ACR Meeting Abstracts

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Abstracts tagged "antiphospholipid syndrome"

  • Abstract Number: 0071 • ACR Convergence 2021

    Damage Accrual Measured by DIAPS in Antiphospholipid Antibody (aPL)-positive Patients: Results from AntiPhospholipid Syndrome Alliance for Clinical Trials and InternatiOnal Networking (APS ACTION) Clinical Database and Repository (“Registry”)

    Gustavo Balbi1, Yasaman Ahmadzadeh2, Maria Tektonidou3, Vittorio Pengo4, Savino Sciascia5, Amaia Ugarte6, H. Michael Belmont7, Maria Gerosa8, Paul R Fortin9, Chary lopez-pedrera10, Lanlan Ji11, Tatsuya Atsumi12, Hannah Cohen13, Guilherme Ramires de Jesus14, D. Ware Branch15, Cecilia Nalli16, Nina Kello17, Michelle Petri18, Esther Rodriguez-Almaraz19, Giuseppe Barilaro20, Jason Knight21, Bahar Artim-Esen22, Rohan Willis23, Maria Laura Bertolaccini24, Robert Roubey25, Doruk Erkan2, Danieli De Andrade1 and on Behalf of APS ACTION2, 1University of São Paulo, São Paulo, Brazil, 2Hospital for Special Surgery, New York, NY, 3FORZAFORTE HELLAS LTD, Athens, Greece, 4Padova University Hospital, Padova, Italy, 5University of Turin, Turin, Italy, 6Hospital Universitario Cruces, Barakaldo, Spain, 7NYU School of Medicine, New York, NY, 8University of Milan, Milan, Italy, 9CHU de Quebec - Universite Laval, Québec City, QC, Canada, 10IMIBIC/Reina Sofia Hospital/University of Córdoba, Córdoba, Spain, 11Peking University First Hospital, Beijing, China (People's Republic), 12Hokkaido University, Sapporo, Japan, 13Department of Haematology, University College London Hospitals NHS Foundation Trust, London, United Kingdom, 14Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 15University of Utah, Salt Lake City, UT, 16ASST SPEDALI CIVILI DI BRESCIA, Brescia, Italy, 17Zucker School of Medicine at Hofstra/Northwell Health, Manhasset, NY, 18Johns Hopkins University School of Medicine, Baltimore, MD, 19Hospital Universitario 12 de Octubre, Madrid, Spain, 20Clínic Barcelona - Hospital Universitari, Barcelona, Spain, 21University of Michigan, Ann Arbor, MI, 22Istanbul University School of Medicine, İstanbul, Turkey, 23University of Texas Medical Branch, Galveston, TX, 24King's College London, London, United Kingdom, 25University of North Carolina, Chapel Hill, NC

    Background/Purpose: Damage Index in APS (DIAPS) is a scoring system developed to assess long-term damage in thrombotic primary antiphospholipid syndrome (PAPS), which also correlates with…
  • Abstract Number: 0951 • ACR Convergence 2021

    Associations Among Antiphospholipid Antibody Types, Isotypes, and Titers: Results from the AntiPhospholipid Syndrome Alliance for Clinical Trials and InternatiOnal Networking (APS ACTION) Clinical Database and Repository (“Registry”)

    Elena Gkrouzman1, Danieli Andrade2, Maria Tektonidou3, Vittorio Pengo4, Amaia Ugarte5, H. Michael Belmont6, Cecilia Chighizola7, Paul R Fortin8, Tatsuya Atsumi9, Maria Efthymiou,10, Guilherme Ramires de Jesus11, D. Ware Branch12, Laura Andreoli13, Michelle Petri14, Esther Rodriguez-Almaraz15, Ricard Cervera16, Jason Knight17, Emilio Gonzalez18, Elisa Bison19, Ian Mackie20, Hannah Cohen21, Maria Laura Bertolaccini22, Doruk Erkan23, Robert Roubey24 and on behalf of APS ACTION23, 1University of Massachusetts, Shrewsbury, MA, 2Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 3FORZAFORTE HELLAS LTD, Athens, Greece, 4Padova University Hospital, Padova, Italy, 5Hospital Universitario Cruces, Barakaldo, Spain, 6NYU School of Medicine, New York, NY, 7University of Milan, Milan, Italy, 8CHU de Quebec - Universite Laval, Québec City, QC, Canada, 9Hokkaido University, Sapporo, Japan, 10Haemostasis Research Unit, Department of Haematology, University College London, London, United Kingdom, 11Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 12University of Utah, Salt Lake City, UT, 13University of Brescia, Brescia, Italy, 14Johns Hopkins University School of Medicine, Baltimore, MD, 15Hospital Universitario 12 de Octubre, Madrid, Spain, 16Hospital Clinic Barcelona, Barcelona, Spain, 17University of Michigan, Ann Arbor, MI, 18University of Texas Medical Branch (utmb Health), Galveston, TX, 19University of Padova, Padova, Italy, 20University College London, London, United Kingdom, 21Department of Haematology, University College London Hospitals NHS Foundation Trust, London, United Kingdom, 22King's College London, London, United Kingdom, 23Hospital for Special Surgery, New York, NY, 24University of North Carolina, Chapel Hill, NC

    Background/Purpose: Several antiphospholipid antibody (aPL) profiles are associated with a higher risk for the clinical manifestations of the antiphospholipid syndrome (APS). These include “triple positivity”…
  • Abstract Number: 0072 • ACR Convergence 2021

    Immunosuppression Use in Primary Antiphospholipid Antibody Positive Patients: Descriptive Analysis of the AntiPhospholipid Syndrome Alliance for Clinical Trials and InternatiOnal Networking (APS ACTION) Clinical Database and Repository (“Registry”)

    Zeynep Belce Erton1, Rebecca Karp- Leaf2, Danieli Andrade3, Maria Tektonidou4, Vittorio Pengo5, Savino Sciascia6, Amaia Ugarte7, H. Michael Belmont8, Maria Gerosa9, Paul R Fortin10, Chary lopez-pedrera11, Lanlan Ji12, Tatsuya Atsumi13, Hannah Cohen14, Guilherme Ramires de Jesus15, D. Ware Branch16, Cecilia Nalli17, Nina Kello18, Michelle Petri19, Esther Rodriguez-Almaraz20, Ricard Cervera21, Jason Knight22, Bahar Artim-Esen23, Rohan Willis24, Maria Laura Bertolaccini25, Robert Roubey26, Doruk Erkan1 and on Behalf of APS ACTION1, 1Hospital for Special Surgery, New York, NY, 2Massachusetts General Hospital, Boston, MA, 3Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4FORZAFORTE HELLAS LTD, Athens, Greece, 5Padova University Hospital, Padova, Italy, 6University of Turin, Turin, Italy, 7Hospital Universitario Cruces, Barakaldo, Spain, 8NYU School of Medicine, New York, NY, 9University of Milan, Milan, Italy, 10CHU de Quebec - Universite Laval, Québec City, QC, Canada, 11IMIBIC/Reina Sofia Hospital/University of Córdoba, Córdoba, Spain, 12Peking University First Hospital, Beijing, China (People's Republic), 13Hokkaido University, Sapporo, Japan, 14Department of Haematology, University College London Hospitals NHS Foundation Trust, London, United Kingdom, 15Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 16University of Utah, Salt Lake City, UT, 17ASST SPEDALI CIVILI DI BRESCIA, Brescia, Italy, 18Zucker School of Medicine at Hofstra/Northwell Health, Manhasset, NY, 19Johns Hopkins University School of Medicine, Baltimore, MD, 20Hospital Universitario 12 de Octubre, Madrid, Spain, 21Hospital Clinic Barcelona, Barcelona, Spain, 22University of Michigan, Ann Arbor, MI, 23Istanbul University School of Medicine, İstanbul, Turkey, 24University of Texas Medical Branch, Galveston, TX, 25King's College London, London, United Kingdom, 26University of North Carolina, Chapel Hill, NC

    Background/Purpose: The APS ACTION Registry was created to study the natural course of antiphospholipid syndrome (APS) over 10 years in persistently antiphospholipid antibody (aPL) positive…
  • Abstract Number: 0962 • ACR Convergence 2021

    Association of Antiphospholipid Antibodies with Thromboembolic Events and Severe Outcomes in COVID-19

    Arielle Mendel1, Marvin Fritzler2, Yvan St.Pierre1, Joyce Rauch3, Sasha Bernatsky3 and Evelyne Vinet4, 1Research Institute of the McGill University Health Centre, Montréal, QC, Canada, 2University of Calgary, Calgary, AB, Canada, 3McGill University, Montréal, QC, Canada, 4McGill University Health Centre, Mont Royal, QC, Canada

    Background/Purpose: Although several studies indicate that patients with COVID-19 produce antiphospholipid antibodies (aPL), it is unclear which aPL subtype predominates and whether aPL correlates with…
  • Abstract Number: 0073 • ACR Convergence 2021

    Anti-Domain 1 Antibody Fluctuation over Time in Patients with Persistently Positive Antiphospholipid Antibodies: Results from the Aps Action Clinical Database and Repository (“Registry”)

    Cecilia Chighizola1, Francesca Pregnolato2, Danieli De Andrade3, Maria Tektonidou4, Vittorio Pengo5, Amaia Ugarte6, H. Michael Belmont7, Paul R Fortin8, Tatsuya Atsumi9, Maria Efthymiou,10, Guilherme Ramires de Jesus11, D. Ware Branch12, Cecilia Nalli13, Michelle Petri14, Esther Rodriguez-Almaraz15, Ricard Cervera16, Yu Zuo17, Rohan Willis18, Elisa Bison19, Ian Mackie20, Hannah Cohen21, Robert Roubey22, Doruk Erkan23 and Maria Laura Bertolaccini24, 1University of Milan, Milan, Italy, 2Università degli Studi di Milano, Milan, Italy, 3University of São Paulo, São Paulo, Brazil, 4Rheumatology Unit, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Joint Rheumatology Program, Laiko Hospital, Athens, Greece, 5Padova University Hospital, Padova, Italy, 6Hospital Universitario Cruces, Barakaldo, Spain, 7NYU School of Medicine, New York, NY, 8CHU de Quebec - Universite Laval, Québec City, QC, Canada, 9Hokkaido University, Sapporo, Japan, 10Haemostasis Research Unit, Department of Haematology, University College London, London, United Kingdom, 11Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 12University of Utah, Salt Lake City, UT, 13ASST SPEDALI CIVILI DI BRESCIA, Brescia, Italy, 14Johns Hopkins University School of Medicine, Baltimore, MD, 15Hospital Universitario 12 de Octubre, Madrid, Spain, 16Hospital Clinic Barcelona, Barcelona, Spain, 17University of Michigan, Ann Arbor, MI, 18University of Texas Medical Branch, Galveston, TX, 19University of Padova, Padova, Italy, 20University College London, London, United Kingdom, 21Department of Haematology, University College London Hospitals NHS Foundation Trust, London, United Kingdom, 22UNC, Chapel Hill, NC, 23Hospital for Special Surgery, New York, NY, 24King's College London, London, United Kingdom

    Background/Purpose: Data on fluctuation of antibodies against domain 1 (anti-D1) of β2-glycoprotein I (β2GPI) are scarce. Patients with antiphospholipid syndrome (APS) and all three criteria…
  • Abstract Number: 1285 • ACR Convergence 2021

    Major Determinants of Prolonged Remission in Systemic Lupus Erythematosus: Retrospective Study over a 41-Year Period

    Goncalo Durao-Carvalho1, Raquel Fernandez2, Bethan Goulden3, Filipa Farinha4 and David Isenberg5, 1Servico de Medicina Interna, Centro Hospitalar do Oeste – Unidade de Caldas da Rainha, Caldas da Rainha, Portugal, Caldas da Rainha, Portugal, 2Servicio de Medicina Interna, Hospital Universitario de Ourense, Ourense, Spain, 3Department of Rheumatology, University College London Hospitals, London, United Kingdom, 4Department of Rheumatology, University College London Hospitals and Centre for Rheumatology, University College London, London, United Kingdom, 5Centre for Rheumatology, University College London, London, United Kingdom

    Background/Purpose: Disease activity is a major determinant of mortality whereas prolonged remission contributes to improving health outcomes in SLE patients (pts). Remission is thus a…
  • Abstract Number: 0074 • ACR Convergence 2021

    Association of Anti-phospholipid Antibodies (aPL) with Poor Clinical Outcomes in Hospitalized Patients with COVID-19

    David Yaich1, Brandon Ptak1, Emma Roellke1, Erin Miller1, Juliet Kim1, Juan Gaztanaga1, Wendy Drewes1, James Ciancarelli2, Jasmin Divers1, Megan Winner1, Amy Rapkiewicz1 and Steven Carsons3, 1NYU Langone Hospital - Long Island, Mineola, NY, 2NYU Hospital Hospital- Long Island, Mineola, NY, 3NYU Long Island School of Medicine, Mineola, NY

    Background/Purpose: Critically ill patients with COVID-19 infection have a profound hypercoagulable state and can often develop thromboses in many different vascular beds. Given the presence…
  • Abstract Number: 1501 • ACR Convergence 2021

    Molecular Modelling Predicts Inhibition of Functional Effects of Anti-thrombin III on Factor Xa Mediated Complement Activation by Anti- Factor Xa IgG in SLE and APS

    Thomas McDonnell1, Raj Amarnani2, Valentina Spiteri2, Carina Spicer3, Charis Pericleous4, Bahar Artim-Esen5, Ian Mackie1, Marina Botto4, Anisur Rahman1 and Ian Giles1, 1University College London, London, United Kingdom, 2University College London, London, 3Merck, Philadelphia, PA, 4Imperial College London, London, United Kingdom, 5Istanbul University School of Medicine, İstanbul, Turkey

    Background/Purpose: The significance of antibodies directed against activated Factor (FXa) and thrombin (Thr) found in ~40% of patients with Systemic Lupus Erythematosus (SLE) and/or Antiphospholipid…
  • Abstract Number: 0075 • ACR Convergence 2021

    Endothelial Cell-activating Antibodies in COVID-19

    Hui Shi1, Yu Zuo2, Sherwin Navaz2, Alyssa Harbaugh2, Claire Hoy2, Alex Gandhi2, Gautam Sule2, Srilakshmi Yalavarthi2, Kelsey Gockman2, Jacqueline Madison2, Jintao Wang2, Melanie zuo2, Yue Shi3, Michael Maile2, Yogendra Kanthi2 and Jason Knight2, 1Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, 2University of Michigan, Ann Arbor, MI, 3Shanghai Sports School, Shanghai, China (People's Republic)

    Background/Purpose: Patients with COVID-19 are at high risk for occlusion of vascular beds of all sizes. Considering endothelial cell activation has regularly been described as…
  • Abstract Number: 0076 • ACR Convergence 2021

    Predicting the Transitions Between Lupus Anticoagulant Status and Thrombosis in SLE Using a Multi-state Markov Model

    Selcan Demir1, Jessica Li2, Laurence Magder3 and Michelle Petri4, 1Hacettepe University Faculty of Medicine, Ankara, Turkey, 2Johns Hopkins University, Baltimore, MD, 3University of Maryland, Baltimore, Baltimore, MD, 4Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Antiphospholipid syndrome (APS) is a significant cause of morbidity and mortality in patients with SLE and lupus anticoagulant (LAC) positivity is the best predictor…
  • Abstract Number: 0077 • ACR Convergence 2021

    Association of Lupus Nephritis and Other Clinical Features with Antiphospholipid Antibody Positivity Among Patients with Systemic Lupus Erythematosus

    Prarthana Jain, Jim Oates, Dulaney Wilson and Diane Kamen, Medical University of South Carolina, Charleston, SC

    Background/Purpose: Antiphospholipid antibody (aPL) positivity is associated with elevated risk of thrombosis among patients with SLE, but other clinical associations are less well-known. The goal…
  • Abstract Number: 0078 • ACR Convergence 2021

    Frequency and Clinical Characteristics of Secondary Antiphospholipid Syndrome in Systemic Lupus Erythematosus: The Georgia Lupus Registry

    Jinan al-naqeeb1, Gaobin Bao2, Cristina Drenkard2 and S Sam Lim3, 1Emory University, Decatur, GA, 2Emory University, Atlanta, GA, 3Department of Medicine, Division of Rheumatology, Emory University School of Medicine, Atlanta, GA

    Background/Purpose: Although APS was originally described in those with SLE, the epidemiology and clinical characteristics of secondary APS (2APS) has not been well described in…
  • Abstract Number: 0079 • ACR Convergence 2021

    Association Between Preconception Complement Levels and Use of Hydroxychloroquine with Pregnancy Outcome in Patients with Primary Antiphospholipid Syndrome and Carriers of Antiphospholipid Antibodies: An International Multicenter Study

    Daniele Lini1, Cecilia Nalli2, Laura Andreoli3, Francesca Crisafulli1, Micaela Fredi1, Maria Grazia Lazzaroni1, Viktoria Bitsadze4, Antonia Calligaro5, Valentina Canti6, Roberto Caporali7, Francesco Carubbi8, Cecilia Chighizola9, Paola Conigliaro10, Fabrizio Conti11, Caterina De Carolis12, Teresa Del Ross5, Maria Favaro5, Maria Gerosa9, Annamaria Iuliano13, Jamilya Khizroeva4, Alexander Makatsariya4, Pier Luigi Meroni14, Marta Mosca15, Melissa Padovan16, Roberto Perricone10, Patrizia Rovere Querini6, Gian Domenico Sebastiani13, Chiara Tani17, Marta Tonello18, Simona Truglia11, Dina Zucchi15, Franco Franceschini1 and Angela Tincani19, 1Rheumatology and Clinical Immunology Unit, ASST Spedali Civili and University of Brescia, Brescia, Italy, 2ASST SPEDALI CIVILI DI BRESCIA, Brescia, Italy, 3University of Brescia, Brescia, Italy, 4Department of Obstetrics and Gynecology, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia, 5Rheumatology Unit, Department of Medicine, University of Padua, Padua, Italy, 6Division of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Milan, Italy, 7Policlinico S. Matteo University, Pavia, Italy, 8Department of Biotechnological and Applied Clinical Science, Rheumatology Unit, School of Medicine, University of L'Aquila, L'Aquila, Italy, 9University of Milan, Milan, Italy, 10Rheumatology, Allergology and Clinical Immunology, Department of "Medicina dei Sistemi", University of Rome Tor Vergata, Rome, Italy, 11Lupus Clinic, Reumatologia, Dipartimento di Scienze Cliniche Internistiche, Anestesiologiche e Cardiovascolari, Sapienza Università di Roma, Rome, Italy, 12Polymedical Center for Prevention of Recurrent Spontaneous Abortion, Rome, Italy, 13Rheumatology Unit, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy, 14Division of Rheumatology, ASST.G Pini, Department of Clinical Sciences and Community Health, University of Milan and Istituto Auxologico Italiano, Milan, Italy, 15Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, 16Rheumatology Unit, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliero-Universitaria S. Anna, Ferrara, Italy, 17Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, 18BSC, Rheumatology Unit, Department of Medicine, University of Padua, Padua, Italy, 19ASST Spedali Civili-University of Brescia, Gussago, Italy

    Background/Purpose: APS is a rare autoimmune disease characterized by thrombotic events and/or pregnancy morbidities in the presence of confirmed positivity for aPL. Complement was demonstrated…
  • Abstract Number: 0080 • ACR Convergence 2021

    One Point Increase in the Initial Damage as Measured by the Damage Index for Antiphospholipid Syndrome Predicts Mortality in a Multi-Ethnic Group of Thrombotic Antiphospholipid Syndrome Patients

    Pedro Gaspar1, Filipa Farinha2, Zara Sayar3, Maria Efthymiou,4, Hannah Cohen3 and David Isenberg2, 1Department of Internal Medicine 2, University Hospital of Santa Maria, Lisbon, Portugal, 2Centre for Rheumatology, University College London, London, United Kingdom, 3Department of Haematology, University College London Hospitals NHS Foundation Trust, London, United Kingdom, 4Haemostasis Research Unit, Department of Haematology, University College London, London, United Kingdom

    Background/Purpose: The chronic and recurrent nature of antiphospholipid syndrome (APS) leads to damage accrual that impairs long-term functional status and survival. The Damage Index for…
  • Abstract Number: 0081 • ACR Convergence 2021

    Thrombin Generation Assay and Lupus Anticoagulant Identify Different Populations of Patients with Antiphospholipid Antibodies

    Massimo Radin1, Alice Barinotti1, Irene Cecchi2, Silvia Grazietta Foddai1, Elena Rubini1, Dario Roccatello1, Elisa Menegatti1 and Savino Sciascia1, 1University of Turin, Turin, Italy, 2University of Turin, Torino, Italy

    Background/Purpose: Risk stratification in patients with antiphospholipid antibodies (aPL) remains a clinical challenge. We aim to evaluate the role of Thrombin Generation Assay (TGA) in…
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