ACR Meeting Abstracts

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  • Abstract Number: 0083 • ACR Convergence 2021

    Cardiac Valve Surgery Outcomes in the Antiphospholipid Syndrome

    Tali Eviatar1, Stanley Niznik2, Nancy Agmon-Levin2 and Daphna Paran3, 1Tel Aviv Sourasky Medical Center, Givataim, Israel, 2Sheba Medical Center, Ramat Gan, Israel, 3Tel Aviv Sourasky Medical Center-Ichilov Hospital, Even Yehuda, Israel

    Background/Purpose: Cardiac valve involvement in the APS is prevalent, necessitating valve surgery in about 5% of the patients. Data regarding valve surgery outcomes in APS…
  • Abstract Number: 0086 • ACR Convergence 2021

    SARS-CoV-2 Infection and COVID-19 Outcomes in Rheumatic Disease: A Systematic Literature Review

    Richard Conway1, Alyssa Grimshaw2, Maximilian Konig3, Michael Putman4, Ali Duarte-Garcia5, Candice Low6, Shangyi Jin7, Diego Cabrera8, Yu Pei Eugenia Chock9, Berk Degirmenci10, Eimear Duff11, Bugra Egeli12, Elizabeth Graef13, Akash Gupta14, Patricia Harkins15, Bimba Franziska Hoyer16, Aruni Jayatilleke17, Christopher Kasia18, Aneka Khilnani19, Adam Kilian20, Alfred Kim21, Chung Mun Alice Lin22, Laurie Proulx23, Sebastian Sattui24, Namrata Singh25, Jeffrey Sparks26, Herman Tam27, Leslie Yingzhijie Tseng2, Manuel Ugarte-Gil28, Natasha Ung29, Leanna Wise30, Ziyi Yang31, Kristen Young32, Jean Liew33, Rebecca Grainger34, Zachary Wallace35 and Evelyn Hsieh2, 1St. James's University Hospital, Dublin, Ireland, 2Yale School of Medicine, New Haven, CT, 3The Johns Hopkins University School of Medicine, Baltimore, MD, 4Medical College of Wisconsin, Brookfield, WI, 5Mayo Clinic, Rochester, MN, 6St. Vincent's University Hospital, Dublin, Ireland, 7Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College; National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Beijing, China (People's Republic), 8Yale School of Medicine, Lima, Peru, 9Yale School of Medicine, Greenwich, CT, 10St. Elizabeth's Medical Center, Boston, MA, 11St. James's Hospital, Dublin, Ireland, 12Boston Children's Hospital, Boston, MA, 13Emerson Hospital, Concord, MA, 14Department of Medicine, Yale University School of Medicine, New Haven, CT, 15St James hospital, Dublin, Ireland, 16Universittsklinikum Schleswig-Holstein, Kiel, Germany, 17Temple University, Philadelphia, PA, 18The Medical College of Wisconsin, Maywood, IL, 19George Washington University School of Medicine and Health Sciences, Washington, DC, 20George Washington University, Melbourne, FL, 21Washington University School of Medicine, St. Louis, MO, 22Newcastle University, Newcastle, United Kingdom, 23Canadian Arthritis Patient Alliance, Ottawa, ON, Canada, 24Hospital for Special Surgery, New York, NY, 25University of Washington, Bellevue, WA, 26Brigham and Women's Hospital, Boston, MA, 27Stollery Children's Hospital, University of Alberta, Edmonton, AB, Canada, 28Hospital Guillermo Almenara Irigoyen, Essalud/Universidad Científica del Sur, Lima, Peru, 29New South Wales Health, Sydney, Australia, 30LAC+USC/Keck Medicine of USC, Pasadena, CA, 31Department of Rheumatology and Clinical Immunology, Chinese Academy of Medical Sciences & Peking Union Medical College; National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Beijing 100730, China, Beijing, China (People's Republic), 32University of Texas Southwestern Medical Center, Dallas, TX, 33Boston University, Boston, MA, 34University of Otago, Wellington, New Zealand, 35Massachusetts General Hospital, Newton, MA

    Background/Purpose: The relative risk of COVID-19 among patients with rheumatic and musculoskeletal disease (RMD) and the comparative severity of COVID-19 infection in RMD remain uncertain.…
  • Abstract Number: 0089 • ACR Convergence 2021

    SARS-CoV-2 Seroprevalence and Seroconversion in a Systemic Lupus Erythematosus Cohort and Comparison to General Population Controls

    Hannah Mathew1, May Choi2, Katherine Buhler1, Ann Clarke1, Xenia Gukova1, Francesca Cardwell3 and Marvin Fritzler1, 1University of Calgary, Calgary, AB, Canada, 2Brigham and Women's Hospital | University of Calgary, Calgary, AB, Canada, 3University of Waterloo, Waterloo, ON, Canada

    Background/Purpose: At the outset of the SARS-CoV-2 pandemic, it was speculated that SLE patients may be at significant risk of developing COVID-19 due to underlying…
  • Abstract Number: 0088 • ACR Convergence 2021

    Evaluation of Patient Characteristics and Clinical Outcomes Among SARS‑CoV‑2‑Diagnosed Patients with and Without RA or PsA Treated with Systemic Therapies: A Retrospective Cohort Study Using US Optum® COVID-19 Electronic Health Record Data

    Jeffrey Curtis1, Xiaofeng Zhou2, Jinoos Yazdany3, Philip Robinson4, Yan Chen2, Ann Madsen2, Jamie Geier2 and Birgitta Benda2, 1Division of Clinical Immunology and Rheumatology, Department of Medicine, Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, 2Pfizer Inc, New York, NY, 3University of California San Francisco, San Francisco, CA, 4Faculty of Medicine, The University of Queensland, Herston, Australia

    Background/Purpose: Patients with chronic rheumatic diseases are considered to be at increased risk for some infections, with prescribed immunomodulatory (IM) therapies increasing this risk further.…
  • Abstract Number: 0087 • ACR Convergence 2021

    TNF Inhibitors and the Risk of Adverse COVID-19 Outcomes in Patients with Immune-Mediated Inflammatory Disease: Pooled Data from Three Global Registries

    Zara Izadi1, Erica Brenner2, Satveer Mahil3, Nick Dand4, Zenas Yiu5, Mark Yates4, Ryan Ungaro6, Xian Zhang2, Manasi Agrawal6, Jean-Frederic Colombel7, Milena Gianfrancesco1, Kimme Hyrich5, Anja Strangfeld8, Loreto Carmona9, Elsa Frazão Mateus10, Saskia Lawson-Tovey5, Eva Klingberg11, Giovanna Cuomo12, Marta Caprioli13, Rene-Marc FLIPO14, Ana Rita Cruz-Machado15, Carolina Mazeda16, Rebecca Hasseli17, Alexander Pfeil18, Hanns-Martin Lorenz19, Laura Trupin20, Stephanie Rush1, Patricia Katz1, Gabriela Schmajuk1, Lindsay Jacobsohn21, Andrea Seet1, Samar Al Emadi22, Leanna Wise23, Emily Gilbert24, Ali Duarte-Garcia25, Maria Valenzuela-Almada26, Carolina Isnardi27, Rosana Quintana27, Enrique Soriano28, Tiffany Hsu29, Kristin D'Silva30, Jeffrey Sparks31, Naomi Patel30, Viviane de Souza32, Licia Maria Henrique Mota33, Ana Paula Reis34, Zachary S. Wallace35, Suleman Bhana36, Wendy Costello37, Rebecca Grainger38, Jonathan Hausmann39, Jean Liew40, Emily Sirotich41, Paul Sufka42, Philip Robinson43, Pedro Machado44, Christopher Griffiths45, Jonathan Barker4, Catherine smith4, Jinoos Yazdany1 and Michael Kappelman2, 1University of California San Francisco, San Francisco, CA, 2University of North Carolina at Chapel Hill, Chapel Hill, NC, 3St John’s Institute of Dermatology, London, United Kingdom, 4King's College London, London, United Kingdom, 5University of Manchester, Manchester, United Kingdom, 6Icahn School of Medicine at Mount Sinai, New York, NY, 7MD, New York, NY, 8Deutsches Rheuma-Forschungszentrum Berlin, Berlin, Germany, 9Instituto de Salud Musculoesqueltica (InMusc), Madrid, Spain, 10Liga Portuguesa Contra as Doenças Reumáticas (LPCDR), Lisbon, Portugal, 11University of Gothenburg, Gothenburg, Sweden and Sahlgrenska University Hospital, Gothenburg, Sweden, 12Università degli Studi della Campania Luigi Vanvitelli, Napoli, Italy, 13IRCCS Humanitas Research Hospital, Milan, Italy, 14Rheumatology Department, Lille University Hospital, Lille, France, 15Rheumatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisbon Academic Medical Center; Rheumatology Research Unit, Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal, 16Rheumatology Department - Centro Hospitalar do Baixo Vouga and Ibimed, Institute for Biomedicine, University of Aveiro, Aveiro, Portugal, 17Justus-Liebig-University Giessen, Bad Nauheim, Germany, 18Friedrich Schiller University Jena, Jena, Germany, 19University Hospital Heidelberg Germany, Heidelberg, Germany, 20UC San Francisco, San Francisco, CA, 21University of California San Francisco, Antioch, CA, 22Hamad medical corporation, Doha, Qatar, 23LAC+USC/Keck Medicine of USC, Pasadena, CA, 24Mayo Clinic, Jacksonville, FL, 25Mayo Clinic, Rochester, MN, 26Division of Rheumatology, Mayo Clinic, Rochester, MN, 27Argentine Society of Rheumatology, Buenos Aires, Argentina, 28Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 29Brigham and Women's Hospital, Jamaica Plain, MA, 30Massachusetts General Hospital, Boston, MA, 31Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, 32UFJF, JUIZ DE FORA, Brazil, 33Universidade de Brasília, Brasilia, Brazil, 34Centro Universitrio de Braslia- UniCEUB, Brasilia, Brazil, 35Harvard Medical School, Boston, MA, 36Crystal Run Health, Montvale, NJ, 37Irish Children's Arthritis Network, Bansha, Ireland, 38University of Otago, Wellington, New Zealand, 39Boston Children's Hospital / Beth Israel Deaconess Medical Center, Cambridge, MA, 40Boston University, Boston, MA, 41McMaster University, Hamilton, ON, Canada, 42HealthPartners, Eagan, MN, 43University of Queensland School of Clinical Medicine, Brisbane, Australia, 44Centre for Rheumatology & Department of Neuromuscular Diseases, University College London, London, United Kingdom, 45University of Manchester, Manchester Centre for Dermatology Research, Manchester, United Kingdom

    Background/Purpose: While tumor necrosis factor inhibitors (TNFi) are widely prescribed globally due to their high efficacy across immune-mediated inflammatory diseases (IMIDs), the impact of COVID-19…
  • Abstract Number: 0082 • ACR Convergence 2021

    Association of Current Cigarette Smoking and Obesity with Antiphospholipid Antibodies and Thrombosis in 1216 International Patients Evaluated for Suspected Antiphospholipid Syndrome (APS)

    Medha Barbhaiya1, Deanna Jannat-Khah1, Doruk Erkan1, Karen Costenbader2 and On Behalf of New APS Classification Criteria Development Case Collectors1, 1Hospital for Special Surgery, New York, NY, 2Brigham and Women's Hospital, Belmont, MA

    Background/Purpose: Few studies have evaluated the role of environmental factors in APS. While antiphospholipid antibodies (aPL) may be induced by environmental stiumuli, e.g., viruses, cardiovascular…
  • Abstract Number: 0093 • ACR Convergence 2021

    The Association of General and Covid-19-Specific Stress with Changes in Patient-Reported Outcomes and Comorbidities

    Patricia Katz1, Kristin Wipfler2, Sofia Pedro3 and Kaleb Michaud4, 1University of California San Francisco, San Francisco, CA, 2FORWARD, The National Databank for Rheumatic Diseases, Omaha, NE, 3Forward, The National Databank for Rheumatic Diseases, Wichita, KS, 4University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: We previously showed that perceived stress during the COVID-19 pandemic was associated with concomitant increases in symptoms of depression and anxiety. In lupus alone,…
  • Abstract Number: 0092 • ACR Convergence 2021

    Clinical Outcomes of Patients with Systemic Rheumatic Diseases Hospitalized for COVID-19 at a Large Academic Center in New York City

    Caroline Siegel1, Jacky Choi2, Debra D'Angelo2, Paul Christos2, Lindsay Lally1, Parag Goyal2, Lisa Mandl1 and Medha Barbhaiya1, 1Hospital for Special Surgery, New York, NY, 2Weill Cornell Medicine, New York, NY

    Background/Purpose: While patients with systemic rheumatic diseases (SRDs) are in general more vulnerable to infections due to their underlying immune dysregulation and immunomodulatory therapies, data…
  • Abstract Number: 0090 • ACR Convergence 2021

    Subcutaneous Sarilumab in Hospitalized Patients with Moderate-severe COVID-19 Infection Compared to the Standard Care: An Open-label Randomized Clinical Trial

    Sebastián C Rodriguez-García1, Isidoro Gonzalez-Alvaro1, Francisco Abad-Santos2, Azucena Bautista-Hernández3, Lucio García-Fraile3, Juan Pablo Baldivieso-Achá4, Jesús Sanz-Sanz3 and Rosario Garcia de Vicuña1, 1Rheumatology Service. La Princesa University Hospital, Madrid, Spain, 2Clinical Pharmacology Service. Clinical Research and Clinical Trials Unit. La Princesa University Hospital, Madrid, Spain, 3Division of Infectious Diseases, Internal Medicine Service. La Princesa University Hospital, Madrid, Spain, 4Rheumatology Department. La Princesa University Hospital, Madrid, Spain

    Background/Purpose: Many uncertainties remain for IL-6 blockers on the management of COVID-19 such as the optimal time of intervention, the schedule of administration and predictors…
  • Abstract Number: 0094 • ACR Convergence 2021

    Characteristics Associated with Severe Outcomes in Patients with Systemic Rheumatic Diseases Hospitalized for COVID-19 in New York City

    Caroline Siegel1, Jacky Choi2, Debra D'Angelo2, Paul Christos2, Lindsay Lally1, Parag Goyal2, Lisa Mandl1 and Medha Barbhaiya1, 1Hospital for Special Surgery, New York, NY, 2Weill Cornell Medicine, New York, NY

    Background/Purpose: Patients with systemic rheumatic diseases (SRD) are potentially at increased risk of severe outcomes from SARS-CoV-2 infection due to their underlying immune dysregulation and…
  • Abstract Number: 0096 • ACR Convergence 2021

    The True Prevalence of SARS-CoV-2 Infection in an Italian Cohort of Patients with Inflammatory Arthritis: A Seroepidemiological Study

    Gabriella Maioli1, Ennio Giulio Favalli2, Elisa Pesce3, Martina Biggioggero2, Mauro Bombaci3, Elena Agape2, Martina Martinovic3, Tanya Fabbris3, Elena Zagato3, Andrea Favalli3, Andrea Gobbini3, Sergio Abrignani3, Renata Grifantini3 and Roberto Caporali4, 1Università degli Studi di Milano, Department of Clinical Sciences and Community Health, Research Center for Adult and Pediatric Rheumatic Diseases, Milan, Italy, Milan, Italy, 2ASST Gaetano Pini-CTO Institute, Division of Clinical Rheumatology, Milan, Italy, Milan, Italy, 3Istituto Nazionale Genetica Molecolare, Padiglione Romeo ed Enrica Invernizzi, Milan, Italy, 4Policlinico S. Matteo University, Pavia, Italy

    Background/Purpose: Observational data have shown that rheumatic patients seem not to be more susceptible to SARS-CoV-2 infection neither to worse outcomes. However, the true prevalence…
  • Abstract Number: 0095 • ACR Convergence 2021

    Risk Factors for “Long Haul” COVID-19 in Rheumatology Outpatients in New York City

    Medha Barbhaiya1, Deanna Jannat-Khah1, Jonah Levine1, Huong Do1, Jessica Gordon1, Vivian Bykerk2 and Lisa Mandl1, 1Hospital for Special Surgery, New York, NY, 2Division of Rheumatology, Hospital for Special Surgery, New York City, NY

    Background/Purpose: COVID-19 ‘long-haulers’ are individuals who experience persistent symptoms after COVID-19 diagnosis. Whether this is of particular concern for rheumatic disease patients, due to their…
  • Abstract Number: 0091 • ACR Convergence 2021

    Vaccination of Patients with Chronic Inflammatory Rheumatic Diseases: An Analysis of Barriers and Facilitators in a Prospective Cohort

    Ioana Andreica, Iulia Roman, Xenofon Baraliakos, Juergen Braun and Uta Kiltz, Rheumazentrum Ruhrgebiet Herne, Ruhr-Universität Bochum, Herne, Germany

    Background/Purpose: Patients (pts.) with chronic inflammatory rheumatic diseases (CIRD) are often not adequately protected against infectious diseases. As shown in an earlier study, less than…
  • Abstract Number: 0085 • ACR Convergence 2021

    Association of CD20 Inhibitor Use with Severe COVID-19 Outcomes

    Naomi Patel1, Kristin D'Silva1, Tiffany Hsu2, Michael Di Iorio3, Xiaoqing Fu1, Claire Cook4, Lauren Prisco5, Lily Martin6, Kathleen Vanni6, Alessandra Zaccardelli6, Yuqing Zhang7, Jeffrey Sparks6 and Zachary Wallace8, 1Massachusetts General Hospital, Boston, MA, 2Brigham and Women's Hospital, Jamaica Plain, MA, 3Brigham and Women's Hospital, Brookline, MA, 4Division of Rheumatology, Allergy, and Immunology, Mass General Hospital, Boston, MA, 5Brigham and Women's Hospital, Pound Ridge, MA, 6Brigham and Women's Hospital, Boston, MA, 7Massachusetts General Hospital, Quincy, MA, 8Massachusetts General Hospital, Newton, MA

    Background/Purpose: Patients with immune-mediated diseases have similar risk of severe COVID-19 versus the general population but CD20 inhibitor users may be at increased risk of…
  • Abstract Number: 0066 • ACR Convergence 2021

    Characterization of αβTCR of HLA-B*27-Restricted CD8 T-Cell Clones Associated with Spondyloarthropathies

    Jose Garrido-Mesa1, Nicholas Harvey2, Aimee Hanson3, Tony Kenna4, Chi Wong5, Charles Bridgewood5, Dennis McGonagle5 and Matthew Brown1, 1King's College London, London, United Kingdom, 2Molecular Genetics, London, United Kingdom, 3University of Queensland, Brisbane, Australia, 4Queensland University of Technology, School of Biomedical Sciences, Brisbane, Australia, 5University of Leeds, Leeds, United Kingdom

    Background/Purpose: The mechanism by which HLA-B27 induces Ankylosing Spondylitis (AS) and related disease is unknown, but a leading hypothesis is that it presents ‘arthritogenic epitopes’…
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