Clinical Focus

  • Rheumatology
  • Systemic Lupus Erythematosus
  • Connective Tissue Diseases

Academic Appointments

Administrative Appointments

  • Director, Lupus Clinic, Stanford University Medical Center (2012 - Present)

Honors & Awards

  • Immunology and Rheumatology Division Teaching Award, Stanford University Medical Center (2013)
  • Distinguished Fellow Award, American College of Rheumatology (2011)
  • Chief Medical Resident, University of California, San Francisco (2008)

Professional Education

  • Board Certification: Rheumatology, American Board of Internal Medicine (2011)
  • Fellowship:UCSF (2011) CA
  • Board Certification: Internal Medicine, American Board of Internal Medicine (2008)
  • Residency:UCSF-Internal Medicine (2008) CA
  • Internship:Brigham and Women's Hospital Harvard Medical School (2006) MA
  • Medical Education:Harvard Medical School (2005) MA
  • AB, Harvard College (2000)

Research & Scholarship

Current Research and Scholarly Interests

Cardiovascular disease in SLE, quality improvement, therapeutic trials of novel agents in SLE, pregnancy in SLE


All Publications

  • The Heart of the Matter NEW ENGLAND JOURNAL OF MEDICINE Tarter, L., Yazdany, J., Moyers, B., Barnett, C., Dhaliwal, G. 2013; 368 (10): 944-950
  • Hydroxychloroquine: A Treatable Cause of Cardiomyopathy JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY Abbasi, S., Tarter, L., Farzaneh-Far, R., Farzaneh-Far, A. 2012; 60 (8): 786-786

    View details for DOI 10.1016/j.jacc.2011.12.060

    View details for Web of Science ID 000307463800013

    View details for PubMedID 22898072

  • Purpura, cutaneous necrosis, and antineutrophil cytoplasmic antibodies associated with levamisole-adulterated cocaine ARTHRITIS AND RHEUMATISM Graf, J., Lynch, K., Yeh, C., Tarter, L., Richman, N., Thuy Nguyen, T., Kral, A., Dominy, S., Imboden, J. 2011; 63 (12): 3998-4001


    To describe the clinical and serologic abnormalities in 6 patients who presented with retiform purpura and extensive cutaneous necrosis after exposure to levamisole-adulterated cocaine.All patients were evaluated at San Francisco General Hospital or the University of California San Francisco Medical Center. Each underwent standard screening for substances of abuse and had urine tested for the presence of levamisole by liquid chromatography tandem mass spectrometry. Routine laboratory, autoantibody, and antiphospholipid antibody testing was performed in the hospitals' clinical or reference laboratories. Testing for atypical antineutrophil cytoplasmic antibodies (ANCAs) was performed separately using commercially available enzyme-linked immunosorbent assay kits.The patients were women ages 39-50 years who presented with retiform purpura and cutaneous necrosis. Skin biopsies revealed a predominantly small-vessel thrombotic vasculopathy with varying degrees of vasculitis. Four patients were neutropenic. All tested positive for lupus anticoagulant, had IgM antibodies to cardiolipin, and tested strongly positive for ANCAs in a perinuclear pattern by immunofluorescence. Each patient had antibodies to multiple components of neutrophil granules, including neutrophil elastase, lactoferrin, cathepsin G, proteinase 3, and myeloperoxidase.Rheumatologists should be aware of this distinctive form of necrotic purpura, its associated autoantibodies, and its link to levamisole-adulterated cocaine.

    View details for DOI 10.1002/art.30590

    View details for Web of Science ID 000297458500041

    View details for PubMedID 22127712

  • Using the american board of internal medicine practice improvement modules to teach internal medicine residents practice improvement. Journal of graduate medical education Shunk, R., Dulay, M., Julian, K., Cornett, P., Kohlwes, J., Tarter, L., Hollander, H., O'Brien, B., O'Sullivan, P. 2010; 2 (1): 90-95


    Although residency programs must prepare physicians who can analyze and improve their practice, practice improvement (PI) is new for many faculty preceptors. We describe the pilot of a PI curriculum incorporating a practice improvement module (PIM) from the American Board of Internal Medicine for residents and their faculty preceptors.Residents attended PI didactics and completed a PIM during continuity clinic and outpatient months working in groups under committed faculty.All residents participated in PI group projects. Residents agreed or strongly agreed that the projects and the curriculum benefited their learning and patient care. A self-assessment revealed significant improvement in PI competencies, but residents were just reaching a "somewhat confident" level.A PI curriculum incorporating PIMs is an effective way to teach PI to both residents and faculty preceptors. We recommend the team approach and use of the PIM tutorial approach especially for faculty.

    View details for DOI 10.4300/JGME-D-09-00032.1

    View details for PubMedID 21975892

  • Community-based treatment of advanced HIV disease: introducing DOT-HAART (directly observed therapy with highly active antiretroviral therapy) BULLETIN OF THE WORLD HEALTH ORGANIZATION Farmer, P., Leandre, F., Mukherjee, J., Gupta, R., Tarter, L., Kim, J. Y. 2001; 79 (12): 1145-1151


    In 2000, acquired immunodeficiency syndrome (AIDS) overtook tuberculosis (TB) as the world's leading infectious cause of adult deaths. In affluent countries, however, AIDS mortality has dropped sharply, largely because of the use of highly active antiretroviral therapy (HAART). Antiretroviral agents are not yet considered essential medications by international public health experts and are not widely used in the poor countries where human immunodeficiency virus (HIV) takes its greatest toll. Arguments against the use of HAART have mainly been based on the high cost of medications and the lack of the infrastructure necessary for using them wisely. We re- examine these arguments in the setting of rising AIDS mortality in developing countries and falling drug prices, and describe a small community-based treatment programme based on lessons gained in TB control. With the collaboration of Haitian community health workers experienced in the delivery of home-based and directly observed treatment for TB, an AIDS-prevention project was expanded to deliver HAART to a subset of HIV patients deemed most likely to benefit. The inclusion criteria and preliminary results are presented. We conclude that directly observed therapy (DOT) with HAART, "DOT-HAART", can be delivered effectively in poor settings if there is an uninterrupted supply of high-quality drugs.

    View details for Web of Science ID 000173184900010

    View details for PubMedID 11799447

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