ACR Meeting Abstracts

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  • Abstract Number: 670 • 2019 ACR/ARP Annual Meeting

    Association Between Ambient Air Pollutant Exposures and Childhood-Onset Systemic Lupus Erythematosus: A 12-Year Population-Based Cohort Study in Taiwan

    Yenju Shih1 and Chang-Ching Wei 2, 1Division of Immunology and Rheumatology, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan, Taichung city, Taiwan (Republic of China), 2Division of Allergy, Immunology and Rheumatology, Department of Pediatrics, Children Hospital, China Medical University Hospital, Taichung, Taiwan, Taichung city, Taiwan (Republic of China)

    Background/Purpose: Air pollutants exposure has been linked to inducing oxidative stress, pulmonary and systemic inflammation. We hypothesized that long-term exposure to air pollution would be…
  • Abstract Number: 671 • 2019 ACR/ARP Annual Meeting

    Peripheral Nervous System Disease in Systemic Lupus Erythematosus: Results from an International, Inception Cohort Study

    John G Hanly1, Qiuju Li 2, Li Su 3, Murray Urowitz 4, Caroline Gordon 5, Sang-Cheol Bae 6, Juanita Romero-Diaz 7, Jorge Sanchez-Guerrero 8, Sasha Bernatsky 9, Ann E Clarke 10, Daniel J Wallace 11, David A Isenberg 12, Anisur Rahman 13, Joan Merrill 14, Paul Fortin 15, Dafna Gladman 16, Ian Bruce 17, Michelle Petri 18, Ellen M Ginzler 19, MA Dooley 20, Kristjan Steinsson 21, Rosalind Ramsey-Goldman 22, Asad A Zoma 23, Susan Manzi 24, Ola Nived 25, Andreas Jönsen 25, Munther A Khamashta 26, Graciela Alarcón 27, Elisabet Svenungsson 28, Ronald F Van Vollenhoven 29, Cynthia Aranow 30, Meggan Mackay 31, Guillermo Ruiz-Irastorza 32, Manuel Ramos-Casals 33, S Sam Lim 34, Murat Inanc 35, Kenneth C Kalunian 36, Soren Jacobsen 37, Christine Peschken 38, Diane Kamen 39, Anca Askanase 40, Chris Theriault 1 and Vernon Farewell 2, 1Dalhousie University, Halifax, NS, Canada, 2University of Cambridge, Cambridge, United Kingdom, 3Universidy of Cambridge, Cambridge, United Kingdom, 4University Health Network, University of Toronto, Toronto, ON, Canada, 5University of Birmingham, Birmingham, United Kingdom, 6Hanyang University Hospital for Rheumatic Diseases, Seoul, Republic of Korea, 7Instituto Nacional de Ciencias Medicas y Nutricion Salvador, Zubiran Vasco de Quiroga, Mexico City, Mexico, 8Toronto Western Hospital, Toronto, ON, Canada, 9Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 10University of Calgary, Calgary, AB, Canada, 11Cedars-Sinai Medical Centre, Beverly Hills, CA, 12Centre for Rheumatology, London, United Kingdom, 13University College London, London, United Kingdom, 14Oklahoma Medical Research Foundation, Oklahoma City, 15Division de Rhumatologie, Département de Médecine, CHU de Québec – Université Laval, Axe maladies infectieuses et inflammatoires, Centre de recherche du CHU de Québec – Université Laval, Canada, Quebec, QC, Canada, 16Toronto Western Hospital, Toronto, Canada, Toronto, ON, Canada, 17University of Manchester, Manchester, United Kingdom, Manchester, England, United Kingdom, 18Johns Hopkins University School of Medicine, Baltimore, MD, 19State University of New York Downstate Medical Center, Brooklyn, NY, 20UnC Kidney Centre, Chapel Hill, NC, 21Landspitali, University Hospital, Reykjavik, Iceland, 22Northwestern University, Chicago, IL, 23University of Glasgow, East Kilbride, United Kingdom, 24Allegheny Health Network, Pittsburg, PA, 25Lund University, Lund, Sweden, 26King's College London School of Medicine, London, United Kingdom, 27University of Alabama at Birmingham, Birmingham, 28Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden, 29Amsterdam Rheumatology & Immunology Center, Amsterdam, Netherlands, 30Feinstein Institute for Medical Research, Manhasset, NY, 31Feinstein Institute for Medical Research, New York, 32Unidad de Enfermedades Autoinmunes, BioCruces Health Research Institute, Barakaldo, Spain, 33Department 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, 34Emory University, Atlanta, GA, 35Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Istanbul, Turkey, 36UC San Diego School of Medicine, LaJolla, CA, 37Copenhagen Lupus and Vasculitis Clinic, Copenhagen, Denmark, 38University of Manitoba, Winnipeg, Canada, 39Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Charleston, SC, 40Columbia University Medical Center, New York, NY

    Background/Purpose: Although there is a large body of work on central nervous system (CNS) disease in SLE patients, involvement of the peripheral nervous system (PNS)…
  • Abstract Number: 672 • 2019 ACR/ARP Annual Meeting

    Mouse SLE Studies Do Not Describe Human SLE

    Ecem Sevim1, Linjia Jia 2, David Fernandez 3 and Michael Lockshin 4, 1Hospital for Special Surgery, New York, NY, 2Weill Cornell Medicine, New York, NY, 3Hospital for Special Surgery, Mary Kirkland Center for Lupus Research, New York, NY, 4Hospital for Special Surgery, Barbara Volcker Center for Women and Rheumatic Diseases, New York, NY

    Background/Purpose: Although mouse models of systemic lupus erythematosus (SLE) are useful proxies for human illness, they are heterogeneous, and publications about mouse SLE may not…
  • Abstract Number: 673 • 2019 ACR/ARP Annual Meeting

    Clinical Characteristics of Lymphadenopathy in Systemic Lupus Erythematous: A Case Control Study from a Tertiary Care Center

    Elizabeth Graef1, Daniel Magliulo 1, Norris Hollie 1, Chelsea Marcus 2 and Vasileios Kyttaris 3, 1Beth Israel Deaconess Medical Center, Boston, MA, 2Beth Israel Deaconess Medical Center, Boston, 3Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

    Background/Purpose: While lymphadenopathy and/or lymphadenitis (LAD) is considered a relatively common clinical finding in SLE patients, its clinical significance is poorly understood. Previous studies described…
  • Abstract Number: 674 • 2019 ACR/ARP Annual Meeting

    Affordability Concerns Prevalent Among Patients with Systemic Lupus Erythematosus (SLE)

    Kimberly DeQuattro1, Laura Trupin 1, Patricia Katz 1, Stephanie Rush 1, Louise Murphy 2, Maria Dall'Era 1 and Jinoos Yazdany 3, 1University of California, San Francisco, San Francisco, CA, 2Centers for Disease Control and Prevention, Division of Population Health, Atlanta, 3UCSF Division of Rheumatology, San Francisco, CA

    Background/Purpose: Among rheumatologic conditions, SLE is associated with very high healthcare and out of pocket costs. Little is known about patients’ concerns regarding costs of…
  • Abstract Number: 675 • 2019 ACR/ARP Annual Meeting

    Clinical and Serological Lupus Activity Before and After Developing End Stage Renal Disease

    Maria Salgado Guerrero1, Alejandra Londono Jimenez 2, Chrisanna Dobrowolsky 2, Shudan Wang 2, Wenzhu B. Mowrey 3 and Anna Broder 2, 1Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, NY, 2Rheumatology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, 3Albert Einstein College of Medicine, Bronx, NY

    Background/Purpose: SLE disease activity tends to diminish after the development of end stage renal disease (ESRD)1, 2. Nonetheless, some patients continue to show signs of…
  • Abstract Number: 676 • 2019 ACR/ARP Annual Meeting

    Cluster Profiling of Patients in a Real-World Data Set with Systemic Lupus Erythematosus and Their Associated Treatments

    Zahi Touma1, Benjamin Hoskin 2, Christian Atkinson 2, David Bell 2, Olivia Massey 3, Jennifer Lofland 4, Pamela Berry 5, Chetan Karyekar 6 and Karen Costenbader 7, 1University Health Network, University of Toronto, Toronto, ON, Canada, 2Adelphi Real World, Cheshire, United Kingdom, 3Adelphi Real World, Bollington, United Kingdom, 4Janssen Scientific Affairs, LLC, Spring House, PA, 5Janssen Scientific Affairs, LLC, Horsham, PA, 6Janssen Global Services, LLC, Horsham, PA, 7Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Previous systemic lupus erythematosus (SLE) studies have identified potential clusters of SLE clinical manifestations. To describe the presentation of SLE across different cohorts of patients…
  • Abstract Number: 677 • 2019 ACR/ARP Annual Meeting

    Performance of Montreal Cognitive Assessment (MoCA) in Screening for Cognitive Impairment in Patients with Lupus Compared to the Neuropsychological Battery

    Mahta Kakvan 1, Robin Green 2, Lesley Ruttan 3, Maria Tartaglia 4, Joan Wither 5, Moe Zandy 1, Dennisse Bonilla 1, May Choi 6, Jiandong Su 1, Marvin Fritzler 6, Dorcas Beaton 7 and Zahi Touma1, 1University Health Network, University of Toronto, Toronto, ON, Canada, 2University Health Network, Toronto, ON, Canada, 3Toronto Rehabilitation Institute, Toronto, Canada, 4University Health Network, University of Toronto, Toronto, ON, Canada, 5University Health Network, Krembil Research Institute, Toronto, ON, Canada, 6Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 7St. Michael's Hospital, Toronto, ON, Canada

    Background/Purpose: Cognitive impairment (CI) is a common neuropsychological manifestation of Systemic Lupus Erythematosus (SLE) with a prevalence of 38% [95% confidence interval: 33,43%]. Previous studies,…
  • Abstract Number: 678 • 2019 ACR/ARP Annual Meeting

    Performance of the EULAR/ACR 2019 Classification Criteria for Systemic Lupus Erythematosus in Men, Diverse Ethnicities, and Early Disease

    Martin Aringer1, Ralph Brinks 2, Karen Costenbader 3, David Daikh 4, Dimitrios Boumpas 5, David Jayne 6, Diane Kamen 7, Marta Mosca 8, Rosalind Ramsey-Goldman 9, Josef Smolen 10, David Wofsy 11, Betty Diamond 12, Søren Jacobsen 13, W Joseph McCune 14, Guillermo Ruiz-Irastorza 15, Matthias Schneider 16, Murray Urowitz 17, George Bertsias 18, Bimba Hoyer 19, Nicolai Leuchten 20, Chiara Tani 21, Sara K. Tedeschi 22, Zahi Touma 17, Branimir Anic 23, Florence Assan 24, Daniel TM Chan 25, Ann E Clarke 26, Mary Crow 27, László Czirják 28, Andrea Doria 29, Winfried Graninger 30, Bernadette Halda-Kiss 31, Sarfaraz Hasni 32, Peter Izmirly 33, Michelle Jung 26, Gabor Kumanovics 31, Xavier Mariette 34, Ivan Padjen 23, Jose Maria Pego-Reigosa 35, Juanita Romero-Diaz 36, Iñigo Rua Figueroa 37, Raphaèle Seror 24, Georg Stummvoll 10, Yoshiya Tanaka 38, Maria Tektonidou 39, Carlos Vasconcelos 40, Edward Vital 41, Daniel Wallace 42, Sule Yavuz 43 Raymond Naden 44, Thomas Dörner 45 and Sindhu R. Johnson 46, 1Division of Rheumatology, Department of Medicine III, University Medical Center & Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany, 2Department of Rheumatology and Hiller Research Unit of Rheumatology, UKD, Heinrich-Heine University, Düsseldorf, Germany, 3Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 4University of California at San Francisco and VA Medical Center, San Francisco, CA, 5University of Athens, Athens, Greece, 6Vasculitis and Lupus Clinic, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom, 7Division of Rheumatology and Immunology, Department of Medicine, Medical University of South Carolina, Charleston, SC, 8Rheumatology Unit, Department of clinical and experimental medicine, University of Pisa, Pisa, Italy, 9Northwestern University, Chicago, IL, 10Medical University of Vienna, Vienna, Austria, 11UCSF, San Francisco, 12Feinstein Institutes for Medical Research, Manhasset, 13Copenhagen Lupus and Vasculitis Clinic, Copenhagen, Denmark, 14University of Michigan, Ann Arbor, MI, 15Autoimmune Diseases Unit, Hospital Universitario Cruces, Barakaldo, Spain, 16Policlinic for Rheumatology & Hiller Research Centre for Rheumatology, Heinrich-Heine-University Duesseldorf, Düsseldorf, Germany, 17University Health Network, University of Toronto, Toronto, ON, Canada, 18University of Crete, Rheumatology, Clinical Immunology and Allergy Unit, Heraklion, Greece, 19University of Schleswig-Holstein at Kiel, and Charité – Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Kiel, Germany, 20University Medical Center and Faculty of Medicine TU Dresden, Dresden, Germany, 21Azienda Ospedaliero Universitaria Pisana, University of Pisa, Pisa, Italy, 22Brigham and Women's Hospital, Div. of Rheumatology, Immunology and Allergy, Boston, MA, 23UHC Zagreb and University of Zagreb School of Medicine, Zagreb, Croatia, 24Université Paris Sud, Hôpitaux Universitaires Paris-Sud, AP-HP, INSERM UMR 1184, Le Kremlin-Bicêtre, France, 25University of Hong Kong, Hong Kong, Hong Kong, 26University of Calgary, Calgary, AB, Canada, 27Hospital for Special Surgery, New York, NY, 28Dept. of Rheumatology and Immunology, University of Pécs, Pécs, Hungary, 29University and Azienda Ospedaliera of Padova, Padova, Italy, 30Medical University of Graz, Graz, Austria, 31University of Pécs, Pécs, Hungary, 32NIAMS, National Institutes of Health, Bethesda, MD, 33NYU School of Medicine, New York, 34Center 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, 35Complexo Hospitalario Universitario, Vigo, Spain, 36Instituto Nacional de Ciencias Medicas y Nutricion Salvador, Zubiran Vasco de Quiroga, Mexico City, Mexico, 37Hospital Doctor Negrin, Las Palmas, 38University of Occupational and Environmental Health Japan, Kitakyushu, Japan, 39First Department of Internal Medicine, National and Kapodistrian University of Athens, Athens, Greece, 40University of Porto, UMIB Abel Salazar Biomedical Sciences Institute, Porto, Portugal, 41University of Leeds, Leeds, United Kingdom, 42Cedars-Sinai Medical Center/University California at Los Angeles, Los Angeles, CA, 43Uppsala University, Istanbul, Turkey, 44McMaster University, Hamilton, ON, Canada, 45Charite Universitätsmedizin Berlin and DRFZ, Berlin, Germany, 46Toronto Scleroderma Program, Department of Medicine, Toronto Western and Mount Sinai Hospitals, University of Toronto, Toronto, Canada

    Background/Purpose: The EULAR/ACR 2019 Classification Criteria for SLE have been validated in an international cohort of 696 SLE patients and 574 non-SLE patients with a…
  • Abstract Number: 679 • 2019 ACR/ARP Annual Meeting

    Longitudinal Changes in Manifestations of SLE

    Amanda Eudy1, Jennifer Rogers 1, Raeann Whitney 1, Lisa Criscione-Schreiber 1, Jayanth Doss 1, David Pisetsky 2, Rebecca Sadun 1, Kai Sun 1 and Megan Clowse 1, 1Duke University, Durham, 2Duke University, Durham VAMC, Durham

    Background/Purpose: Our group has developed a conceptual model to categorize SLE manifestations into two dimensions termed Type 1 and Type 2. Type 1 SLE consists…
  • Abstract Number: 680 • 2019 ACR/ARP Annual Meeting

    Patients Who Do Not Fulfill the 2018 EULAR/ACR Criteria for Systemic Lupus Erythematosus Accrue Less Damage: Data from a Multicenter, Multiethnic US Cohort

    Manuel Ugarte-Gil1, Guillermo Pons-Estel 2, Luis Vilá 3, Russell Griffin 4 and Graciela Alarcón 5, 1Universidad Científica del Sur, Lima, Peru, 2Centro Regional de Enfermedades Autoinmunes y Reumáticas (GO-CREAR), Rosario, Argentina, 3University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico, 4University of Alabama at Birmingham, Birmingham, AL, 5University of Alabama at Birmingham, Birmingham

    Background/Purpose: The 2018 EULAR/ACR Criteria for the classification of patients with systemic lupus erythematosus (SLE) were proposed in order to improve the sensitivity and specificity…
  • Abstract Number: 681 • 2019 ACR/ARP Annual Meeting

    Evaluation of the Lupus Foundation of America – Rapid Evaluation of Activity in Lupus (LFA-REAL) Clinician Reported Outcome (ClinRO) and Patient Reported Outcome (PRO) in a Primarily Mestizo Population

    Manuel Ugarte-Gil1, Rocío-V. Gamboa-Cárdenas 2, Cristina Reátegui-Sokolova 3, Victor Pimentel-Quiroz 4, Paola Zeña-Huancas 2, Mariela Medina 2, Claudia Elera-Fitzcarrald 1, Samira García 3, Luciana Gil 2, Erika Noriega 2, Cesar Pastor-Asurza 3, Zoila Rodríguez-Bellido 2, Joan Merrill 5, Anca Askanase 6, Graciela Alarcón 7 and Risto Perich-Campos 2, 1Universidad Científica del Sur, Lima, Peru, 2Hospital Guillermo Almenara Irigoyen. EsSalud, Lima, Lima, Peru, 3Hospital Guillermo Almenara Irigoyen. EsSalud, Lima, Peru, 4Hospital Nacional Guillermo Almenara Irigoyen - EsSalud, Lima, Lima, Peru, 5Oklahoma Medical Research Foundation, Oklahoma City, 6Columbia University, New York, 7University of Alabama at Birmingham, Birmingham

    Background/Purpose: There are several instruments to measure disease activity in patients with systemic lupus erythematosus (SLE); however, none of them are able to capture all…
  • Abstract Number: 682 • 2019 ACR/ARP Annual Meeting

    Correlation Between the Lupus Foundation of America – Rapid Evaluation of Activity in Lupus (LFA-REAL) Patient Reported Outcome (PRO) and Health-Related Quality of Life (HRQoL) and Other PROs in a Primarily Mestizo Population

    Manuel Ugarte-Gil1, Rocío-V. Gamboa-Cárdenas 2, Victor Pimentel-Quiroz 3, Cristina Reátegui-Sokolova 4, Paola Zeña-Huancas 2, Mariela Medina 2, Claudia Elera-Fitzcarrald 1, Luciana Gil 2, Samira García 4, Francisco Zevallos 4, Cesar Pastor-Asurza 4, Zoila Rodríguez-Bellido 2, Anca Askanase 5, Joan Merrill 6, Graciela Alarcón 7 and Risto Perich-Campos 2, 1Universidad Científica del Sur, Lima, Peru, 2Hospital Guillermo Almenara Irigoyen. EsSalud, Lima, Lima, Peru, 3Hospital Nacional Guillermo Almenara Irigoyen - EsSalud, Lima, Lima, Peru, 4Hospital Guillermo Almenara Irigoyen. EsSalud, Lima, Peru, 5Columbia University, New York, 6Oklahoma Medical Research Foundation, Oklahoma City, 7University of Alabama at Birmingham, Birmingham

    Background/Purpose: Disease activity in systemic lupus erythematosus (SLE) is understood differently by patients and physicians; furthermore, there are no reliable measures for patients to assess…
  • Abstract Number: 683 • 2019 ACR/ARP Annual Meeting

    Biologic Differences Between Type 1 and 2 Lupus

    Megan Clowse1, Jennifer Rogers 1, Amanda Eudy 1, Lisa Criscione-Schreiber 1, Jayanth Doss 1, Rebecca Sadun 1, Kai Sun 1, Micah McClain 2, Ephraim Tsalik 3, Chris Woods 2, David Pisetsky 4, Prathyusha Bachali 5, Amrie Grammer 6, Michelle Catalina 5 and Peter Lipsky 7, 1Duke University, Durham, 2Duke University & Duke Center for Applied Genomics & Precision Medicine, Durham, 3Duke University, Duke Center for Applied Genomics & Precision Medicine, Durham VA, Durham, 4Duke University, Durham VAMC, Durham, 5AMPEL BioSolutions and the RILITE Research Institute, Charlottesville, VA, 6AMPEL BioSolutions and the RILITE Research Institute, Charlottesville, 7AMPEL BioSolutions, LLC, Charlottesville, VA

    Background/Purpose: The manifestations of systemic lupus erythematosus (SLE) can be divided into categories according to a recently proposed model:  a category of classic active autoimmune-driven…
  • Abstract Number: 684 • 2019 ACR/ARP Annual Meeting

    Clinical Biomarkers at Renal Flare Are Associated with Histologic Changes in Repeat Renal Biopsy in Patients with Biopsy-proven Lupus Nephritis

    Min Jung Kim1, Hajeong Lee 1, Yeong-Wook Song 1 and Eun Bong Lee 2, 1Seoul National University Hospital, Seoul, Republic of Korea, 2Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, seoul

    Background/Purpose: Renal flares are common during treatment of biopsy-proven lupus nephritis (LN). However, it is unknown whether biopsy should be repeated in the event of…
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