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  • Abstract Number: 1595 • 2013 ACR/ARHP Annual Meeting

    Electroclinical Correlates and Outcome Of Status Epilepticus In Systemic Lupus Erythematosus

    Jamal Mikdashi1, Tricia Ting2 and Allan Krumholz3, 1Division of Rheumatology and Clinical Immunology, University of Maryland School of Medicine, Baltimore, MD, 2Neurology, University of Maryland. School of Medicine, Baltimore, MD, 3Neurology, University fo Maryland school of Medicine, Baltimore, MD

    Background/Purpose: Predictors of seizures and epilepsy in systemic lupus erythematosus (SLE) patients are well described but descriptions of status epilepticus (SE) have thus far been…
  • Abstract Number: 1598 • 2013 ACR/ARHP Annual Meeting

    Cognitive Dysfunction, a Non-Inflammatory Neuropsychiatric Syndrome In Systemic Lypus Erythematosus

    Juanita Romero-Díaz1, Alí Duarte-García2, Sandra Juarez-Arellano3, Alba Cicero-Casarrubias1, Hilda Fragoso-Loyo4, Luis Llorente5 and Jorge Sánchez-Guerrero6, 1Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 2Department of Medicine, Tufts Medical Center, Boston, MA, 3Department of Neurology, Instituto Nacional de Ciencias Medicas y Nutricion S.Z., Mexico city, Mexico, 4Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, Mexico, 5Immunology and Rheumatology Department, Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Mexico, 6Rheumatology, Mount Sinai Hospital and University Health Network, Toronto Canada, Toronto, ON, Canada

    Background/Purpose: Cognitive dysfunction (CD) affects 15 – 60% of SLE patients; nevertheless, its pathogenesis and predisposing factors are unknown. Objective: To identify factors associated with CD…
  • Abstract Number: 1599 • 2013 ACR/ARHP Annual Meeting

    High Proportion Of Intrathecal Ro52 SSA Antibodies In Neuropsychiatric Lupus Patients – Relations To Neuropsychiatric Manifestations

    Johanna Estelius1, Liisa Hopia2, Vijole Dzikaite-Ottosson3, Magnus LA. Andersson4, Elisabet Svenungsson5 and Jon Lampa6, 1Department of Medicine, Rheumatology Unit, Center for Molecular medicine (CMM), Karolinska Institutet, Stockholm, Sweden, 2Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, 3Department of Medicine, Rheumatology Unit, Centre for Molecular Medicine (CMM), Karolinska Institutet, Stockholm, Sweden, 4Department of Clinical Neuroscience, Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, 5Department of Medicine, Unit of Rheumatology, Karolinska Institutet, Stockholm, Sweden, 6Rheumatology Unit, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Neuropsychiatric (NP) manifestations in Systemic Lupus Erythematosus (SLE) are often associated with significant impact on quality of life and work capability. The underlying mechanisms…
  • Abstract Number: 1600 • 2013 ACR/ARHP Annual Meeting

    Anti-Ribosomal P Protein Antibodies Exacerbate Long-Term Prognosis In Patients With Diffuse Neuropsychiatric/Neuropsychological Syndromes In Systemic Lupus Erythematous

    Yoshiyuki Arinuma1, Hirotoshi Kikuchi2, Eisuke Ogawa1, Tatsuhiko Wada1, Tatsuo Nagai3, Sumiaki Tanaka1 and Shunsei Hirohata1, 1Int Med/Rheumatol & Infec Dis, Kitasato University School of Medicine, Sagamihara, Japan, 2Department of Internal Medicine, Teikyo University School of Medicine, Tokyo, Japan, 3Rheumatology and Infectious Diseases, Kitasato University School of Medicine, Sagamihara, Japan

    Background/Purpose:  Systemic lupus erythematous (SLE) is a chronic inflammatory disease characterized by the expression of a variety of autoantibodies. Although the comprehensive survival from the…
  • Abstract Number: 1601 • 2013 ACR/ARHP Annual Meeting

    The Presence Of IgG-Immune Complexes In The Cerebrospinal Fluids Is Associated With Central Neurocychiatric Manifestatin But Not With Intrathecal Production Of Proimmflammatory Cytokines/Chemokines Such as  Interferon-α In Systemic Lupus Erythematosus

    Taku Yoshio1, Hiroshi Okamoto2, Kazuhiro Kurasawa3, Yoshiaki Dei4, Shunsei Hirohata5 and Seiji Minota6, 1Division of Rheumatology and Clinical Immunology, Jichi Medical University, School of Medicine, Shimotsuke-shi, Tochigi-ken, Japan, 2Minami-Otsuka Institute of Thechnology, Minami-Otsuka Clinic, Tokyo, Japan, 3Clinical Immunology, Dokkyo Medical University, Mibu-machi, Shimotsuga-gun, Tochigi-ken, Japan, 4Saiseikai Utsunomiya Hospital, Utsunomiya-shi, Tochigi-ken, Japan, 5Int Med/Rheumatol & Infec Dis, Kitasato University School of Medicine, Sagamihara, Japan, 6Division of Rheumatology and Clinical Immunology, Jichi Medical University, Shimotsuke,Tochigi, Japan

    Background/Purpose:  IgG-Immune complexes (IC) formed by CSF autoantibodies in patients with neuropsychiatric syndromes of systemic lupus erythematosus (NPSLE) has reported to stimulate the production of…
  • Abstract Number: 1602 • 2013 ACR/ARHP Annual Meeting

    Autoantibodies, Cytokines and Chemokines In Serum and Cerebrospinal Fluid Of SLE Patients With Cognitive Dysfunction

    Hilda Fragoso-Loyo1, Alí Duarte-García2, Sandra Juárez-Arellano3, Alba Cicero-Casarrubias4, Juanita Romero-Díaz5, Luis LLorente-Peters1 and Jorge Sánchez-Guerrero6, 1Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, Mexico, 2Department of Medicine, Tufts Medical Center, Boston, MA, 3Department of Neurology, Instituto Nacional de Ciencias Medicas y Nutricion S.Z., Mexico city, Mexico, 4Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 5Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion, Mexico City, Mexico, 6Rheumatology, Mount Sinai Hospital and University Health Network, Toronto Canada, Toronto, ON, Canada

    Background/Purpose: The nature and pathogenesis and cognitive dysfunction (CD) in patients with SLE is unkown.To determine the presence and levels of autoantibodies, cytokines and chemokines…
  • Abstract Number: 1561 • 2013 ACR/ARHP Annual Meeting

    Treat-To-Target In Systemic Lupus Erythematosus: Report From the T2T/SLE Working Party

    Ronald F. van Vollenhoven1, Marta Mosca2, George Bertsias3, Annegret Kuhn4, Kirsten Lerstrøm5, Josef S. Smolen6, David A. Isenberg7, Matthias Schneider8 and the T2T/SLE Working Party9, 1Unit for Clinical Therapy Research, Inflammatory Diseases (ClinTRID), the Karolinska Institute, Stockholm, Sweden, 2I, Rheumatology Unit, Internal Medicine, University of Pisa, Pisa, Italy, 3Rheumatology, Clinical Immunology, and Allergy, University of Crete, Heraklion, Greece, 4University of Münster, Münster, Germany, 5Lupus Europe, Farum, Denmark, 6Division of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, 7Centre for Rheumatology Research, Rayne Building, 4th Floor, Centre for Rheumatology, Department of Medicine, University College London, London, United Kingdom, 8Department of Endocrinology, Diabetes and Rheumatology, Heinrich-Heine-University, Duesseldorf, Germany, 9the Karolinska Institute, Stockholm, Sweden

    Background/Purpose: The principle of treating-to-target has been applied successfully to many diseases outside rheumatology and more recently to rheumatoid arthritis. Identifying appropriate therapeutic targets and…
  • Abstract Number: 1562 • 2013 ACR/ARHP Annual Meeting

    Elevated Serum B-Cell Activating Factor (BAFF/BlyS) Characterises Disease Relapse Following Rituximab In Systemic Lupus Erythematosus

    Lucy M. Carter1, David A. Isenberg2 and Michael R. Ehrenstein3, 1University College London, London, United Kingdom, 2Centre for Rheumatology Research, Rayne Building, 4th Floor, Centre for Rheumatology, Department of Medicine, University College London, London, United Kingdom, 3Rheumatology Research, University College London, London, United Kingdom

    Background/Purpose: Numerous reports suggest that B cell depletion therapy (BCDT) using rituximab is effective in patients with systemic lupus erythematosus (SLE). However, two major trials…
  • Abstract Number: 1564 • 2013 ACR/ARHP Annual Meeting

    Efficacy Of Influenza Vaccination Is Strongly Decreased In Systemic Lupus Erythematosus: A Meta-Analysis Of Literature Data

    Laurent Arnaud1, Alexis Mathian2, Hervé Devilliers3, Du Boutin-LE Thi Huong4, Ahlem Chaib4, Fleur Cohen-Aubart4, Julien Haroche1, Miguel Hié4, Makoto Miyara4 and Zahir Amoura4, 1Internal Medicine, Hôpital Pitié-Salpêtrière, AP-HP, UPMC Univ Paris 06 & French National Reference Center For Systemic Lupus and Antiphospholipid Syndrome, Paris, France, 2Internal medicine 2, French National Reference Center for Systemic Lupus and Antiphospholipid Syndrome, Pitié-Salpêtrière Hospital (AP-HP), Paris, France, 3Internal medicine and systemic disease unit, Dijon University Hospital, Dijon, France, 4Hôpital Pitié-Salpêtrière, AP-HP, UPMC Univ Paris 06 & French National Reference Center For Systemic Lupus and Antiphospholipid Syndrome, Paris, France

    Background/Purpose: Several studies suggest that the efficacy of influenza vaccination may be decreased in systemic lupus erythematosus (SLE). We performed a meta-analysis to assess systematically…
  • Abstract Number: 1565 • 2013 ACR/ARHP Annual Meeting

    RNA-Sequencing Confirms Clinical Safety Of Herpes Zoster Vaccine

    Christopher J. Lessard1,2, Indra Adrianto3, Joel M. Guthridge4, John A. Ice3, Graham B. Wiley3, Stuart B. Glenn3, Judith A. James1,2, Joan T. Merrill1, Patrick M. Gaffney1, Courtney G. Montgomery3, Kathy L. Sivils1,5 and Eliza Chakravarty3, 1Oklahoma Medical Research Foundation, Oklahoma City, OK, 2College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 3Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 5University of Oklahoma Health Sciences Center, Oklahoma City, OK

    Background/Purpose: SLE patients have increased risk of Herpes Zoster (HZ).  A live-attenuated vaccine is available for healthy persons > 50 years old, but its safety…
  • Abstract Number: 1566 • 2013 ACR/ARHP Annual Meeting

    Consensus Definition and Preliminary Validation Of a Low Disease Activity State In Systemic Lupus Erythematosus

    Eric F. Morand1, Kate Franklyn1, Chak S. Lau2, Sandra V. Navarra3, Worawit Louthrenoo4, Aisha Lateef5, Laniyati Hamijoyo6, Singgih Wahono7, Shun-Le Chen8, Jinou Ou9, Alberta Y. Hoi1 and Mandana Nikpour10, 1Centre for Inflammatory Diseases, Monash University, Melbourne, Australia, 2Univ Dept of Medicine, Queen Mary Hospital, Hong Kong, Hong Kong, 3University of Santo Tomas Hospital, Manila, Philippines, 4Dept of Internal Medicine, Faculty of Medicine, Chiang Mai, Thailand, 5Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore, 6Hasan Sadikin Hospital, Bandung, Indonesia, 7Universitas Brawijaya, Malang, Indonesia, 8Shanghai Jiao Tong University School of Medicine, Shanghai, China, 93rd Hospital of Sun Yat-san University, Guang Zhou, China, 10Department of Medicine (St Vincent's Hospital), University of Melbourne, Fitzroy, Australia

    Background/Purpose: The definitions of low disease activity state (LDAS) and remission as desirable treatment goals in rheumatoid arthritis have been widely applied in research and…
  • Abstract Number: 1567 • 2013 ACR/ARHP Annual Meeting

    Desensitization To Trimethoprim/Sulfamethoxazole In Systemic Lupus Erythematosus Patients : A Retrospective Cohort Study

    Yasuhiro Suyama1, Mitsumasa Kishimoto1, Hiroto Nakano2, Chisun Min3, Yoichiro Haji1, Ryo Rokutanda1, Yuri Ohara1, Hisanori Shimizu1, Ken-ichi Yamaguchi4, Yukio Matsui4, Kazuo Matsui2 and Masato Okada4, 1Division of Allergy & Rheumatology, St. Luke's International Hospital, Tokyo, Japan, 2Department of Rheumatology, Kameda Medical Center, Kamogawa, Japan, 3Division of Allergy and Rheumatology, St. Luke's International Hospital, Tokyo, Japan, 4Immuno-Rheumatology Center, St. Luke's International Hospital, Tokyo, Japan

    Background/Purpose: A high incidence of trimethoprin-sulfamethoxazole (TMP/SMX) hypersensitivity is reported in patients with systemic lupus erythematosus (SLE), and reactions are often severe. Desensitization protocol is…
  • Abstract Number: 1568 • 2013 ACR/ARHP Annual Meeting

    A Comparative Study For High Prevalence Of A Positive Family History Of Systemic LUPUS Erythematosus In Juvenile-Onset Systemic LUPUS Erythematosus Versus Adult-Onset Disease

    Maumer Durrani1, Shirish Sangle1, Natasha Jordan2 and David P. D'Cruz1, 1Louise Coote Lupus Unit, Louise Coote Lupus Unit, St Thomas' Hospital, London, United Kingdom, 2Louise Coote Lupus Unit, St Thomas' Hospital, London, United Kingdom

    Background/Purpose: The pathogenesis of SLE is complex and poorly understood.  Infectious triggers, immunological abnormalities, environmental factors and genetic background play a combined role in disease…
  • Abstract Number: 1569 • 2013 ACR/ARHP Annual Meeting

    The Accuracy Of The ICD-9 Code 710.0 To Identify a Cohort Of SLE Patients From The Electronic Medical Record

    Arshad Mustafa1, Jennifer Cai2, Teresa Bosler2, Nancy J. Olsen3 and David R. Karp1, 1Rheumatic Diseases Division, UT Southwestern Medical Center, Dallas, TX, 2Academic Information Systems, UT Southwestern Medical Center, Dallas, TX, 3Medicine, Penn State MS Hershey Medical Center, Hershey, PA

    Background/Purpose: The electronic medical record (EMR) is increasingly used as a primary source of retrospective research data from large 'virtual cohorts' of patients. The accuracy…
  • Abstract Number: 1570 • 2013 ACR/ARHP Annual Meeting

    Maintenance Therapy With Taclorimus and Mizoribine Pulse In SLE

    Hiroshi Kajiyama1, Daisuke Ikuma1, Muneo Ota2, Yuki Shimada1, Kazuhiro Yokota3, Yasuto Araki1, Kojiro Sato1, Yu F. Asanuma1, Yuji Akiyama1 and Toshihide Mimura4, 1Department of Rheumatology and Applied Immunology, Saitama Medical University, Saitama, Japan, 2Saitama Medical University, Saitama, Japan, 3Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Saitama, Japan, 4Department of Rheumatology and Applied Immunology, Faculty of Medicine, Saitama Medical University, Saitama, Japan

    Background/Purpose: It was reported in 2008 that multitarget therapy, consisting of taclorimus (TAC), mycophenolate mofetil (MMF) and glucocorticoid, is effictive and safe in induction therapy…
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