ACR Meeting Abstracts

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  • Abstract Number: 2303 • ACR Convergence 2023

    Are Neuropsychiatric Symptoms in Systemic Lupus Erythematosus (NPSLE) Associated with More Frequent Hospitalizations or Exposure to a Greater Number of Immunosuppressive Medications?

    Jaime Vondenberg1, Chao Zhang1 and Emily Littlejohn2, 1Cleveland Clinic Foundation, Cleveland, OH, 2Cleveland Clinic, Cleveland, OH

    Background/Purpose: Neuropsychiatric (NP) symptoms occur in >50% of patients with systemic lupus erythematosus (SLE). A major barrier to research includes the non-specific nature of neuropsychiatric…
  • Abstract Number: 2314 • ACR Convergence 2023

    Comparison of Disease Severity and Outcomes in Adolescent-Onset and Young Adult-Onset Systemic Lupus Erythematosus

    Emma Materne1, Baijun Zhou1, Hyon K. Choi2, Yuqing Zhang3 and April Jorge1, 1Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital and Harvard Medical School, Lexington, MA, 3Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital, Boston, MA

    Background/Purpose: Adolescent-onset SLE is associated with more severe disease than adult-onset SLE, but young adults may also experience adverse outcomes. We sought to compare disease…
  • Abstract Number: 2226 • ACR Convergence 2023

    How Do Spondyloarthritis Start? Identification of the First Signs or Symptoms According to Diagnosis and HLA-B27. Data from REGISPONSER and RESPONDIA Registries

    María Ángeles Puche Larrubia1, Lourdes Ladehesa Pineda2, Pilar Font Ugalde3, Alejandro Escudero Contreras4, Janitzia Vázquez Mellado5, Eduardo Collantes Estévez6 and Clementina López Medina7, 1Department of Rheumatology, Reina Sofia University Hospital, Cordoba, Spain, 2Rheumatology Department Reina Sofia Universitary Hospital, Cordoba, Spain, 3IMIBIC/Reina Sofia Hospital/University of Cordoba, Córdoba, Spain, 4Reina Sofia University Hospital, Córdoba, Spain, 5University Hospital of Mexico, Mexico City, Mexico, 6Maimonides Biomedical Research Institute of Cordoba (IMIBIC)/University of Cordoba, Cordoba, Spain, 7Rheumatology Department, Cochin Hospital; INSERM (U1153): Clinical Epidemiology and Biostatistics, University of Paris; Rheumatology Department, Reina Sofia Hospital, Cordoba / IMIBIC / University of Cordoba, Cordoba, Spain

    Background/Purpose: The definition for early spondyloarthritis (SpA) implies the correct identification of the initial symptom of SpA. There is currently no consensus on whether only…
  • Abstract Number: 2313 • ACR Convergence 2023

    Utilization of Palliative Care in Hospitalized Patients with Systemic Lupus Erythematosus: A Nationwide Cohort Analysis

    Saman Tanveer1, Hema Pinnam2, Fatima Tanveer3 and Daksh Ahluwalia1, 1John H. Stroger Jr. Hospital of Cook County, Chicago, IL, 2J.S.S. Medical College, Mysore, India, 3CMH Lahore Medical College, Lahore, Pakistan

    Background/Purpose: We aimed to investigate trends in utilization of hospital palliative care services among hospitalized patients with systemic lupus erythematosus (SLE) and analyze its impact…
  • Abstract Number: 2318 • ACR Convergence 2023

    The Association Between Systemic Lupus Erythematosus (SLE) and Bone Mineral Density (BMD) Polygenic Risk Scores with Lumbar Spine BMD Z-score: A Retrospective Cohort Study

    Vrati Mehra1, Daniela Dominguez2, Nicholas Gold2, Andrea Knight2, Deborah Levy2, Fangming Liao2, Eleanor Pullenayegum2, Amer Shammas2, etienne Sochett2, Reza vali2, Declan Webber3, Earl Silverman4 and Linda Hiraki2, 1The Hospital for Sick Children & University of Toronto, Toronto, ON, Canada, 2The Hospital for Sick Children, Toronto, ON, Canada, 3University of Toronto, Mississauga, ON, Canada, 4Silverman, Toronto, ON, Canada

    Background/Purpose: Childhood-onset systemic lupus erythematosus patients < 18 years (cSLE) are at risk for reduced bone mineral density (BMD) due to disease activity and chronic…
  • Abstract Number: 2319 • ACR Convergence 2023

    Changes in the Causes and Predictors of Lupus Mortality in Spain Through the Last Decades: Data from the RELESSER Registry

    Clara Moriano Morales1, Jaime Calvo- Alén2, Iñigo Rúa-Figueroa3, MARIA ELVIRA DIEZ ALVAREZ1, Cristina Bermúdez4, JULIA MARTINEZ BARRIO5, Maria Galindo-Izquierdo6, Alejandro Olivé-Marqués7, Eva Tomero Muriel8, Antonio Fernandez-Nebro9, Mercedes Freire González10, Olaia Fernandez-Berrizbeitia11, Ana Pérez Gómez12, Esther Uriarte Isacelaya13, carlos Marras Fernández-Cid14, Carlos Montilla-Morales15, Gregorio Santos Soler16, Ricardo Blanco17, Manuel Rodríguez-Gómez18, PALOMA VELA19, Alina Boteanu20, Javier Narvaez21, Victor Martinez-Taboada22, Blanca Hernández-Cruz23, Jose Luis Andreu-Sánchez24, José Ángel Hernández Beriain25, Lorena Expósito26, Raúl Menor-Almagro27, Mónica Ibáñez-Barceló28, Ivan Castellvi29, Carles Galisteo30, Enrique Raya31, Víctor Quevedo-Vila32, Tomás Vazquez-Rodriguez33, jesús Ibáñez34 and Jose-Maria Pego-Reigosa35, 1Rheumatology, Hospital Universitario de León, León, Spain, 2Rheumatology, Bioaraba Research Unit, Hospital Universitario Araba, Vitoria, Spain, 3Rheumatology, Hospital de Gran Canaria Doctor Negrin, Las Palmas de Gran Canaria, Spain, 4Bioaraba Research Unit, Vitoria, Spain, 5Rheumatology, Gregorio Marañon University Hospital, Madrid, Spain, 6Rheumatology, University Hospital of 12 de Octubre, Madrid, Spain, 7Rheumatology, Private Practice, Barcelona, Spain, 8Rheumatology, Hospital La Princesa, Madrid, Spain, 9Hospital Regional Universitario de Málaga, Malaga, Spain, 10Rheumatology department, Complexo Hospitalario Universitario A Coruña (CHUAC). Instituto de Investigación Biomédica A Coruña (INIBIC), A Coruña, Spain, 11Spanish Health Care Service, Bilbao, Spain, 12Rheumatology, Hospital Principe de Asturias, Alcalá de Henares, Spain, 13Rheumatology, University Hospital of Donosti, San Sebastián, Spain, 14Rheumatology, Hospital Virgen Arrixaca, Murcia, Spain, 15Rheumatology, University Hospital of Salamanca, Salamanca, Spain, 16Rheumatology, Hospital Marina Baixa Villajoyosa, Alicante, Spain, 17Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain, 18Rheumatology, Hospital Ourense, Ourense, Spain, 19Rheumatology, Hospital General Universitario Alicante, Alicante, Spain, 20Hospital Universitario Ramón y Cajal, Departamento de Reumatología, Madrid, Spain, 21Hospital Universitario de Bellvitge, Barcelona, Spain, 22Rheumatology, Hospital Marqués de Valdecilla, Santander, Spain, 23Rheumatology, Hospital Virgen de la Macarena, Sevilla, Spain, 24Rheumatology, Hospital Universitario Puerta de Hierro, Majadahonda, Spain, 25Rheumatology, Hospital Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain, 26Rheumatology, Hospital de Canarias, Tenerife, Spain, 27Rheumatology, Hospital Jerez, Puerto De Santa María, Spain, 28Rheumatology, Hospital Universitari Son Llàtzer, Palma de Mallorca, Spain, 29Rheumatology, Hospital Universitari de la Santa Creu i Sant Pau, Sant Just Desvern, Spain, 30Hospital Universitario Parc Taulí, Sabadell, Spain, 31Rheumatology, Hospital San Cecilio, Granada, Spain, 32Rheumatology, Hospital Monforte de Lemos, Lugo, Spain, 33Rheumatology, Complejo Hospitalario Universitario de Ferrol, A Coruña, Spain, 34Rheumatology, Hospital Ribera Povisa, Vigo, Spain, 35Rheumatology, Hospital do Meixoeiro, Vigo, Spain

    Background/Purpose: The mortality in Systemic Lupus Erythematosus (SLE) varies largely across different countries most probably due to social, healthcare and ethnic differences. We need to…
  • Abstract Number: 2227 • ACR Convergence 2023

    The Impact of Smoking Status on One Year Secukinumab Retention Rate in 1,684 Patients with PsA: Real-World Results from the EuroSpA Collaboration

    Zohra Faizy Ahmadzay1, Stylianos Georgiadis2, Marion Pons2, Merete Hetland2, Bente Glintborg3, Jette Heberg2, Sara Nysom Christiansen2, Simon Horskjær Rasmussen2, Anne Gitte Loft4, Isabel Castrejon5, Lucia Otero-Valera6, Jakub Zavada7, Karel Pavelka8, Heikki Relas9, Laura Kuusalo10, Burkhard Moeller11, Michael Nissen12, Ziga Rotar13, Katja Perdan Pirkmajer14, Daniela Santos Oliveira15, Ana Rita Cruz-Machado16, Brigitte Michelsen17, Eirik Kristianslund18, Bjorn Gudbjornsson19, Gerdur Maria Grondal20, Karin Laas21, Pasoon Hellamand22, Ismail Sari23, Daniela Di Giuseppe24, Mikkel Østergaard25 and Lykke Ørnbjerg2, 1Rigshospitalet Glostrup, University of Copenhagen, Glostrup, Denmark, 2Copenhagen Center for Arthritis Research, Rigshospitalet, Copenhagen, Denmark, 3Rigshospitalet Glostrup, University of Copenhagen, Virum, Denmark, 4Aarhus University, Horsens, Denmark, 5Hospital General Universitario Gregorio Marañón, Madrid, Spain, 6Spanish Society of Rheumatology, Madrid, Spain, 7Institute of Rheumatology; Charles University, Prague, Czech Republic, 8Institut of Rheumatology and Department of Rheumatology, First Faculty of Medicine, Charles University, Praha, Czech Republic, 9Helsinki University Hospital, Helsinki, Finland, 10Division of Internal Medicine, Centre for Rheumatology and Clinical Immunology, University of Turku and Turku University Hospital, Turku, Finland, 11Inselspital - University Hospital Bern, Bern, Switzerland, 12Geneva University Hospitals, Geneva, Switzerland, 13University Medical Centre Ljubljana, Ljubljana, Slovenia, 14Department of Rheumatology, University Medical Centre LJubljana, Ljubljana, Slovenia, 15Department of Medicine, Faculty of Medicine, University of Porto, Rheumatology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal, 16Rheumatology and Metabolic Bone Diseases Department, Hospital de Santa Maria, CHULN, Academic Medical Center and ERN-ReCONNET; Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina da Universidade de Lisboa; Reuma.pt Sociedade Portuuesa de Reumatologia, Lisbon, Portugal, 17Rigshospitalet Glostrup; Diakonhjemmet Hospital; Sørlandet Hospital, Copenhagen, Denmark, 18Diakonhjemmet Hospital, Oslo, Norway, 19Centre for Rheumatology Research, University Hospital, Reykjavik, Iceland, 20Department for Rheumatology, Landspitali University Hospital, Reykjavik, Iceland, 21Department of Rheumatology, East-Tallinn Central Hospital, Tallinn, Estonia, 22Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands, 23Division of Rheumatology, Department of Internal Medicine, Dokuz Eylul University School of Medicine, Izmir, Turkey, 24Karolinska Institutet, Stockholm, Sweden, 25Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet; University of Copenhagen, Copenhagen, Denmark

    Background/Purpose: Smoking has been associated with higher disease activity, poorer treatment response, and drug retention rate among psoriatic arthritis (PsA) patients treated with Tumor Necrosis…
  • Abstract Number: 2273 • ACR Convergence 2023

    Predicting SLE Disease Activity with Blood Biomarkers: A Step Towards Precision Medicine

    Vasileios Kyttaris1, Tyler O'Malley2, Giorgio Casaburi2, Sudha Kumar2 and Andrew Concoff3, 1BIDMC, Boston, MA, 2Exagen, Vista, CA, 3Exagen, Los Angeles, CA

    Background/Purpose: Systemic lupus erythematosus (SLE) is the prototypical autoimmune disease with diverse clinical manifestations and variable treatment response. Conventional biomarkers of SLE activityprovide modest correlation…
  • Abstract Number: 2304 • ACR Convergence 2023

    Disparity in Healthcare in Systemic Lupus Erythematosus: A Single-Center Study

    Joshua Reed, Anam Nazir, Khalid Alghamdi and Catherine Ivory, The Ottawa Hospital Research Institute, Ottawa, ON, Canada

    Background/Purpose: Systemic lupus erythematosus (SLE) is variable in clinical presentation and has fluctuating disease severity. Health outcomes in SLE have been linked to both genetic…
  • Abstract Number: 2283 • ACR Convergence 2023

    Anti-SARS-CoV-2 Vaccination Among Patients Living with Systemic Lupus Erythematosus in Sweden: Coverage and Clinical Effectiveness

    Arthur Mageau1, Julia Simard2, Elisabet Svenungsson3 and Elizabeth Arkema4, 1Department of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden / Internal Medicine Unit, Hopital Bichat, Paris, France, 2Department of Epidemiology & Population Health, Stanford University School of Medicine, Stanford, CA, 3Department of Medicine Solna, Unit of Rheumatology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden, 4Department of Medicine Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Real-world data assessing the effectiveness of the anti-SARS-CoV2 vaccination in patients living with systemic lupus erythematosus (SLE) are currently lacking. We aimed to describe…
  • Abstract Number: 2233 • ACR Convergence 2023

    Neutrophil Levels Associate with Early Improvement in Spinal Pain and Week 24 Multi-Domain Disease Control During Guselkumab Treatment in Active Psoriatic Arthritis: Post Hoc Pooled Analyses of Two Phase 3 Randomized Controlled Trials

    Thomas Macleod1, Xenofon Baraliakos2, Emmanouil Rampakakis3, Warner Chen4, Antonius Pieter J Van Den Heuvel4, Loqmane Seridi4, May Shawi5, Frederic Lavie6, Joseph F. Merola7, Proton Rahman8 and Dennis McGonagle9, 1University of Leeds, Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, United Kingdom, 2Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Herne, Germany, 3McGill University, Department of Pediatrics / JSS Medical Research, Scientific Affairs, Montreal, QC, Canada, 4Translational Sciences, Janssen Research & Development, LLC, Spring House, PA, 5Immunology, Janssen Research & Development, LLC, Titusville, NJ, 6The Janssen Pharmaceutical Companies of Johnson & Johnson, Paris, France, 7Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 8Craig Dobbin Research Institute, Memorial University, St. John's, NL, Canada, 9Leeds Biomedical Research Centre, University of Leeds, Leeds, United Kingdom

    Background/Purpose: Neutrophils have potential pathogenic roles in chronic inflammatory diseases (e.g., neutrophilic cutaneous microabscesses in psoriasis, and neutrophils in the synovial fluid/tissue in PsA and…
  • Abstract Number: 2237 • ACR Convergence 2023

    Upadacitinib in Refractory Psoriatic Arthritis. Multicenter Study of 134 Patients in Clinical Practice

    Eva Galindez-Agirregoikoa1, Diana Prieto-Peña2, Maria Luz Garcia Vivar1, Lucia Vega-Alvarez1, Cristina Vergara3, Irati Urionaguena4, Consuelo Ramos-Giráldez5, Raquel Almodovar6, Beatriz Joven Ibáñez7, Rosario Garcia-Vicuna8, Vega Jovani9, Teresa González10, Àngels Martínez-Ferrer11, Ana Urruticoechea Arana12, Bryan Josue Flores Robles13, Cristina Campos Fernández14, Lilian Maria Lopez Nunez15, Joaquin Maria Belzunegui Otano16, Marina Pavia Pascual17, Esteban Rubio18, Angel Ramos-Calvo19, Noemi Busquets20, Ana Pérez Gómez21, Francisco Miguel Ortiz Sanjuan22, Rafael Benito Melero-Gonzalez23, Cristina Macía24, María Ángeles Puche Larrubia25, Jose Antonio Pinto Tasende26, Cristina Fernandez27, Maria Paz Martinez-Vidal28, Jaime Calvo- Alén29, Emma Beltran-Catalan30, Mireia Moreno31, Silvia Pérez-Barrio32, iñigo Gorostiza Hormaeche1 and Ricardo Blanco33, 1Basurto University Hospital, Bilbao, Spain, 2Hospital Universitario Marqués de Valdecilla, Santander, Spain, 3Hospital Universitario Infanta Sofía, Madrid, Spain, 4GALDAKAO-USANSOLO UNIVERSITY HOSPITAL, GERNIKA-LUMO, Spain, 5Rheumatology Department Hospital Universitario Virgen de Valme, Sevilla, Spain, 6Alcorcón Foundation University Hospital, Madrid, Spain, 7Hospital Universitario 12 de Octubre, Madrid, Spain, 8Hospital Universitario de la Princesa, Madrid, Spain, 9Department of Rheumatology, Hospital General Universitario Dr. Balmis, Alicante, Spain, 10Hospital General Universitario Gregorio Marañón, Madrid, Spain, 11Hospital Universitario Dr Peset Valéncia, Valéncia, Spain, 12Hospital Can Misses, Ibiza, Spain, 13Hospital Universitario San Pedro, Logroño, Spain, 14Hospital General Universitario Valencia, Valencia, Spain, 15Son llatzer, Palmanyola, Spain, 16University Hospital Donostia, Donostia-San Sebasti, Spain, 17Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain, 18Servicio Andaluz Salud, Sevilla, Spain, 19Complejo Hospitalario de Soria, Soria, Spain, 20HOSP. GENERAL DE GRANOLLERS, GRANOLLERS, Spain, 21Rheumatology, Hospital Principe de Asturias, Alcalá de Henares, Spain, 22Hospital Universitario y Politecnico La Fe, Valencia, Spain, 23CHU Vigo, O Carballino, Spain, 24Hospital Universitario Ramón y Cajal, Madrid, Spain, 25Department of Rheumatology, Reina Sofia University Hospital, Cordoba, Spain, 26Rheumatology department, Complexo Hospitalario Universitario A Coruña (CHUAC). Instituto de Investigación Biomédica A Coruña (INIBIC), A Coruña, Spain, 27Hospital Universitario San Juan de Alicante, Alicante, Spain, 28Hospital Universitario San Juan Alicante, Alicante, Spain, 29Rheumatology, Bioaraba Research Unit, Hospital Universitario Araba, Vitoria, Spain, 30HOSPITAL DEL MAR, Barcelona, Spain, 31Parc Tauli Hospital Universitari, I3PT(UAB), Barcelona, Spain, 32Hospital Universitario de Basurto, Bilbao, Spain, 33Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain

    Background/Purpose: The EMA authorized Upadacitinib (UPA) in PsA in January 2021. UPA has shown efficacy in PsA refractory to anti-TNF in a clinical trial (RCT).…
  • Abstract Number: 2298 • ACR Convergence 2023

    SLE Patients Are at High Risk for Tuberculosis Infection: Data from a Lupus Center of an Endemic Country

    Victor Leda1, Andreia Sousa1, Fernanda Lopes1, Emily Neves1, Sandra Pasoto2, Danieli Andrade2, Michelle Ugolini1, Eloisa Bonfa2, Eduardo Borba1, Adriana Tonacio1 and Luciana Seguro1, 1Hospital das Clinicas HCFMUSP, University of São Paulo, São Paulo, Brazil, 2University of São Paulo, São Paulo, Brazil

    Background/Purpose: SLE patients are at high risk for tuberculosis (TB) infection especially in endemic countries. Despite the importance of this infection condition, there are still…
  • Abstract Number: 2305 • ACR Convergence 2023

    Infection Vulnerability in Pregnant Women with and Without Systemic Lupus Erythematosus

    Dr Hiba Khogali1, Ghada Al‐Bluwi2, Virgie Guy2 and Ali Al Dhanhani3, 1Tawam Hospital, Al Ain, United Arab Emirates, 2College of Medicine, UAE University, Al Ain, United Arab Emirates, 3UAE University, Al Ain, United Arab Emirates

    Background/Purpose: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that predominantly affects women of childbearing age. Pregnant women with SLE have higher rates of…
  • Abstract Number: 2326 • ACR Convergence 2023

    Efficacy and Safety of Voclosporin in Patients with Proteinuria > 2 G/g

    Emily Littlejohn1, Salem Almaani2, Vanessa Birardi3, Ernie Yap4 and Christopher Collins5, 1Cleveland Clinic, Cleveland, OH, 2Ohio State University Medical Center, Columbus, OH, 3Aurinia Pharmaceuticals Inc, Edmonton, AB, Canada, 4Aurinia Pharmaceuticals Inc., Edmonton, AB, Canada, 5Formerly Aurinia Pharmaceuticals Inc., Copenhagen, Denmark

    Background/Purpose: Proteinuria is the most common manifestation of lupus nephritis and is a mediator of progressive kidney damage. Early reductions in urine protein creatinine ratio…
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