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  • Abstract Number: 1449 • 2019 ACR/ARP Annual Meeting

    Clinical Phenotyping of Patients with Primary Sjögren’s Syndrome Using Salivary Gland Ultrasonograhpy

    Esther Mossel1, Jolien van Nimwegen 1, Robin Wijnsma 1, Alja Stel 1, Konstantina Delli 1, Greetje van Zuiden 1, Lisette Olie 1, Leonie Los 1, Arjan Vissink 1, Frans Kroese 1, Suzanne Arends 2 and Hendrika Bootsma 3, 1University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 2Dept. of Rheumatology and Clinical Immunology - University Medical Center Groningen (UMCG), University of Groningen, Groningen, Netherlands, 3University of Groningen, Groningen, Netherlands

    Background/Purpose: Salivary gland ultrasonography (SGUS) is a promising tool in primary Sjögren’s syndrome (pSS). The objective of this study was to investigate SGUS abnormalities in…
  • Abstract Number: 1450 • 2019 ACR/ARP Annual Meeting

    Salivary Gland Hypofunction in a Mouse Model for Sjögren’s Syndrome Is Strongly Associated with Hyperglycemia

    Bujana Allushi 1, Joanna Papinska 1, Harini Bagavant 1 and Umesh Deshmukh1, 1Oklahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose: It has been demonstrated that the non-obese diabetes (NOD) mice from the Jackson Laboratory (JAX) have a distinct gut microbiome and higher incidence of…
  • Abstract Number: 1451 • 2019 ACR/ARP Annual Meeting

    Histological Characteristics in SICCA Syndrome – Clinical and Serological Association

    Maria de Lourdes Flores 1, Gabriela Alejandra Gutierrez-Robles 1, Flavio Cesar Estrada-Gil 1, Miguel Alejandro Davalos-Benitez 1, Jorge Ernesto Garcia-Alvarado 1, Alejandra de Lourdes Farias-Sierra1, Ignacio Garcia-De La Torre 2, Gerardo Orozco-Barocio 1, Carlos Gerardo Riebeling-Navarro 3 and Arnulfo Hernan Nava-Zavala 4, 1HGO SSJ, U de G, PNPC CONACYT, Guadalajara, Mexico, 2Centro de Estudios de Investigación Básica y Clínica, S.C., Guadalajara, Jalisco, Mexico, 3UIEC UMAE HP CMN-SXXI IMSS / UNAM, Ciudad de Mexico, Mexico, 4UIB02 UMAE HE CMNO IMSS / HGO SSJ / PIM UAG / PNPC U de G, Guadalajara, Mexico

    Background/Purpose: The xerostomia and/or xerophtalmia (SICCA syndrome: items I and II of 2002 AECG criteria) are conspicuous characteristics of primary Sjögren´s syndrome (pSS). pSS diagnostic…
  • Abstract Number: 1452 • 2019 ACR/ARP Annual Meeting

    Comparison of Clinical Phenotype, Serological Characteristics and Histologic Features Between Males and Females Patients with Primary Sjögren’s Syndrome (pSS)

    Loukas Chatzis1, Saviana Gandolfo 2, Francesco Ferro 3, Marco Binutti 2, Valentina Donati 4, Sara Zandonella Callegher 5, Vasilis Pezoulas 6, Aliki Venetsanopoulou 7, Argyropoulou Ourania 7, Georgios Michalopoulos 7, maria pappa 7, Clio Mavragani 7, Dimitris fotiadis 8, Chiara Baldini 3, Salvatore De Vita 2, Athanasios Tzioufas 1 and Andreas Goules 7, 1Department of Pathophysiology, Athens School of Medicine, National and Kapodistrian University of Athens, Athens, Greece, Athens, Greece, 2Rheumatology Clinic, Udine University Hospital, Department of Medical Area, University of Udine, Udine, Italy, Udine, Italy, 3Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, Pisa, Italy, 4University of Pisa, Pisa, 5Rheumatology Clinic, Udine University Hospital, Udine, Italy, Udine, Italy, 6Unit of Medical Technology and Intelligent Information Systems, University of Ioannina, GR45110, Ioannina, Greece, Ioannina, Greece, 7Pathophysiology Department, Athens School of Medicine, National and Kapodistrian University of Athens, Athens, Greece, Athens, Greece, 8Pathophysiology Department, Athens School of Medicine, National and Kapodistrian University of Athens, Athens, Greece, Ioannina, Greece

    Background/Purpose: Primary Sjögren’s syndrome (pSS) is a female predominant autoimmune disease and very few studies have been conducted to investigate the phenotypic differences of the…
  • Abstract Number: 1453 • 2019 ACR/ARP Annual Meeting

    Baseline EULAR Sjögren’s Syndrome Patient-Reported Index Has a Significant Impact on the Longitudinal Course of Sjögren’s Syndrome

    Eun Hye Park1, You-Jung Ha 1, Eun Ha Kang 1, Yeong-Wook Song 2 and Yun Jong Lee 3, 1Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea, Seongnam, Republic of Korea, 2Seoul National University Hospital, Seoul, Republic of Korea, 3Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea, Seongnam, Republic of Korea

    Background/Purpose: The EULAR Sjögren's syndrome (SS) disease activity index (ESSDAI) and EULAR SS Patient-Reported Index (ESSPRI) have been validated as disease activity and outcome measures…
  • Abstract Number: 1454 • 2019 ACR/ARP Annual Meeting

    Sjӧgren’s Syndrome Foundation National Survey: The Impact and Burden of Oral Symptoms

    Sara McCoy1, Christie Bartels 2, Esen Akpek 3, Ian Saldanha 4, Vatinee Bunya 5, Matthew Makara 6 and Alan Baer 7, 1University of Wisconsin School of Medicine and Public Health, Madison, 2University of Wisconsin School of Medicine and Public Health, Madison, WI, 3Johns Hopkins University, Baltimore, 4Brown University School of Public Health, Providence, RI, 5University of Pennsylvania, Philadelphia, PA, 6Sjogren's Syndrome Foundation, Reston, VA, 7Johns Hopkins University, Baltimore, MD

    Background/Purpose: Sjӧgren’s syndrome (SS) is the second most common systemic autoimmune disease, typically characterized by ocular and oral sicca.  SS is associated with reduced quality…
  • Abstract Number: 1455 • 2019 ACR/ARP Annual Meeting

    B and T Cell Immunologic Features Associated with Higher Disease Activity Score and Focus Score in Primary Sjögren Syndrome

    Alice Mai1, Yuriy Baglaenko 2, Dario Ferri 3, Kieran Manion 4, Dennisse Bonilla 5, Arthur Bookman 6 and Joan Wither 7, 1University of British Columbia Department of Rheumatology, Vancouver, Canada, 2Brigham Woman's Hospital, Boston, 3University Health Network, Toronto, ON, Canada, 4Krembil Research Institute, Toronto, ON, Canada, 5University Health Network, University of Toronto, Toronto, ON, Canada, 6University Health Network, Toronto, Canada, 7University Health Network, Krembil Research Institute, Toronto, ON, Canada

    Background/Purpose: Primary Sjögren syndrome (pSS) is a systemic autoimmune disease with an incompletely understood pathogenesis and heterogenous disease manifestations. Identifying cellular immune changes that may…
  • Abstract Number: 1456 • 2019 ACR/ARP Annual Meeting

    The Increased Ratio of Blood CD56bright to CD56dim NK Cells Is a Distinguishing Feature of Primary Sjögren’s Syndrome

    Bingxia Ming 1, Tong Wu 1 and Lingli Dong2, 1Department of Rheumatology and Immunology, Tongji hospital, Huazhong university of science and technology, Wuhan, China (People's Republic), 2Department of Rheumatology and Immunology, Tongji hospital, Huazhong university of science and technology, Wuhan, Hubei, China (People's Republic)

    Background/Purpose: To investigate the characteristic and clinical significance of peripheral blood CD56 NK cell subsets in patients with primary Sjögren's syndrome (pSS).Methods: From November 2017…
  • Abstract Number: 1457 • 2019 ACR/ARP Annual Meeting

    Neurological Involvement in a Cohort of Primary Sjogren’s Syndrome Patients: Results of a Multicenter Italian Study

    Elena Bartoloni1, Chiara Baldini 2, Luca Quartuccio 3, Roberta Priori 4, Francesco Carubbi 5, Francesco Ferro 2, Saviana Gandolfo 3, Angelica Gattamelata 6, Alessia Alunno 7, Stefano Bombardieri 8, Salvatore De Vita 3, Roberto Giacomelli 5, Vittorio Bini 7 and Roberto Gerli 1, 1Rheumatology Unit, Department of Medicine, University of Perugia, Perugia, Italy, Perugia, Italy, 2Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, Pisa, Italy, 3Rheumatology Clinic, Udine University Hospital, Department of Medical Area, University of Udine, Udine, Italy, Udine, Italy, 4Rheumatology Unit, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy, Roma, Italy, 5Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, L'Aquila, Italy, L'Aquila, Italy, 6University of Roma Sapienza, Rome, Italy, 7University of Perugia, Perugia, Italy, 8Rheumatology Unit, University of Pisa, Pisa, Italy, Pisa, Italy

    Background/Purpose: The course of primary Sjögren’s syndrome (pSS) may be characterized by extra-glandular and potentially life-threatening manifestations. Among these, neurological involvement represents a clinical challenge…
  • Abstract Number: 1458 • 2019 ACR/ARP Annual Meeting

    Dual Analysis with Nerve Ultrasound and Skin Biopsy in Painful Neuropathy Associated with Sjögren’s Syndrome

    Takeshi Yoshida1, Hiroyuki Nodera 2, Yoshitaka Kumon 3 and Hiroki Mizukami 4, 1Chikamori Hospital, Kochi, Japan, 2Kanazawa Medical University, Kanazawa, Japan, 3Chikamori Hospital, Kochi, 4Hirosaki University, Hirosaki, Japan

    Background/Purpose: 6% of primary Sjögren's syndrome (pSS) patients manifests as various forms of neuropathies including painful sensory neuropathy (PSN), which can be treatable with immunomodulatory drugs such…
  • Abstract Number: 1459 • 2019 ACR/ARP Annual Meeting

    Systemic Manifestations of Primary Sjögren Syndrome out of the ESSDAI Classification: Prevalence and Clinical Relevance in a Large International, Multi-ethnic Cohort of Patients

    Soledad Retamozo1, Nihan Acar-Denizli 2, Astrid Rasmussen 3, Ildiko Fanny Horváth 4, Chiara Baldini 5, Roberta Priori 6, Pulukool Sandhya 7, Gabriela Hernandez-Molina 8, Berkan Armagan 9, SONJA PRAPROTNIK 10, Marika Kvarnstrom 11, Roberto Gerli 12, Agata Sebastian 13, Roser Solans-Laqué 14, Maureen Rischmueller 15, Sandra G. Pasoto 16, Valeria Valim 17, Gunnel Nordmark 18, Aike Kruize 19, Takashi Nakamura 20, Benedikt Hofauer 21, Roberto Giacomelli 22, Virginia Fernandes Moça Trevisani 23, Valérie Devauchelle Pensec 24, Fabiola Atzeni 25, Tamer A Gheita 26, Sandra Consani-Fernández 27, Antonia Szántó 28, Kathy Sivils 3, Angelina Gattamelata 29, Debashish Danda 7, Levent Kilic 30, Elena Bartoloni 12, Stefano Bombardieri 31, Jorge Sánchez-Guerrero 32, Marie Wahren-Herlenius 11, Xavier Mariette 33, Manuel Ramos-Casals 34 and Pilar Brito-Zerón 35, 1Instituto De Investigaciones En Ciencias De La Salud, Univ. Nacional de Córdoba, Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto Universitario de Ciencias Biomédicas de Córdoba, Córdoba, Argentina., Cordoba, Argentina, 2Department of Statistics, Faculty of Science and Letters, Mimar Sinan Fine Arts University, Istanbul, Turkey., Istanbul, Turkey, 3Arthritis and Clinical Immunology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA., Oklahoma, OK, 4Division of Clinical Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary., Debrecen, Hungary, 5Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, Pisa, Italy, 6Rheumatology Unit, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy, Roma, Italy, 7Department of Clinical Immunology & Rheumatology, Christian Medical College & Hospital, Vellore, India., Vellore, India, 8Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 9Department of Internal Medicine, Hacettepe University, Faculty of Medicine, Ankara, Turkey., Ankara, Turkey, 10Department of Rheumatology, University Medical Centre, Ljubljana, Slovenia., LJUBLJANA, Slovenia, 11Department of Medicine, Solna, Division of Experimental Rheumatology, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden., Stockholm, Sweden, 12Rheumatology Unit, Department of Medicine, University of Perugia, Perugia, Italy, Perugia, Italy, 13Department of Rheumatology and Internal Medicine, Wroclaw Medical Hospital, Wroclaw, Poland, Wroclaw, Poland, 14Department of Internal Medicine, Hospital Vall d'Hebron, Barcelona, Spain., Barcelona, Catalonia, Spain, 15Department of Rheumatology, The Queen Elizabeth Hospital and University of Adelaide, South Australia, Australia, 16Rheumatology Division, Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo (HCFMUSP), Sao Paulo, Brazil., Sao Paulo, Brazil, 17Department of Medicine, Federal University of Espírito Santo, Vitória, Brazil., Vitória, Brazil, 18Rheumatology, Department of Medical Sciences, Uppsala University, Uppsala, Sweden., Uppsala, Sweden, 19Department of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands, Utrecht, Netherlands, 20Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan., Nagasaki, Japan, 21Otorhinolaryngology, Head and Neck Surgery, Technical University Munich, Munich, Germany., Munich, Germany, 22Rheumatology Unit, Department of Biotechnological and Applied Clinical Science, School of Medicine, University of L'Aquila, L'Aquila, Italy, L'Aquila, Italy, 23Department of Evidence-Based Medicine, Brazilian Cochrane Centre, Federal University of São Paulo, Sao Paulo, Brazil, Sao Paulo, Brazil, 24University Hospital of Brest, Brest, France, 25Rheumatology Unit, University of Messina, Messina, Italy., Messina, Italy, 26Rheumatology Department, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt., Cairo, Egypt, 27Internal Medicine, Hospital Maciel, Montevideo, Uruguay. Universidad de la República (UdelaR) , Montevideo, Uruguay., Montevideo, Uruguay, 28Division of Clinical Immunology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary, Debrecen, Hungary, 29Department of Internal Medicine and Medical Specialties, Rheumatology Clinic, Sapienza University of Rome, Rome, Italy, Rome, Italy, 30Hacettepe University, Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Ankara, Turkey, 31Rheumatology Unit, University of Pisa, Pisa, Italy, Pisa, Italy, 32Immunology and Rheumatology Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. México City, Mexico, Mexico, Mexico, 33Center for Immunology of Viral Infections and Autoimmune Diseases, Assistance Publique – Hôpitaux de Paris, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, Université Paris Sud, INSERM, Paris, France, 34Department of Autoimmune Diseases, ICMiD. Sjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX. Department of Medicine, University of Barcelona, Hospital Clínic, Barcelona, Spain., Barcelona, Spain, 35Sjögren Syndrome Research Group (AGAUR), Laboratory of Autoimmune Diseases Josep Font, IDIBAPS-CELLEX, Department of Autoimmune Diseases, ICMiD, University of Barcelona, Hospital Clínic. Autoimmune Diseases Unit, Department of Medicine, Hospital CIMA- Sanitas, Barcelona, Spain., Barcelona, Spain

    Background/Purpose: To analyse the frequency and characterize the systemic presentation of primary Sjögren syndrome (SjS) out of the ESSDAI classification in a large international, multi-ethnic…
  • Abstract Number: 1460 • 2019 ACR/ARP Annual Meeting

    Minor Salivary Gland Biopsy and Dry Ocular Tests to Detect Occult Sjögren Syndrome in Patients with Interstitial Pneumonia with Autoimmune Features

    Maria Garbarino1, Santiago Auteri 2, Maria Blanco 3, Laura Alberti 4, FRANCISCO PAULIN 5, Martin Fernandez 4, Gabriel Carballo 6, Mercedes Raya 4, Gabriela Guman 4 and FABIAN CARO 5, 1Hospital Argerich, Buenos Aires, Argentina, 2Hospital Ferrer, Rosario, Argentina, 3Hospital Lagleyze, Buenos Aires, Argentina, 4Hospital Ferrer, Buenos Aires, Argentina, 5HOSPITAL MARIA FERRER, Buenos Aires, Argentina, 6Hospital Durand, Buenos Aires, Argentina

    Background/Purpose: Interstitial lung disease (ILD) are a heterogeneous group of diseases that could be either idiopathic or secondary to environmental exposure, drugs or connective tissue…
  • Abstract Number: 1461 • 2019 ACR/ARP Annual Meeting

    Pulmonary Cysts: Very Common Finding on Computed Tomography of the Chest of Asymptomatic Patients with Primary Sjögren’s Syndrome

    Alisson Pugliesi1, Pamella Bellini 2, Rachel Zerbini Mariano 2, Manoel Bertolo 2 and Zoraida Sachetto 1, 1University of Campinas, Campinas, Sao Paulo, Brazil, 2University of Campinas, Campinas, Brazil

    Background/Purpose: The presence of pulmonary cysts is a relatively unusual radiological finding, but frequently described in patients with primary Sjögren's syndrome (pSS). Its true meaning,…
  • Abstract Number: 1462 • 2019 ACR/ARP Annual Meeting

    Pathogenesis of Vaginal Dryness in Primary Sjögren’s Syndrome: A Histopathological Case-control Study

    Jolien van Nimwegen1, Karin van der Tuuk 1, Sylvia Liefers 1, Gwenny Verstappen 1, Robin Wijnsma 1, Harry Hollema 1, Marian Mourits 1, Hendrika Bootsma 2 and Frans Kroese 1, 1University Medical Center Groningen, University of Groningen, Groningen, Netherlands, 2University of Groningen, Groningen, Netherlands

    Background/Purpose: Women with primary Sjögren’s syndrome (pSS) often experience vaginal dryness, but the pathogenesis of this symptom is unknown. Previously, we reported impaired vaginal health…
  • Abstract Number: 1463 • 2019 ACR/ARP Annual Meeting

    Positive Rate of Small Intestinal Bacterial Overgrowth Test (SIBO) Was Significant Correlations to Disease Activity of Primary Sjogren’s Syndrome (pSS)

    xiaodong li 1, Xiao feng li 2, sha dong3, Sheng-xiao Zhang 4, Junwei Chen 5 and guangying liu 3, 1Second Affiliated Hospital of Shanxi Medical University, tai yuan, China (People's Republic), 2The Second hospital of Shanxi Medical University, Taiyuan, China (People's Republic), 3Second Affiliated Hospital of Shanxi Medical University, taiyuan, China (People's Republic), 4The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China (People's Republic), 5the Second Hospital of Shanxi Medical University, Taiyuan, China (People's Republic)

    Background/Purpose: Primary Sjogren's syndrome (pSS) is a chronic inflammatory autoimmune disease that primarily affects the exocrine glands, which is involved in gastrointestinal unavoidably. Once intestinal flora imbalance,…
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