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  • Abstract Number: 1474 • ACR Convergence 2023

    Associations and Outcomes of Critical Peripheral Ischemia in Systemic Lupus Erythematosus (SLE): Data from Indian SLE Inception Cohort for Research (INSPIRE)

    Vineeta Shobha1, Liza Rajasekhar2, Sandra Manuel3, Nayana V3, Ranjan Gupta4, Bidyut Das5, Parasar Ghosh6, Chengappa Kavadichanda7, Ashish J Mathew8, Manish Rathi9, Avinash Jain10, Sumithra Selvam3 and Amita Aggarwal11, 1St. John's National Academy of Health Science, Bangalore, India, 2Nizam's Institute of Medical Sciences, Madhapur, India, 3St. John's Research Institute, Bangalore, India, 4All India Institute of Medical Sciences, New Delhi, India, 5SCB medical college, Cuttack, India, 6Govt of West Bengal, Kolkata, India, 7Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India, 8Christian Medical College, Vellore, India, 9Postgraduate Institute of Medical education and Research, Chandigarh, India, 10SMS Medical College, Lucknow, India, 11Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India

    Background/Purpose: Among the cutaneous manifestations of SLE, critical peripheral ischemia (CPI) including digital infarcts and gangrene are considered rare, gangrene occurring only in about 0.2%…
  • Abstract Number: 1464 • ACR Convergence 2023

    Lupus Flares More Common in Patients on Dialysis Compared to After Renal Transplant: A Systematic Review and Meta-analysis

    Omer Pamuk1, Ansaam Daoud2, Loai Dweik3, Niraj Desai4 and sarfaraz Hasni5, 1University Hospitals Cleveland Medical Center, Cleveland, OH, 2University Hospitals, Case Western Reserve University, Akron, OH, 3Cleveland Clinic Akron General, Akron, OH, 4Case Western Reserve University / University Hospitals Cleveland Medical Center, Cleveland, OH, 5Lupus Clinical Trials Unit, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health (NIH), Bethesda, MD

    Background/Purpose: End-stage renal disease (ESRD) may develop in up to 20% of patients with lupus nephritis (LN). The SLE disease activity generally declines after the…
  • Abstract Number: 1480 • ACR Convergence 2023

    Demographic and Clinical Characteristics of Patients with LN: A Multicenter Study from the Gulf Region

    Jamal Al-Saleh1, Faisal Elbadawi1, Rajaie Namas2, Samar Al-Emadi3, Khalid A. Alnaqbi4, Humaid A. Al-Wahshi5, Amjad Alkadi6, Suad Hannawi7, Mohamed Hamouda8, Averyan Vasylyev8, Arwa Al-Shujairi8, Reem Al-Jayyousi9 and Munther Khamashta8, 1Dubai Hospital, Department of Rheumatology, Dubai, United Arab Emirates, 2Cleveland Clinic Abu Dhabi, Department of Rheumatology, Abu Dhabi, United Arab Emirates, 3Hamad Medical Corporation, Department of Rheumatology, Doha, Qatar, 4Tawam Hospital, Department of Rheumatology, Al Ain, United Arab Emirates, 5The Royal Hospital, Department of Rheumatology, Muscat, Oman, 6Ministry of Health, Kuwait, Kuwait, 7Kuwait Hospital, Department of Rheumatology, Dubai, United Arab Emirates, 8GSK Gulf, Medical Affairs Department, Dubai, United Arab Emirates, 9Mohamed Bin Rashid University of Medicine and Health Sciences, College of Medicine, Dubai, United Arab Emirates, and Mediclinic Parkview, Dubai, United Arab Emirates

    Background/Purpose: Data from limited studies of LN in the Gulf region suggest that LN manifests more severely in this region than in Caucasian populations, yet…
  • Abstract Number: 1449 • ACR Convergence 2023

    Evaluation of Progression from Preclinical to Systemic Autoimmune Rheumatic Disease

    Joan Wither1, Dennisse Bonilla2, Zareen Ahmad1, Arthur Bookman3, Linda Hiraki4, Earl Silverman5, Mohammad Movahedi1, Sindhu Johnson6 and Hana Salem Alahmari7, 1University of Toronto, Toronto, ON, Canada, 2University Health Network, Toronto, ON, Canada, 3Toronto Western Hospital, Toronto, ON, Canada, 4The Hospital for Sick Children, Toronto, ON, Canada, 5Silverman, Toronto, ON, Canada, 6Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada, 7Toronto Scleroderma Program, Mount Sinai Hospital, Toronto Western Hospital, Division of Rheumatology, Department of Medicine, University of Toronto, Toronto, ON, Canada

    Background/Purpose: To evaluate the development of a systemic autoimmune rheumatic disease (SARD) in undifferentiated and asymptomatic individuals with antinuclear antibodies (ANA). We evaluated fulfillment of…
  • Abstract Number: 1455 • ACR Convergence 2023

    Risk Factors of Cytomegalovirus Reactivation and Disease in Patients with Systemic Lupus Erythematosus

    Miyu Wakatsuki1, Hiroyuki Yamashita1, Yuuya Akiyama1, Setsuko Oyama1, Shintarou Aozaki1, Ryo Kuwata2, Misa Yamaji1, Takuya Harada1, Kyouko Motomura1, Yuusuke Nakamichi1 and Hiroshi Kaneko3, 1National Center for Global Health and Medicine, Tokyo, Japan, 2Department of Rheumatology, National Center for Global Health and Medicine, Tokyo, Japan, 3Division of Rheumatic Disease, National Center for Global Health and Medicine, Tokyo, Japan

    Background/Purpose: Cytomegalovirus (CMV) infection is classified as an opportunistic infection that occurs in autoimmune diseases. Systemic lupus erythematosus (SLE) is one of the most frequently…
  • Abstract Number: 1476 • ACR Convergence 2023

    Discriminating Disease Flare from Infection in Febrile Patients with Systemic Lupus Erythematosus Admitted to a Safety-Net Hospital System: A Retrospective, Multicenter Study

    Abhimanyu Amarnani1, Flora Liu2, Melissa Lee Wilson2, Nathan Lim2, William Stohl3 and Leanna Wise4, 1NYU Langone Medical Center, New York, NY, 2Keck School of Medicine and LAC+USC Medical Center, Los Angeles, CA, 3University of Southern California Keck School of Medicine, Division of Rheumatology, Los Angeles, CA, 4LAC+USC/Keck Medicine of USC, Pasadena, CA

    Background/Purpose: Fever in systemic lupus erythematosus (SLE) patients presents a diagnostic challenge as the differential diagnosis includes disease flare and infection. Identifying laboratory parameters to…
  • Abstract Number: 1479 • ACR Convergence 2023

    Risk Factors for Human Papillomavirus Cervical Infection and Clearance in Patients with Systemic Lupus Erythematosus: The PAPILUP Study

    Tiphaine Goulenok1, Valentine Marie Ferre2, Celine Mendes1, Lea Dayan3, Margot Bucau1, Fatima Farhi1, Thomas Papo2 and Karim Sacre2, 1Assistance Publique Hopitaux de Paris, Paris, France, 2Université Paris Cité, Paris, France, 3Maison de Sante les Epinettes, Paris, France

    Background/Purpose: An impaired clearance of cervical human papillomavirus (HPV) related to inadequate immune responses may result in persistent infection and increase the risk to develop…
  • Abstract Number: 1386 • ACR Convergence 2023

    Opioid Prescription Rates in Patients with Ankylosing Spondylitis in the UK Between 2001-2020: An Electronic Health Records (EHR) Analysis

    Huseyin Berk Degirmenci1, Christine E. Peloquin2, Sara Lodi2, Pedro Machado3, S. Reza Jafarzadeh4, Tuhina Neogi5, Lianne Gensler6, Maureen Dubreuil7 and Jean Liew2, 1St. Elizabeth's Medical Center, Boston, MA, 2Boston University, Boston, MA, 3Centre for Rheumatology & Department of Neuromuscular Diseases, University College London, London, UK. Department of Rheumatology, Northwick Park Hospital, London North West University Healthcare NHS trust, London, UK., London, United Kingdom, 4Boston University Chobanian & Avedisian School of Medicine, Boston, MA, 5Boston University School of Medicine, Boston, MA, 6University of California San Francisco, Department of Medicine, Division of Rheumatology, San Francisco, CA, 7Department of Rheumatology, Boston University School of Medicine, Milton, MA

    Background/Purpose: Although current axial spondyloarthritis (axSpA) management guidelines do not address opioid use for chronic pain, available data show that opioid use is common among…
  • Abstract Number: 1478 • ACR Convergence 2023

    Presentation and Outcomes of Posterior Reversible Encephalopathy Syndrome in Systemic Lupus Erythematosus: A Multicenter Cohort and a Systematic Literature Review

    Alain Sanchez-Rodriguez1, Mariana Gonzalez-Treviño1, Hannah Langenfeld2, Cynthia Crowson3, Maria Valenzuela-Almada4, Alejandro Rabinstein5, Larry J. Prokop6, Isabel Valenzuela-Almada7 and Ali Duarte-Garcia3, 1Division of Rheumatology, Mayo Clinic, Rochester, MN, 2Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, 3Mayo Clinic, Rochester, MN, 4Department of Pediatrics, Children’s National Medical Center, Washington, DC, 5Department of Neurology, Mayo Clinic, Rochester, MN, 6Mayo Clinic Libraries, Mayo Clinic, Rochester, MN, 7Division of Internal Medicine, Hospital Medica Sur, Mexico City, Mexico

    Background/Purpose: To describe the clinical characteristics, therapies, and outcomes of patients with SLE and Posterior reversible encephalopathy syndrome (PRES). Methods: We performed a multicenter cohort…
  • Abstract Number: 1445 • ACR Convergence 2023

    SLESIS-R: An Improved Score for Prediction of Serious Infection in Patients with Systemic Lupus Erythematosus Based on the RELESSER Prospective Cohort

    Iñigo Rúa-Figueroa1, Maria Jesus Garcia de Yebenes2, JULIA MARTINEZ BARRIO3, Maria Galindo-Izquierdo4, Jaime Calvo- Alén5, Antonio Fernandez-Nebro6, Raúl Menor-Almagro7, Eva Tomero Muriel8, Mercedes Freire González9, Clara Sanguesa Gomez10, Loreto Horcada11, Ricardo Blanco12, Esther Uriarte Isacelaya13, Maria J. García-Villanueva14, Javier Narvaez15, Jose Rosas16, Silvia Gómez-Sabater17, Clara Moriano Morales18, Jose Luis Andreu-Sánchez19, Vicente Torrente-Segarra20, Elena Aurrecoechea Aguinaga21, Ana Pérez Gómez22, Javier Novoa Medina23, Eva Salgado-Pérez24, Nuria Lozano Rivas25, Carlos Montilla-Morales26, maria esther ruiz-lucea27, Marta Arévalo Salaet28, Carlota Iñíguez29, Lorena Expósito30, Mónica Ibáñez-Barceló31, Gema Bonilla32, Irene Carrión-Barberà33, Celia Erausquin34, Angela Pecondon-Español35, Francisco Javier Toyos Sáenz de Miera36, Tatiana Cobo37, Alejandro Muñoz38, Jorge Juan Fragio39, Jose Eloy Oller40, Beatriz Tejera Segura23 and Jose-Maria Pego-Reigosa41, 1Rheumatology, Hospital de Gran Canaria Doctor Negrin, Las Palmas de Gran Canaria, Spain, 2InMusc, Madrid, Spain, 3Rheumatology, Gregorio Marañon University Hospital, Madrid, Spain, 4Rheumatology, University Hospital of 12 de Octubre, Madrid, Spain, 5Rheumatology, Bioaraba Research Unit, Hospital Universitario Araba, Vitoria, Spain, 6Hospital Regional Universitario de Málaga, Malaga, Spain, 7Rheumatology, Hospital Jerez, Puerto De Santa María, Spain, 8Rheumatology, Hospital La Princesa, Madrid, Spain, 9Rheumatology department, Complexo Hospitalario Universitario A Coruña (CHUAC). Instituto de Investigación Biomédica A Coruña (INIBIC), A Coruña, Spain, 10Severo Ochoa Hospital, Madrid, Spain, 11Hospital de Navarra, Pamplona, Spain, 12Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain, 13Rheumatology, University Hospital of Donosti, San Sebastián, Spain, 14Hospital Ramón y Cajal, Madrid, Spain, 15Hospital Universitario de Bellvitge, Barcelona, Spain, 16Hospital Marina Baixa, Alicante, Spain, 17Rheumatology Department, Dr. Balmis University General Hospital, Alicante. Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain, 18Rheumatology, Hospital Universitario de León, León, Spain, 19Rheumatology, Hospital Universitario Puerta de Hierro, Majadahonda, Spain, 20Department of Rheumatology, Hospital de Sant Joan Despí Moises Broggi,, Sant Joan Despí, Spain, 21Department of Rheumatology, Hospital Sierrallana, Torrelavega, Spain, 22Rheumatology, Hospital Principe de Asturias, Alcalá de Henares, Spain, 23Complejo Hospitalario Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain, 24Department of Rheumatology, University Hospital of Ourense, Ourense, Spain, 25Department of Rheumatology, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain, 26Rheumatology, University Hospital of Salamanca, Salamanca, Spain, 27Hospita de Basurto, Bilbao, Spain, 28Rheumatology Department University Hospital Parc Taulí, Sabadell, Spain, 29Hospital Lucus Augusti, Lugo, Spain, 30Rheumatology Unit, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain, 31Rheumatology, Hospital Universitari Son Llàtzer, Palma de Mallorca, Spain, 32Department of Rheumatology, Hospital Clínico Universitario La Paz, Madrid, Spain, 33Hospital del Mar, Barcelona, Spain, 34Rheumatology Department Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain, 35Hospital Miguel Servet, Zaragoza, Spain, 36Hospital Virgen Macarena, Sevilla, Spain, 37Department of Rheumatology, Hospital Universitario Infanta Sofía, Universidad Europea, Madrid, Spain, 38Hospital universitario Virgen del Rocío, El Viso de Alcor, Spain, 39Hospital General Universitario Valencia, Valencia, Spain, 40Hospital Doctor Peset, Valencia, Spain, 41Rheumatology, Hospital do Meixoeiro, Vigo, Spain

    Background/Purpose: Patients with systemic lupus erythematosus (SLE) have an increased risk of serious infections that varies with the severity of the disease, use of immunosuppressives,…
  • Abstract Number: 1392 • ACR Convergence 2023

    Improving the Diagnostic Accuracy in Axial Spondyloarthritis: Interim Results of a Nationwide Telemedicine Project

    Denis Poddubnyy1, Marc Kämmerer2, Marcus Kremers3, Berit Schoppen3, Charlotte Arens3, Annette Wiedon4, Imke Redeker5 and Xenofon Baraliakos6, 1Department of Gastroenterology, Infectious Diseases and Rheumatology, Charité – Universitätsmedizin Berlin, Berlin, Germany, 2VISUS Health IT GmbH, Bochum, Germany, 3MedEcon Telemedizin GmbH / MedEcon Ruhr GmbH, Bochum, Germany, 4Novartis Pharma GmbH, Nürnberg, Germany, 5Ruhr Universität Bochum, Bochum, Germany, 6Rheumazentrum Ruhrgebiet Herne, Ruhr-University Bochum, Herne, Germany

    Background/Purpose: Axial spondyloarthritis (axSpA) is often diagnosed late, while there is also a problem of over- and misdiagnosis in patients with chronic back pain. Imaging,…
  • Abstract Number: 1141 • ACR Convergence 2023

    COVID-19 Vaccination Status and Adverse Events Following SARS-CoV-2 Vaccine in Autoimmune Inflammatory Rheumatic Disease (AIRD) Patients: A Single Center Experience

    Vincent Luceño1, Peter Paolo Daleon1 and Sandra Navarra2, 1University of Santo Tomas Hospital, City of Manila, Philippines, 2University of Santo Tomas Hospital, Joint and Bone Center, Manila, Philippines

    Background/Purpose: Autoimmune inflammatory rheumatic diseases (AIRD) were associated with an increased risk for COVID-19 infection, worse clinical outcomes, and COVID-19- related deaths. Vaccines carry the…
  • Abstract Number: 1389 • ACR Convergence 2023

    Low Spinal Radiographic Progression After a Mean of 15 Years of Follow-up in a Cohort of Patients with Axial Spondyloarthritis

    raquel granados1, Santiago Dans-Caballero1, Lourdes Ladehesa Pineda2, María Ángeles Puche Larrubia3, Desiree Ruiz Vilchez4, Maria del Carmen Abalos-Aguilera4, Alejandro Escudero-Contreras5, Eduardo Collantes Estévez6 and Clementina López Medina7, 1Rheumatology Department, Reina Sofia University Hospital, Cordoba/Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Spain, 2Rheumatology Department Reina Sofia Universitary Hospital, Cordoba, Spain, 3Department of Rheumatology, Reina Sofia University Hospital, Cordoba, Spain, 4Rheumatology Department, Reina Sofia University Hospital/Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain, 5Rheumatology Department, Reina Sofia University Hospital, Cordoba/Maimonides Biomedical Research Institute of Cordoba (IMIBIC)/University of Cordoba, Córdoba, Spain, 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: Axial spondyloarthritis (axSpA) is characterized by progressive structural damage on the sacroiliac joints and/or the spine. Conventional radiology allows to assess radiology through available…
  • Abstract Number: 1136 • ACR Convergence 2023

    Challenges in Diagnosing VEXAS Syndrome: Delayed Diagnosis, Misdiagnosis, and Associations with Specific Gene Mutations

    Paula García Escudero1, Marta López i Gómez2, Marta López Maraver3, PALOMA VELA4, María Rodríguez Laguna5, carolina Merino6, Ana Victoria Orenes Vera7, Clara García Belando8, Diego Dios Santos9, Jose Alberto Miranda Filloy10, Francisco Javier Toyos Sáenz de Miera11, Alicia Garcia Dorta12, Ignacio Vázquez13, José Ángel Hernández Beriain14, MARIA ELVIRA DIEZ ALVAREZ15, Marta Ibáñez Martínez16, Beatriz Frade Sosa17, Judit Font Urgelles18, Meritxell Salles Lizarzaburu19, Elena Riera Alonso20, Ernesto Trallero Araguás21, Berta Magallanes López22, Joaquín Belzunegui Otano23, Carlos de Miguel Sánchez24, Zuriñe Ortiz de Zárate Caballero25 and Jaime Calvo Alén26, 1Hospital Universitario Araba, Bilbao, Spain, 2Hospital Universitario de Araba, Pamplona, Spain, 3Hospital Universitario de Araba, Vitoria, Spain, 4Rheumatology, Hospital General Universitario Alicante, Alicante, Spain, 5H. Clínico San Carlos, Madrid, Spain, 6Rheumatology Department Hospital Universitario Puerta de Hierro, Majadahonda (Madrid), Spain, 7H. Arnau de Vilanova, Valencia, Spain, 8Hospital Los Arcos del Mar Menor, Murcia, Spain, 9Rheumatology department, Complexo Hospitalario Universitario A Coruña (CHUAC). Instituto de Investigación Biomédica A Coruña (INIBIC), A Coruña, Spain, 10C. H. U. Lucus Augusti, Lugo, Spain, 11Hospital Virgen Macarena, Sevilla, Spain, 12Rheumatology Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain, 13H. U. Dr. Peset, Valencia, Spain, 14Rheumatology, Hospital Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain, 15Rheumatology, Hospital Universitario de León, León, Spain, 16C. A. U. de Salamanca, Salamanca, Spain, 17Hospital Clínic de Barcelona, Barcelona, Spain, 18Hospital Universitario Germans Trías i Pujol, Barcelona, Spain, 19C. H. de Manresa - Fundació Althaia, Barcelona, Spain, 20Hospital Universitario Mútua Terrassa, Barcelona, Spain, 21Department of Rheumatology, Hospital Universitario Vall d'Hebron, Barcelona, Spain, 22Hospital de la Santa Creu i Sant Pau, Barcelona, Spain, 23Hospital Universitario Donosti, Donosti, Spain, 24Hospital Universitario de Araba, Hematology, VItoria, Spain, 25Hospital Universitario de Araba, Internal Medicine, Vitoria, Spain, 26Hospital Universitario Araba, Vitoria, Spain

    Background/Purpose: The newly described VEXAS syndrome is a very heterogenous disease with rheumatologic and hematologic manifestations, caused by somatic mutations affecting UBA1 gene, that still…
  • Abstract Number: 1153 • ACR Convergence 2023

    Unmasking SAPHO: A Case Series Revealing the Clinical Spectrum and Treatment Approaches

    Manush Sondhi1, Warda Maqsood2 and Sarwat Umer3, 1Louisiana State University, Shreveport, LA, 2LSU Health Science Center, Shreveport, LA, 3LSU Health Shreveport, Shreveport, LA

    Background/Purpose: SAPHO (synovitis, acne, pustulosis, hyperostosis, and osteitis) is a relatively rare and often underdiagnosed inflammatory disorder. Its diagnosis can be challenging due to its…
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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.

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