ACR Meeting Abstracts

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  • Abstract Number: 1497 • ACR Convergence 2020

    COVID-19 in Pregnant Patients with Rheumatic Disease: Data from the COVID-19 Global Rheumatology Alliance

    Bonnie Bermas1, Megan Clowse2, Milena Gianfrancesco3, Jonathan Hausmann4, Pedro M Machado5, Emily Sirotich6, Helen Robinson7, Anja Strangfeld8, Jinoos Yazdany9 and Philip Robinson10, 1UTSouthwestern.edu, Dallas, TX, 2Duke University, Chapel Hill, NC, 3University of California, San Francisco, San Francisco, CA, 4Boston Children's Hospital / Beth Israel Deaconess Medical Center, Cambridge, MA, 5University College London, London, United Kingdom, 6McMaster University, Hamilton, ON, Canada, 7University of Queensland School of Medicine, HERSTON, Queensland, Australia, 8German Rheumatism Research Center, Berlin, Germany, 9UCSF, San Francisco, CA, 10University of Queensland, Herston, Queensland, Australia

    Background/Purpose: The impact of COVID-19 on pregnancy in patients with rheumatic disease is unknown. We describe COVID-19 outcomes in pregnant rheumatic disease patients reported to…
  • Abstract Number: 1496 • ACR Convergence 2020

    Outcomes of an Evidence Based Guideline for the Treatment of Hemophagocytic Lymphohistiocytosis and Macrophage Activation Syndrome

    Kacie Hoyt1, Olha Halyabar2, Joseph Han3, Siobhan Case4, Margaret Chang1, Craig Platt5, Ezra Cohen1, Megan Day-Lewis5, Fatma Dedeoglu1, Jonathan Hausmann6, Erin Janssen2, Pui Lee7, Jeffrey Lo1, Gregory Priebe5, Mindy Lo1, Esra Meidan8, Peter Nigrovic9, Jordan Roberts1, Mary Beth Son1, Robert Sundel2, Mark Gorman1, Barbara Degar10, Melissa Hazen1 and Lauren Henderson11, 1Boston Children's Hospital, Boston, MA, 2Children's Hospital/Boston Medical Center, Boston, MA, 3Mount Sinai School of Medicine, New York, NY, 4Brigham and Women's Hospital, Boston, MA, 5Boston Children's Hospital, Boston, 6Boston Children's Hospital / Beth Israel Deaconess Medical Center, Cambridge, MA, 71.Boston Children's Hospital;2.Brigham and Women's Hospital;3.Harvard Medical School, Newton, MA, 8Boston Children's Hospital, Somerville, MA, 9Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Division of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA, Boston, 10Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, 11Boston Children's Hospital, Watertown, MA

    Background/Purpose: Rapid identification of HLH/MAS coupled with a multidisciplinary approach to management is essential to improve patient outcomes. We describe our experience with a newly…
  • Abstract Number: 1502 • ACR Convergence 2020

    Composite of Relevant Endpoints for Sjögren’s Syndrome (CRESS)

    Suzanne Arends1, Liseth de Wolff2, Jolien van Nimwegen3, Gwenny Verstappen2, Jelle Vehof2, Arjan Vissink4, Neelanjana Ray5, Frans Kroese2 and Hendrika Bootsma2, 1University Medical Centre Groningen and Medical centre Leeuwarden, Groningen, Netherlands, 2University Medical Centre Groningen, Groningen, Netherlands, 3University Medical Center Groningen, Groningen, Netherlands, 4University Medical Centre Groningen, Leek, Netherlands, 5Bristol-Myers Squibb, Lawrenceville

    Background/Purpose: Several recent randomized controlled trials that used the validated ESSDAI as primary endpoint failed, partly explained by relatively large response rates in the placebo…
  • Abstract Number: 1504 • ACR Convergence 2020

    Four Distinct Symptom-Based Clusters Identified from the Sjӧgren’s Foundation Survey

    Sara McCoy1, Christie Bartels2, Miguel Woodham1, Noah Maerz1, Esen Akpek3, Ian Saldanha4, Matthew Makara5 and Alan Baer6, 1University of Wisconsin, Madison, 2University of Wisconsin School of Medicine and Public Health, Department of Medicine, Division of Rheumatology, Madison, WI, 3Johns Hopkins University, Baltimore, 4Brown University, Providence, 5Sjogren's Syndrome Foundation, Reston, 6Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Relief of symptoms is a sine qua non for successful drug development in Sjӧgren’s syndrome (SS). However, symptom-based patient experience is understudied, particularly how…
  • Abstract Number: 1499 • ACR Convergence 2020

    The Frequency of Contraception Documentation in Women with Lupus and Rheumatoid Arthritis Within the RISE Registry

    Megan Clowse1, Jing Li2, Amanda Eudy3, Mehret Birru Talabi4 and Gabriela Schmajuk5, 1Duke University, Chapel Hill, NC, 2University of California, San Francisco, San Francisco, CA, 3Duke University, Durham, NC, 4University of Pittsburgh, Pittsburgh, PA, 5University of California, San Francisco, Atherton, CA

    Background/Purpose: Several of the most commonly prescribed anti-rheumatic medications for women with rheumatic disease are known teratogens, posing a risk for pregnancy loss and birth…
  • Abstract Number: 1494 • ACR Convergence 2020

    Patient-Reported Adverse Events, Quality of Life and Treatment Adherence in Juvenile Idiopathic Arthritis: Analysis of Two Large International Cohorts

    Alessandra Alongi1, Maria Trachana2, Valda Stanevicha3, Laura Marinela Ailioaie4, Elena Tsitsami5, Angelo Ravelli6, Alessandro Consolaro6 and Nicolino Ruperto7, 1IRCCS Istituto Giannina Gaslini, Genoa, Italy, 2Aristotle University of Thessaloniki, Thessaloníki, Greece, 3Riga Stradins University, Riga, Latvia, 4Alexandru Ioan Cuza University of Iasi, Iasi, Romania, 5Aghia Sophia Childrens Hospital, Athens, Greece, 6Università degli Studi di Genova, Genoa, Italy, 7Istituto Giannina Gaslini, Genova, Italy

    Background/Purpose: Juvenile idiopathic arthritis (JIA) patients may experience significant medication-related adverse effects (AEs), which may adversely affect health-related quality of life (HRQOL), daily activities and…
  • Abstract Number: 1507 • ACR Convergence 2020

    Longitudinal Analysis of ANA Assay Performance in SLE from the SLICC Inception Cohort

    May Choi1, Ann Clarke2, Karen Costenbader3, Murray Urowitz4, John Hanly5, Caroline Gordon6, Yvan St. Pierre7, Sang-Cheol Bae8, Juanita Romero-Díaz9, F Jorge Sanchez-Guerrero10, Sasha Bernatsky11, Daniel Wallace12, David Isenberg13, Anisur Rahman14, Joan Merrill15, Paul Fortin16, Dafna Gladman17, Ian Bruce18, Michelle Petri19, Ellen M Ginzler20, Mary Anne Dooley21, Rosalind Ramsey-Goldman22, Susan Manzi23, Andreas Jönsen24, Graciela Alarcón25, Ronald F Van Vollenhoven26, Cynthia Aranow27, Meggan Mackay28, Guillermo Ruiz-Irastorza29, S. Sam Lim30, Murat Inanc31, Kenneth Kalunian32, Søren Jacobsen33, Christine Peschken34, Diane Kamen35, Anca Askanase36 and Marvin Fritzler37, 1Brigham and Women's Hospital | Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 2University of Calgary, Calgary, Canada, 3Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 4University Health Network, University of Toronto, Toronto, ON, Canada, 5Dalhousie University, Halifax, NS, Canada, 6University of Birmingham, Birmingham, England, United Kingdom, 7McGill University, Montreal, Canada, 8Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 9Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico, 10University Health Network/Sinai Health system, Toronto, ON, Canada, 11The Research Institute of the McGill University Health Centre, Montreal, ON, Canada, 12Cedars-Sinai Medical Center/UCLA, Los Angeles, CA, 13Centre for Rheumatology, University College London and Department of Rheumatology, University College Hospital, London, United Kingdom, 14University College London, London, United Kingdom, 15Oklahoma Medical Research Foundation, Oklahoma City, 16CHU de Quebec - Universite Laval, Quebec, Canada, 17Krembil Research Institute, Toronto Western Hospital, Toronto, ON, Canada, 18Centre for Epidemiology Versus Arthritis, The University of Manchester and NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom, 19Johns Hopkins University School of Medicine, Timonium, MD, 20SUNY Downstate Health Sciences University, Brooklyn, 21University of North Carolina, Chapel Hill, NC, 22Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 23Lupus Center of Excellence, Autoimmunity Institute, Allegheny Health Network, Pittsburgh, PA, 24Lund University, Lund, Sweden, 25Division of Clinical Immunology and Rheumatology, Department of Medicine, School of Medicine, The University of Alabama at Birmingham; Department of Medicine, School of Medicine; Universidad Peruana Cayetano, Heredia, Alabama, 26Department of Rheumatology, Amsterdam Rheumatology and Immunology Center, Amsterdam, Netherlands, 27Feinstein Institutes for Medical Research, Manhasset, NY, 28Feinstein Institute for Medical Research, Manhasset, NY, 29Hospital Universitario Cruces, Barakaldo, Spain, 30Emory University, Atlanta, GA, 31Department of Rheumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey, 32University of California San Diego, La Jolla, CA, 33University of Copenhagen, Copenhagen, Denmark, 34Departments of Medicine and Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada, 35Medical University of South Carolina, Charleston, SC, 36Columbia University College of Physicians and Surgeons, New York, NY, 37Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Anti-nuclear antibodies (ANA) are important biomarkers for the diagnosis and classification of systemic lupus erythematosus (SLE). However, emerging data from cross-sectional studies suggest variation…
  • Abstract Number: 1510 • ACR Convergence 2020

    Platelet-bound C4d Is Associated with Platelet Activation and Arterial Thrombotic Events

    Yevgeniya Gartshteyn1, Adam Mor2, Daichi Shimbo2, Leila Khalili3, Teja Kapoor4, Laura Geraldino-Pardilla5, Roberta Vezza Alexander6, Thierry Dervieux7 and Anca Askanase2, 1Columbia University College of Physicians and Surgeons, Glen Rock, NJ, 2Columbia University College of Physicians and Surgeons, New York, NY, 3Columbia University Medical Center, New Haven, CT, 4Columbia University College of Physicians and Surgeons, Leonia, NJ, 5Division of Rheumatology, Columbia University Vagelos College of Physicians and Surgeons, New York, 6Exagen Inc, Vista, CA, 7Prometheus Biosciences Inc, Irvine, CA

    Background/Purpose: Platelets have a well-defined role in arterial thrombosis, and platelet-bound complement activation products (PC4d) correlate with vascular thromboses in patients with Systemic Lupus Erythematosus…
  • Abstract Number: 1511 • ACR Convergence 2020

    Clinical Features and Select Dysregulated Immune Parameters Distinguish Blood Relatives Who Remain Clinically Stable or Progress to Incomplete Lupus or Classified SLE in the Lupus Autoimmunity in Relatives (LAUREL) Follow-up Cohort

    Melissa Munroe1, Kendra Young2, Jill Norris3, Joel Guthridge4, Diane Kamen5, Timothy Niewold6, Gary Gilkeson7, Michael Weisman8, Mariko Ishimori9, Daniel Wallace10, David Karp11, John Harley12 and Judith James13, 1Oklahoma Medical Research Foundation/Progentec Diagnostics, Inc., Oklahoma City, OK, 2University of Colorado Denver, Aurora, CO, 3Colorado School of Public Health, Aurora, CO, 4Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Medical University of South Carolina, Charleston, SC, 6NYU School of Medicine, New York, NY, 7Division of Rheumatology, Medical University of South Carolina, Charleston, SC, 8Distinguished Professor of Medicine Emeritus, David Geffen School of Medicine at UCLA, LOS ANGELES, CA, 9Cedars-Sinai Medical Center, Los Angeles, CA, 10Cedars-Sinai Medical Center/UCLA, Los Angeles, CA, 11UT Southwestern Medical Center, Dallas, TX, 12Cincinnati Children's Hospital Medical Center/Univ of Cincinnati College of Medicine, Cincinnati, OH, 13Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation;Department of Pathology, University of Oklahoma Health Sciences Center;Department of Medicine, University of Oklahoma Health Sciences Center, Edmond, OK

    Background/Purpose: Identifying populations at risk of SLE is essential to curtail inflammatory damage and identify individuals for prevention trials. Unaffected blood relatives (BRs) of lupus…
  • Abstract Number: 1506 • ACR Convergence 2020

    Correction of Sjögren’s Syndrome Fluid Secretion Deficits in Salivary Gland Acinar Cells by Aquaporin-1 Gene Transfer

    Paola Perez1, Blake Warner2, Sandra Wainer1, Youngmi Ji1, Thomas Pranzatelli1 and Jay Chiorini1, 1Nidcr, National Institute of Health, Bethesda, MD, 2National Institute of Dental and Craniofacial Research, Bethesda

    Background/Purpose: The hallmark clinical complaints in Sjögren’s syndrome (SS) are dry mouth and dry eyes related to salivary and lacrimal glands dysfunction. Reduced salivation reflects…
  • Abstract Number: 1517 • ACR Convergence 2020

    Metabolic Regulation of Type 3 Innate Lymphoid Cells by Intestinal Bacteria-Derived Indoles in Ankylosing Spondylitis

    Adam Berlinberg1, Adam Lefferts2, Emilie Regner3, Andrew Stahly4 and Kristine Kuhn4, 1University of Colorado, Denver, CO, 2University of Colorado, Anschutz Medical Campus, Denver, CO, 3University of California San Francisco, San Francisco, CA, 4University of Colorado Anschutz Medical Campus, Aurora, CO

    Background/Purpose: Intestinal microbial dysbiosis, intestinal inflammation, and Th17 immunity are all linked to the pathophysiology of ankylosing spondylitis (AS); however, the mechanisms linking them remain…
  • Abstract Number: 1514 • ACR Convergence 2020

    The Impact of Renal Transplantation on Cardiovascular Events Among Patients with End-State Kidney Disease Due to Lupus Nephritis: A Nationwide Cohort Study

    April Jorge1, Xiaoqing Fu2, Yuqing Zhang3, Hyon Choi4 and Zachary Wallace5, 1Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital, Boston, 3Massachusetts General Hospital, Harvard Medical School, Boston, 4Massachusetts General Hospital, Department of Medicine, Division of Rheumatology, Lexington, MA, 5Harvard Medical School, Boston

    Background/Purpose:A major complication of systemic lupus erythematosus (SLE) is the progression of lupus nephritis (LN) to end-stage kidney disease (ESKD). Both SLE and ESKD are…
  • Abstract Number: 1509 • ACR Convergence 2020

    Leukocyte Telomere Length and Childhood Onset of Systemic Lupus Erythematosus in the Black Women’s Experiences Living with Lupus (BeWELL) Study

    John Bridges1, Kara Chung2, Connor Martz2, Emily Smitherman1, Cristina Drenkard3, S. Sam Lim4 and David Chae2, 1University of Alabama at Birmingham, Birmingham, AL, 2Auburn University, Auburn, AL, 3Division of Rheumatology, Department of Medicine, Emory School of Medicine, Atlanta, GA, 4Emory University, Atlanta, GA

    Background/Purpose: Childhood-onset SLE is generally more aggressive than adult-onset SLE.   Leukocyte telomere length (LTL) has been posited to reflect immune system aging. Short LTL in…
  • Abstract Number: 1401 • ACR Convergence 2020

    Disease Mutation That Weakens ZAP70 Autoinhibition Enhances Responses to Weak and Self Ligands

    Lin Shen1, Mehrdad Matloubian1, Theresa Kadlecek2 and Arthur Weiss1, 1University of California, San Francisco, San Francisco, CA, 2University of California, San Francisco, San Francisco

    Background/Purpose: ZAP70, a cytoplasmic protein tyrosine kinase, is critical for TCR signaling and T cell development. Complete loss of function of ZAP70 in humans causes…
  • Abstract Number: 1276 • ACR Convergence 2020

    Using Classification and Regression Tree Analysis to Assess the Construct Validity of the Automated Neuropsychological Assessment Metrics in the Assessment of Cognitive Impairment in SLE Compared to the ACR Neuropsychological Battery

    Kimberley Yuen1, Dorcas Beaton2, Kathleen Bingham3, Jiandong Su4, Mahta Kakvan4, Juan Pablo Diaz-Martinez4, Carmela Tartaglia5, Lesley Ruttan6, Joan Wither4, Nicole Anderson4, Dennisse Bonilla4, May Choi7, Marvin Fritzler8, Patricia Katz9, Robin Green6 and Zahi Touma10, 1Queen's University School of Medicine; University of Toronto Lupus Clinic, Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital, University Health Network, Toronto, Canada, 2Institute for Work & Health, Toronto, ON, Canada, 3Department of Psychiatry, University of Toronto, Toronto, ON, Canada, 4University of Toronto Lupus Clinic, Centre for Prognosis Studies in Rheumatic Diseases, Toronto Western Hospital, University Health Network, Toronto, ON, Canada, 5University of Toronto, Krembil Neurosciences Centre, Toronto, ON, Canada, 6Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada, 7Brigham and Women's Hospital | Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 8Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 9University of California, San Francisco, Novato, CA, 10University of Toronto Lupus Clinic, Centre for Prognosis Studies in Rheumatic Diseases, Toronto Western Hospital, University Health Network; Krembil Research Institute, Toronto, ON, Canada

    Background/Purpose: Cognitive impairment (CI) is common in systemic lupus erythematosus (SLE) patients, however there is no standard screening tool available. The American College of Rheumatology…
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