1. Department of Medicine, Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA;
2. Department of Medicine, Division of Nephrology, Massachusetts General Hospital, Harvard Medical School, Boston, MA;
3. Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA;
4. Institute of Clinical Medicine and Department of Pediatrics, National Cheng-Kung University, Tainan, Taiwan; and
5. Department of Medicine, Division of Immunology, Boston Children's Hospital, Harvard Medical School, Boston, MA