea Gobbi2, Sandy Sapag Durán2, Alberto Spindler2, Analia Patricia Alvarez2, Cecilia Pisoni2, Catalina Gomez2, Raúl Hector Paniego2, María Julia Santa cruz2, Luciana Gonzalez Lucero2, Rodrigo Aguila Maldonado2, Sergio Gordon2, Julia Romero2, Gretel Rausch2, Alberto Allievi2, Alberto Omar Orden2, johana zacariaz hereter3, Roberto Baéz2, Andrea Vanesa González2, Juan Manuel Vandale2, Mario Alberto Goñi2, Victor Caputo4, María Silvia Larroudé2, Graciela Gómez2, Josefina Marin2, Victoria Collado2, Gazzoni María Victoria2, Marcos David Zelaya2, Mónica Sacnún2, Romina Rojas Tessel2, Maira Alejandra Arias Saavedra2, Maximiliano Machado Escobar2, Pablo Astesana2, Ursula Vanesa Paris2, Bernando A. Pons-Estel2 and Mercedes García5, 1Hospital General de Agudos Dr. Enrique Tornú, Buenos Aires, Argentina, 2Study Group of the Argentine Society of Rheumatology for Systemic Lupus Erythematosus, Buenos Aires, Argentina, 3Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 4Hospital Militar Central, Buenos Aires, Argentina, 5Hospital Interzonal General de Agudos José de San Martín, La Plata, Argentina

    Background/Purpose: Anti-Ro antibodies can be detected in 40% of patients with systemic lupus erythematosus (SLE) and have been associated with various clinical manifestations of the…
  • Abstract Number: 0469 • ACR Convergence 2023

    Hydroxychloroquine and Preeclampsia Risk in Lupus Pregnancy: Results from a Large Regional Integrated Health Network

    Julia Simard1, Emily Liu2, Amadeia Rector3, Miranda Cantu4, Daniel Kuo5, Eliza Chakravarty6, Maurice Druzin7, Gary Shaw7, Michael Weisman8 and Monique Hedderson2, 1Department of Epidemiology & Population Health, Stanford University School of Medicine, Stanford, CA, 2Kaiser Permanente Division of Research, Oakland, CA, 3Stanford University, San Francisco, CA, 4Global Lupus Support Group, Portage, MI, 5Kaiser Permanente, Redwood City, CA, 6Oklahoma Medical Research Foundation, Oklahoma City, OK, 7Stanford University, Stanford, CA, 8Stanford, Los Angeles, CA

    Background/Purpose: Pregnancies in patients with systemic lupus erythematosus (SLE) are at greater risk of preeclampsia. Hydroxychloroquine (HCQ) is recommended during SLE pregnancy to control disease…
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