Inclusion Criteria:  Rheumatologist confirmed diagnosis of one of the following diagnoses: Systemic lupus erythematosus; Sjogren syndrome; Inflammatory myositis; Psoriatic arthritis; Osteoarthritis; Gout; Ankylosing spondylitis; IBD-related arthritis.  Exclusion Criteria:  Active infection or untreated malignancy (other than skin cancer) at enrollment. Pregnancy