1. Division of Rheumatology University of Texas Medical Branch Galveston Texas USA
2. Department of Internal Medicine University of Texas Medical Branch Galveston Texas USA
3. University of Texas Medical Branch (UTMB) John Sealy School of Medicine Galveston Texas USA
4. Department of Pathology University of Texas Medical Branch Galveston Texas USA
5. Department of Dermatology University of Texas Medical Branch Galveston Texas USA