ACR Meeting Abstracts

ACR Meeting Abstracts

  • Meetings
    • ACR Convergence 2024
    • ACR Convergence 2023
    • 2023 ACR/ARP PRSYM
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • ACR Meetings

Abstracts tagged "Biologicals"

  • Abstract Number: L11 • ACR Convergence 2023

    Risk of Cardiovascular Events According to Biological Agent Exposure in Patients with Ankylosing Spondylitis: A Korean Population-based Study

    Oh Chan Kwon, Hye Sun Lee, Juyeon Yang, Yong-Beom Park and Min-Chan Park, Yonsei University College of Medicine, Seoul, South Korea

    Background/Purpose: Patients with ankylosing spondylitis (AS) have a higher risk of cardiovascular events than controls. Although biological disease-modifying anti-rheumatic drugs (bDMARDs) are efficacious in treating…
  • Abstract Number: 0346 • ACR Convergence 2023

    Use, Safety and Persistence of Biosimilars in Adult Patients Diagnosed with Juvenile Idiopathic Arthritis: Results from the Spanish Registry of Adverse Events of Targeted Therapies in Rheumatic Diseases (BIOBADASER)

    Juan José Bethencourt1, Lucia Otero-Valera2, JAVIER MANERO3, Eva Perez-Pampin4, Yanira Pérez Vera5, SARA MANRIQUE6, Maria Sagrario Bustabad Reyes7, Mercedes Freire González8, Dolores Ruiz-Montesinos9, Lourdes Mateo Soria10, Raquel Martín Domenech11, Manuel Moreno Ramos12, Fernando Alonso2 and Isabel Castrejon13, 1Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain, 2Spanish Society of Rheumatology, Madrid, Spain, 3Department of Rheumatology, Hospital Universitario Miguel Servet, Zaragoza, Spain, 4Rheumatology Department Complejo Hospitalario Universitario Santiago, Santiago de compostela, Spain, 5Hospital Universitario Dr Negrín, Las Palmas de Gran Canaria, Spain, 6Division of Rheumatology, Hospital Regional Universitario Carlos Haya, Malaga, Spain, 7Hospital Universitario de Canarias, La Laguna, Spain, 8Rheumatology department, Complexo Hospitalario Universitario A Coruña (CHUAC). Instituto de Investigación Biomédica A Coruña (INIBIC), A Coruña, Spain, 9Hospital Universitario Virgen Macarena, Sevilla, Spain, 10HOSPITAL GERMANS TRIAS I PUJOL, Badalona, Spain, 11Hopsital General de Elda, Alicante, Spain, 12Hospital Clínico Universitario Virgen dela Arrixaca, Murcia, Spain, 13Hospital General Universitario Gregorio Marañón, Madrid, Spain

    Background/Purpose: Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease of childhood. The emergence of new biologic agents has led to changes in…
  • Abstract Number: 0445 • ACR Convergence 2023

    Comparison of the Efficacy, Safety and Immunogenicity of a Proposed Biosimilar MSB11456 with Tocilizumab Reference Product in Moderate-to-severe Rheumatoid Arthritis: Results of a Randomized Double-blind Study

    Anna Zubrzycka-Sienkiewicz1, Maria Misterska-Skora2, Małgorzata Socik Pojawa3, Kamilla Klama4, Martin Ullmann5, Corinne Petit-Frere5, Andras Illes5, Peter Baker5, Joëlle Monnet5 and Jan Brzezicki6, 1Reumatika - Centrum Reumatologil, Warsaw, Poland, 2Centrum Medyczne Oporów, Wrocław, Poland, 3MICS Centrum Medyczne Warszawa, Warsaw, Poland, 4Solumed Centrum Medyczne, Poznań, Poland, 5Fresenius Kabi SwissBiosimilars, Eysins, Switzerland, 6Centrum Kliniczno Badawcze, Elbląg, Poland

    Background/Purpose: Tocilizumab is an anti‑interleukin‑6 receptor monoclonal antibody indicated for treating rheumatoid arthritis (RA) and other inflammatory diseases. MSB11456 is a proposed biosimilar to US‑licensed…
  • Abstract Number: 0582 • ACR Convergence 2023

    Evaluation of Anifrolumab Treatment Responses by the Short Form 36 Health Survey Version 2 in SLE: A Post Hoc Analysis of the Placebo-Controlled Phase 3 Long-Term Extension Trial

    Vibeke Strand1, Kenneth Kalunian2, Barnabas Desta3, Caroline Seo4, Gabriel Abreu5, Raj Tummala3, Catharina Lindholm5 and Hussein Al-Mossawi6, 1Stanford University, Palo Alto, CA, 2University of California San Diego, La Jolla, CA, 3BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, 4BioPharmaceuticals Medical Evidence, AstraZeneca, Gaithersburg, MD, 5BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden, 6BioPharmaceuticals R&D, AstraZeneca, Cambridge, United Kingdom

    Background/Purpose: SLE is a chronic disease that progressively reduces patients’ health-related quality of life.1 In a post hoc analysis of the TULIP trials, patients with…
  • Abstract Number: 0784 • ACR Convergence 2023

    Kidney-Related Outcomes and Steroid-Sparing Effects in Patients with Active Lupus Nephritis Treated with Obinutuzumab: A Post Hoc Analysis of a Phase 2 Trial

    Brad Rovin1, Jorge Ross Terres2, Sophia Giang3, Thomas Schindler4, Armando Turchetta5, Jay Garg2, Richard Furie6, William F. Pendergraft III2 and Ana Malvar7, 1Ohio State University, Columbus, OH, 2Genentech, Inc., South San Francisco, CA, 3Genentech, Inc., San Francisco, CA, 4F. Hoffmann-La Roche Ltd, Basle, Switzerland, 5F. Hoffmann-La Roche Ltd, Basel, Switzerland, 6Northwell Health, Manhasset, NY, 7Hospital Fernandez, Buenos Aires, Argentina

    Background/Purpose: Preservation of long-term kidney function and sustained reduction of glucocorticoid use are major therapeutic goals in lupus nephritis (LN). In the randomized, double-blind, placebo-controlled,…
  • Abstract Number: 1107 • ACR Convergence 2023

    Predictors of Pegloticase Urate-lowering Response in the Presence and Absence of Methotrexate Co-therapy

    James Mossell1, Mai Duong2, Katie Obermeyer2, Lissa Padnick-Silver2, Brian LaMoreaux2 and Sanjay Chabra3, 1Arthritis and Osteoporosis Center of South Georgia, Tifton, GA, 2Horizon Therapeutics, Deerfield, IL, 3Texas Arthritis Center, El Paso, TX

    Background/Purpose: Pegloticase can lower serum urate (SU) in patients with uncontrolled gout who are refractory to/intolerant of oral urate-lowering therapies. However, antidrug antibodies (ADAs) can…
  • Abstract Number: 1330 • ACR Convergence 2023

    Certolizumab-pegol, Abatacept, Tocilizumab or Active Conventional Therapy in Early Rheumatoid Arthritis: 48 Week Patient-reported Outcomes of the NORD-STAR Trial

    John Lampa1, Dan Nordstrom2, Ronald van Vollenhoven3, Merete Hetland4, Espen A Haavardsholm5, Mikkel Østergaard6, Anna Rudin7, Marte Schrumpf Heiberg5, Michael Nurmohamed3, Bjorn Gudbjornsson8, Kristina Lend9, Kim Hørslev-Petersen10, Tuulikki Sokka-Isler11, Gerdur Maria Grondal12, Simon Krabbe13, Joakim Lindqvist14, Anna-Karin Hultgård Ekwall15, Daniel Glinatsi16, Meliha Kapetanovic17, Cidem Gentline14, Anna-Birgitte Aga18, Heikki Relas2, Tove Lorenzen19, Giovanni Cagnotto20, Johan Back21, Oliver Hendricks22, Bas Dijkshoorn23, Kajsa Öberg24, Maud-Kristine Aga Ljoså25, Eli Brodin26, Hanne Merete Lindegaard27, Annika Söderbergh28, Milad Rizk29, Alf Kastbom30, Per Larsson31, Line Uhrenholt32, Søren Just33, David J Stevens34, Trine B Laurberg35, Gunnstein Bakland36, Inge Olsen37, Joseph Sexton18 and Till Uhlig18, 1Stockholm County, Hãsselby, Sweden, 2Helsinki University Hospital, Helsinki, Finland, 3Amsterdam University Medical Centers, Amsterdam, Netherlands, 4Copenhagen Center for Arthritis Research, Rigshospitalet, Copenhagen, Denmark, 5Diakonhjemmet Hospital, Oslo, Norway, 6Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet; University of Copenhagen, Copenhagen, Denmark, 7Department of Rheumatology and Inflammation Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 8Centre for Rheumatology Research, University Hospital, Reykjavik, Iceland, 9Amsterdam UMC, Karolinska Institute, Stockholm, Sweden, 10University of Southern Denmark, Odense, Denmark, 11Jyvaskyla Central Hospital, Jyväskylä, Finland, 12Department for Rheumatology, Landspitali University Hospital, Reykjavik, Iceland, 13Herlev-Gentofte University Hospital, Herlev, Denmark, 14Karolinska University Hospital, Stockholm, Sweden, 15Department of Rheumatology and Inflammation research, Sahlgrenska Academy, University of Gothenburg, Kullavik, Sweden, 16Copenhagen Center for Arthritis Research, Rigshospitalet, Copenhagen, Sweden, 17Lund University and Skåne University Hospital, Lund, Sweden, 18Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway, 19Silkeborg University Hospital, Silkeborg, Denmark, 20Skåne University Hospital, Lund, Sweden, 21Uppsala University Hospital, Uppsala, Sweden, 22Danish Hospital for Rheumatic Diseases, Sønderborg, Denmark, 23Amsterdam Rheumatology and Immunology Center, Location Reade, Amsterdam, Netherlands, 24Falu Hospital, Falun, Sweden, 25Ålesund Hospital, Ålesund, Norway, 26Haukeland University Hospital, Bergen, Norway, 27Odense Hospital, Odense, Denmark, 28Örebro University Hospital, Örebro, Sweden, 29Västmanlands Hospital Västerås, Västerås, Sweden, 30Linköping University, Linköping, Sweden, 31Academic Specialist Center, Stockholm, Sweden, 32Aalborg University Hospital, Aalborg, Denmark, 33Section of Rheumatology, Department of Medicine, Odense University Hospital – Svendborg Hospital, Odense, Denmark, 34St. Olavs Hospital, Trondheim, Norway, 35Aarhus University Hospital, Aarhus, Denmark, 36University Hospital of North Norway, Tromsø, Norway, 37Oslo University Hospital, Oslo, Norway

    Background/Purpose: The optimal first-line treatment of patients with early rheumatoid arthritis (eRA) is not established. Methods: In this investigator-initiated, randomized, open-label study (NCT01491815), patients with…
  • Abstract Number: 1499 • ACR Convergence 2023

    Year-5 Follow-up of Belimumab Safety (mortality and Malignancies) in Patients with Systemic Lupus Erythematosus (SLE) Who Completed a Phase 4, 52-week, Randomized, Double-blind Placebo-controlled Safety Study

    Saira Sheikh1, James Cheng-Chung Wei2, Dana Tegzova3, William Stohl4, Ricardo Acayaba de Toledo5, Tamara Mucenic6, Mauricio R. Abello Banfi7, Kathleen Maksimowicz-McKinnon8, Carlos Abud-Mendoza9, Sandra Navarra10, Mercedes García11, IGNACIO GARCÍA-DE LA TORRE12, Sofia Fernandes13, Julia HN Harris14, Abhishek Roy15, Jose Miyar Olaiz16, Paul WIlde17 and David A. Roth18, 1University of North Carolina at Chapel Hill, Chapel Hill, NC, 2Chung Shan Medical University Hospital, Department of Rheumatology, Taichung, Taiwan, 3Institute of Rheumatology, Prague, Czech Republic, 4University of Southern California Keck School of Medicine, Division of Rheumatology, Los Angeles, CA, 5Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Service of Rheumatology of the Internal Medicine Department, São José do Rio Preto, Brazil, 6Hospital Moinhos de Vento, Porto Alegre, Brazil, 7Centro Integral de Reumatología del Caribe, Barranquilla, Colombia, 8Medical University of South Carolina, Charleston, SC, 9Hospital Central “Dr Ignacio Morones Prieto”, Unidad Regional de Reumatología y Osteoporosis, Hospital Central; Facultad de Medicina de la Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico, 10University of Santo Tomas Hospital, Joint and Bone Center, Manila, Philippines, 11Hospital Interzonal General de Agudos José de San Martín, La Plata, Argentina, 12Universidad de Guadalajara/Hospital General de Occidente, Guadalajara, Mexico, 13GlaxoSmithKline, Stevenage, United Kingdom, 14GlaxoSmithKline, Immunology Biostatistics, Brentford, United Kingdom, 15GlaxoSmithKline, Bangalore, India, 16GlaxoSmithKline, Safety Evaluation and Risk Management, Brentford, United Kingdom, 17GlaxoSmithKline, Clinical Development, Brentford, United Kingdom, 18GlaxoSmithKline, Collegeville, PA

    Background/Purpose: Belimumab (BEL) is an approved treatment for active SLE and LN, in addition to standard therapy (ST). Despite BEL clinical studies demonstrating a favorable…
  • Abstract Number: 1815 • ACR Convergence 2023

    The Association of Body Mass Index with SARS-CoV-2 Infection (COVID-19) in Patients with Inflammatory Arthritis on Biologic Disease Modifying Anti-Rheumatic Drugs: Results from the Singapore National Biologics Register

    Preeti Dhanasekaran1, Margaret Ma2, Manjari Lahiri2, Li Wearn Koh3, Stanley Angkodjojo4, Andrew Yu Keat Khor5, James Jiaqi Liu6, Stephanie Wong7 and Siaw Ing Yeo6, 1National University of Singapore, Singapore, Singapore, 2National University Hospital, Singapore, Singapore, 3Tan Tock Seng Hospital, Braddell Heights, Singapore, 4Sengkang General Hospital / Singhealth, Singapore, Singapore, 5Changi General Hospital, Singapore, Singapore, 6Singapore General Hospital, Singapore, Singapore, 7Tan Tock Seng Hospital, Singapore, Singapore

    Background/Purpose: To determine the association of body mass index (BMI) with incident COVID-19 infection in patients with inflammatory arthritis (IA) using biologic disease-modifying anti-rheumatic drugs…
  • Abstract Number: 2164 • ACR Convergence 2023

    Real-world Persistence of Initial Targeted Therapy Strategy in Monotherapy versus Combination Therapy in Patients with Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis

    Carlos Sánchez-Piedra1, Lorena Expósito2, PALOMA VELA3, Manuel José Moreno Ramos4, Cristina Campos5, Cristina Bohorquez6, Jerusalem Calvo7, Zulema Plaza8, Marta Domínguez9 and Jose Federico Diaz-Gonzalez10, 1Health Technology Assessment Agency (AETS), Instituto de Salud Carlos III, Madrid, Spain, 2Rheumatology Unit, Hospital Universitario de Canarias, San Cristóbal de La Laguna, Spain, 3Rheumatology, Hospital General Universitario Alicante, Alicante, Spain, 4Rheumatology Department Hospital Virgen de la Arrixaca, El Palmar Murcia, Spain, 5Rheumatology Unit, Hospital General Universitario de Valencia, Valencia, Spain, 6Rheumatology Unit, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain, 7Reina Sofia University Hospital, Córdoba, Spain, 8Universidad Autónoma de Madrid, Madrid, Spain, 9Sociedad Española de Reumatología, Madrid, Spain, 10Hospital Universitario de Canarias, La Laguna, Spain

    Background/Purpose: Clinical practice guidelines, based on information from clinical trials, provide different recommendations for the use of combination therapies for the treatment of rheumatoid arthritis…
  • Abstract Number: 2245 • ACR Convergence 2023

    Drug Survival of Risankizumab vs Other Biologics After 13 Months of Treatment Among Patients with PsA in the Multicountry Postmarketing Observational VALUE Study

    Lars Erik1, Kim A Papp2, Andrew Östör3, Vassilis Stakias4, Tshepiso Madihlaba4, Ralph Lippe5, Ran Liu4 and Diamant Thaçi6, 1Bispebjerg-Frederiksberg Hospital, Vedbæk, Denmark, 2Alliance Clinical Research and Probity Medical Research, Waterloo, and University of Toronto, Toronto, ON, Canada, 3Monash University & Emeritus Research; Australian National University, Melbourne, Australia, 4AbbVie, Inc., North Chicago, IL, 5AbbVie Deutschland GmbH & Co. KG, Wiesbaden, Germany, 6Institute and Comprehensive Center for Inflammation Medicine, University of Lübeck, Lübeck, Germany

    Background/Purpose: Risankizumab (RZB) is an optimized IL-23 inhibitor (IL-23i) currently approved for the treatment of plaque psoriasis (PsO), PsA, and Crohn's disease. In a post…
  • Abstract Number: 2482 • ACR Convergence 2023

    Preinflammatory Mesenchymal (PRIME) Cell Signature Genes Enrichment Predicts Treatment Response and Joint Prognosis in Rheumatoid Arthritis

    Takayuki Fujii1, Dana Orange2, Caryn Hale2, Koichi Murata1, Hideo Onizawa1, Akira Onishi1, Masao Tanaka3, Akio Morinobu4 and Shuichi Matsuda5, 1Department of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Rockefeller University, New York, NY, 3Graduate School of Medicine, Kyoto University, Kyoto, Japan, 4Department of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 5Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan

    Background/Purpose: This study aimed to determine predictors of treatment response and radiographic progression following the initiation of biological disease-modifying antirheumatic medications (bDMARDs) in patients with…
  • Abstract Number: 0354 • ACR Convergence 2023

    Open-label Phase 3 Study of Intravenous Golimumab in Patients with Polyarticular Juvenile Idiopathic Arthritis: Pharmacokinetics, Effectiveness, Safety, and Immunogenicity over 252 Weeks

    Nicolino Ruperto1, Daniel J Lovell2, Sarah Ringold3, Xie L. Xu4, Jocelyn H. Leu3, Edwin Lam3, Yuhua Wang3, Alberto Martini5 and Hermine Brunner6, 1IRCCS Istituto Giannina Gaslini, UOSID Centro Trial, Genova, Italy, 2UC Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati, Cincinnati, OH, 3Janssen Research & Development, LLC, Spring House, PA, 4Janssen Research & Development, LLC, San Diego, CA, 5Universita degli Studi di Genova, Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DiNOGMI), Genova, Italy, 6Cincinnati Children's Hospital Medical Center, Division of Rheumatology, Cincinnati, OH

    Background/Purpose: The phase 3, Intravenous Golimumab in Pediatric Participants with Active Polyarticular-Course JIA Despite MTX (GO-VIVA) study demonstrated that golimumab (GLM) 80 mg/m2 at Week…
  • Abstract Number: 0447 • ACR Convergence 2023

    Glucocorticoid Use in Rheumatoid Arthritis Patients Initiating Biological or Targeted Synthetic Disease Modifying Anti-rheumatic Drugs (b/tsDMARDs) in Real Life: Data from BIOBADASER

    Lucia Otero-Valera1, Jose María Alvaro-Gracias2, Jerusalem Calvo3, Cristina Campos4, Alicia Garcia Dorta5, Fernando Sánchez-Alonso6 and Isabel Castrejon7, 1Spanish Society of Rheumatology, Madrid, Spain, 2Hospital General Universitario Gregorio Marañon, Madrid, Spain, 3Reina Sofia University Hospital, Córdoba, Spain, 4Rheumatology Unit, Hospital General Universitario de Valencia, Valencia, Spain, 5Rheumatology Unit, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain, 6Fundación Española de Reumatología, Madrid, Spain, 7Hospital Universitario Gregorio Marañón, Madrid, Spain

    Background/Purpose: Glucocorticoids are frequently used as bridging therapy for rheumatoid arthritis (RA) patients starting conventional synthetic DMARDs. Both EULAR and ACR guidelines (1,2), recommend to…
  • Abstract Number: 0587 • ACR Convergence 2023

    Impact of up to 24 Months Intravenous (IV) Belimumab (BEL) Treatment on Steroid Use and Disease Activity in Patients with SLE in Clinical Practice: Additional Post Hoc Pooled Analysis of Multicountry OBSErve Cohort Data

    Daniel Moldaver1, Seth Anderson2, Marguerite Bracher3, Roger A. Levy4, Holly A. Quasny5, Robert Wood6, Rosie Wild6, Alexandra Cusmano6 and Elke Rottier6, 1GlaxoSmithKline, Value Evidence and Outcomes, Ontario, Canada, 2GlaxoSmithKline, Value Evidence and Outcomes, Collegeville, PA, 3GlaxoSmithKline, Value Evidence and Outcomes, Stevenage, United Kingdom, 4GlaxoSmithKline, Global Medical Affairs, Collegeville, PA, 5GlaxoSmithKline, Research & Development, Durham, NC, 6Adelphi Real World, Real-World Evidence, Cheshire, United Kingdom

    Background/Purpose: The clinical effectiveness of 6-month IV BEL use in SLE has previously been described in a post hoc pooled analysis from six OBSErve cohort…
  • « Previous Page
  • 1
  • …
  • 11
  • 12
  • 13
  • 14
  • 15
  • …
  • 54
  • Next Page »
Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM ET on November 14, 2024. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

Wiley

  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences

© Copyright 2025 American College of Rheumatology