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Moinzadeh P, Kuhr K, Siegert E, Blank N, Sunderkoetter C, Henes J, Krusche M, Schmalzing M, Worm M, Schmeiser T, Günther C, Aberer E, Susok L, Riemekasten G, Kreuter A, Zeidler G, Juche A, Hadjiski D, Müller-Ladner U, Gaebelein-Wissing N, Distler JHW, Sárdy M, Krieg T, Hunzelmann N. Scleroderma Renal Crisis: Risk Factors for an Increasingly Rare Organ Complication. J Rheumatol 2019; 47:241-248. [PMID: 30936287 DOI: 10.3899/jrheum.180582] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/06/2019] [Indexed: 12/14/2022]
Abstract
OBJECTIVE Scleroderma renal crisis (SRC) is a severe life-threatening manifestation in patients with systemic sclerosis (SSc). However, the knowledge about risk factors for SRC is limited. We determined here the frequency of SRC and identified risk factors for the prediction of SRC. METHODS Based on regular followup data from the German Network for Systemic Scleroderma, we used univariate and multivariate generalized estimating equations to analyze the association between clinical variables, SSc subsets, therapy [i.e., angiotensin-converting enzyme inhibitors (ACEi), corticosteroids], and the occurrence of SRC. RESULTS Data of 2873 patients with 10,425 visits were available for analysis with a mean number of registry visits of 3.6 ± 2.8 and a mean time of followup of 3.6 ± 3.8 years. In total, 70 patients developed SRC (70/2873, 2.4%). Of these patients, 57.1% (40/70) were diagnosed with diffuse cutaneous SSc, 31.4% (22/70) with limited cutaneous SSc, and 11.4% (8/70) with SSc-overlap syndromes. Predictive independent factors with the highest probability for SRC were positive anti-RNA polymerase antibodies (RNAP), a history of proteinuria prior to SRC onset, diminished DLCO, and a history of hypertension. Interestingly, positive antitopoisomerase autoantibodies did not predict a higher risk for SRC. Further, patients with SRC were significantly more frequently treated with ACEi and corticosteroids without being independently associated with SRC. CONCLUSION In this cohort, SRC has become a rare complication. By far the highest risk for SRC was associated with the detection of anti-RNAP and proteinuria.
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Affiliation(s)
- Pia Moinzadeh
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria. .,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne.
| | - Kathrin Kuhr
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Elise Siegert
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Norbert Blank
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Cord Sunderkoetter
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Jörg Henes
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Martin Krusche
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Marc Schmalzing
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Margitta Worm
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Tim Schmeiser
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Claudia Günther
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Elisabeth Aberer
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Laura Susok
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Gabriela Riemekasten
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Alexander Kreuter
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Gabriele Zeidler
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Aaron Juche
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Denitsa Hadjiski
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Ulf Müller-Ladner
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Noemi Gaebelein-Wissing
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Jörg H W Distler
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Miklós Sárdy
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Thomas Krieg
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
| | - Nicolas Hunzelmann
- From the Department of Dermatology and Venereology, University Hospital Cologne; Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne; Department of Rheumatology, Charité Universitätsmedizin Berlin; Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch, Berlin; Department of Rheumatology, University Hospital Heidelberg, Heidelberg; Department of Dermatology and Venereology, University Hospital Muenster, Muenster; University Hospital Halle, Halle; Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases; Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen, Tuebingen; Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona, Hamburg; Department of Rheumatology, University Hospital Wuerzburg, Wuerzburg; Department of Rheumatology, Krankenhaus St. Josef; Department of Dermatology, HELIOS University Hospital Wuppertal, Wuppertal; Department of Dermatology, University Hospital Carl Gustav Carus, Dresden; Department of Dermatology and Venereology, Ruhr-University-Bochum, Bochum; Department of Rheumatology, University Medical Center-UKSH, Luebeck; Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke, Witten; Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen, Treuenbrietzen; University Medical Center Freiburg, Freiburg; Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic, Bad Nauheim; Department of Rheumatology, University Hospital Erlangen, Erlangen; Department of Dermatology and Allergology, Ludwig Maximilian University, Munich, Germany; Department of Dermatology, Medical University of Graz, Graz, Austria.,P. Moinzadeh, MD, Department of Dermatology and Venereology, University Hospital Cologne; K. Kuhr, Dr. rer. nat, Institute of Medical Statistics and Computational Biology, Faculty of Medicine and University Hospital Cologne, University of Cologne; E. Siegert, MD, Department of Rheumatology, Charité Universitätsmedizin Berlin; N. Blank, MD, Department of Rheumatology, University Hospital Heidelberg; C. Sunderkoetter, MD, Department of Dermatology and Venereology, University Hospital Muenster, Muenster, and University Hospital Halle; J. Henes, MD, Centre for Interdisciplinary Clinical Immunology, Rheumatology and Auto-inflammatory Diseases, and Department of Internal Medicine II (Oncology, Hematology, Immunology, Rheumatology, Pulmonology), University Hospital Tuebingen; M. Krusche, MD, Department for Internal Medicine, Rheumatology, Immunology and Nephrology, Asklepios Clinic Altona; M. Schmalzing, MD, Department of Rheumatology, University Hospital Wuerzburg; M. Worm, MD, Department of Dermatology and Allergology, Charité Universitätsmedizin Berlin; T. Schmeiser, MD, Department of Rheumatology, Krankenhaus St. Josef; C. Günther, MD, Department of Dermatology, University Hospital Carl Gustav Carus; E. Aberer, MD, Department of Dermatology, Medical University of Graz; L. Susok, MD, Department of Dermatology and Venereology, Ruhr-University-Bochum; G. Riemekasten, MD, Department of Rheumatology, University Medical Center-UKSH; A. Kreuter, MD, Department of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Hospital Oberhausen, University Witten-Herdecke; G. Zeidler, MD, Department of Rheumatology, Johanniter-Krankenhaus im Flaeming Treuenbrietzen; A. Juche, MD, Department of Rheumatology, Immanuel Krankenhaus Berlin-Buch; D. Hadjiski, MD, University Medical Center Freiburg; U. Müller-Ladner, MD, Department of Rheumatology, Justus Liebig University Giessen, Kerckhoff Clinic; N. Gaebelein-Wissing, MD, Department of Dermatology, HELIOS University Hospital Wuppertal; J.H. Distler, MD, Department of Rheumatology, University Hospital Erlangen; M. Sárdy, MD, Department of Dermatology and Allergology, Ludwig Maximilian University; T. Krieg, MD, Department of Dermatology and Venereology, University Hospital Cologne; N. Hunzelmann, MD, Department of Dermatology and Venereology, University Hospital Cologne
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