Advertisement
Home »

Patient care pathways for pregnancy in rare and complex rheumatic diseases: results from an international survey.

Jan 16, 2023

ABOUT THE EXPERTS

  • Chiara Tani

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Dina Zucchi

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Elisa Bellis

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Mehret Birru Talabi

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Charlotte Frise

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Guilherme Ramires de Jesús

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Hege Svean Koksvik

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Gema Maria Lledó

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Arsène Mekinian

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Diana Marinello

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Ilaria Palla

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Puja Mehta

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Luis Sáez Comet

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Shoela Shaimaa

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Hieronymus T W Smeele

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Rosaria Talarico

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Antonio Brucato

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Munther Khamashta

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Yehuda Shoenfeld

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Angela Tincani

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

    Marta Mosca

    C Tani, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. D Zucchi, MD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa; Department of Medical Biotechnologies, University of Siena, Italy. E Bellis, MD, Rheumatology Unit, Mauriziano Umberto I Hospital, Turin Italy; Rheumatology Unit, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. M Birru Talabi, MD, PhD, University of Pittsburgh School of Medicine C Frise, MD, Oxford University Hospitals NHS Foundation Trust, UK. GR de Jesús, MD, Universidade do Estado do Rio de Janeiro, Brazil. HS Koksvik, MD, Norwegian National Advisory Unit on Pregnancy and Rheumatic Diseases, St. Olavs hospital, Trondheim University Hospital, Norway. GM Lledó, MD, Department of Autoimmune Diseases, Hospital Clínic, University of Barcelona, Barcelona, Spain. A Mekinian, MD, Sorbonne University, Internal Medicine Department, Saint Antoine Hospital, Paris, France. D Marinello, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, University of Pisa. I Palla, Institute of Management, Scuola Superiore Sant’Anna. P Mehta, MD, Centre for Inflammation and Tissue Repair, UCL Respiratory. LS Comet, MD, Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain. S Shaimaa, MD, Internal Medicine & Rheumatology Department, Alexandria Faculty of Medicine. HTW Smeele, MD, Department of Rheumatology, Erasmus MC, Rotterdam, The Netherlands. R Talarico, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. A Brucato, MD, Università di Milano, Department of biomedical and clinical sciences. M Khamashta, MD, FRCP, PhD, Department of Women and Children’s Health, King’s College London, UK; Gulf Medical Expert-Lupus, GSK, Dubai, United Arab Emirates. Y Shoenfeld, MD, FRCP, Ariel University, Ariel, Israel. A Tincani, MD, Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili di Brescia, Brescia, Italy. M Mosca, MD, PhD, Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana and Department of Clinical and Experimental Medicine, University of Pisa. Conflict of interest: Munther Khamashta: full time employee at GSK, received shares from the company (GSK); The other authors declared no competing interests. Corresponding author: Marta Mosca, MD, PhD; Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy. marta.mosca@med.unipi.it.

REFERENCES & ADDITIONAL READING

PubMed

MORE ARTICLES BELOW

PW Weekly Newsletters

The latest articles and insights from your colleagues in your specialty(ies) of choice.


Advertisement
Advertisement
ad
ad
MORE ARTICLES BELOW

PW Weekly Newsletters

The latest articles and insights from your colleagues in your specialty(ies) of choice.

SUBSCRIBE NOW

View all newsletters

Advertisement