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  • Abstract Number: 1738 • 2019 ACR/ARP Annual Meeting

    Tracking Whole-Brain Volumetric Trends in Childhood-onset Systemic Lupus Erythematosus Patients in the Clinical Setting by Magnetic Resonance Imaging

    Hermine Brunner1, Arjun Mathur 2, William O'Brien 3 and Mark DiFrancesco 3, 1Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: The course of childhood-onset Systemic Lupus Erythematosus (cSLE) commonly includes neurocognitive dysfunction, a manifestation with poor prognosis. It has been challenging to diagnose and…
  • Abstract Number: 1739 • 2019 ACR/ARP Annual Meeting

    Kawasaki Disease Shock Syndrome – More Common Than We Think: Our Experience at Chandigarh, North India

    RAKESH KUMAR1, Himanshi Chaudhary 1, Manphool Singhal 2 and Surjit Singh 1, 1Allergy Immunology Unit, Department pf Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India, 2Department of Radiodiagnosis and Imaging, PGIMER, Chandigarh, India

    Background/Purpose: Approximately 5% patients with Kawasaki disease (KD) can present with cardiovascular collapse-the KD Shock Syndrome (KDSS). This is an unusual presentation of KD and…
  • Abstract Number: 1740 • 2019 ACR/ARP Annual Meeting

    Orange Brown Chromonychia in Kawasaki Disease: A Clinical Sign That Merits Greater Attention

    RAKESH KUMAR1, Ankur Kumar Jindal 2, Himanshi Chaudhary 1 and Surjit Singh 1, 1Allergy Immunology Unit, Department pf Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India, 2Allergy Immunology Unit, Department pf Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigaarh, India

    Background/Purpose: Background: Peripheral signs in Kawasaki disease (KD) include erythematous swelling of hands and feet during acute phase, periungual desquamation and Beau’s lines on nails…
  • Abstract Number: 1741 • 2019 ACR/ARP Annual Meeting

    Depression and Anxiety Symptoms in Childhood-Onset Systemic Lupus Erythematosus

    Kate Neufeld1, Frank Silverio 2, Lawrence Ng 3, Ashley Danguecan 4, Daniela Dominguez 3, Reva Schachter 2, Michelle Quilter 5, Julie Couture 6, Daphne Korczak 7, Deborah Levy 8, Linda Hiraki 9, Earl D. Silverman 10 and Andrea Knight 11, 1Division of Rheumatology, The Hospital For Sick Children, University of Toronto, Toronto, Canada, 2The Hospital for Sick Children, Toronto, Canada, 3Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada, 4Division of Rheumatology and Dept of Psychology, The Hospital For Sick Children, Toronto, Canada, 5Department of Psychiatry,The Hospital For Sick Children, Toronto, Canada, 6The Hospital for Sick Children, Montreal, Canada, 7Dept of Psychiatry, SickKids and Dept of Psychiatry, University of Toronto, Toronto, Canada, 8Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 9Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, Canada, 10Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Translational Medicine, Research Institute, The Hospital for Sick Children, Toronto, Canada, 11Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Depression and anxiety disorders are common in patients with childhood-onset systemic lupus erythematosus (cSLE). It is unclear if they are due to central nervous…
  • Abstract Number: 1742 • 2019 ACR/ARP Annual Meeting

    Ethnicity and Neonatal Lupus Erythematosus Manifestations Risk in a Large Multi-Ethnic Cohort

    Talia Diaz1, Daniela Dominguez 1, Edgar Jaeggi 2, Andrea Knight 3, Carl A. Laskin 4, Lawrence Ng 1, Franklin Silverio 1, Earl D. Silverman 5 and Linda Hiraki 6, 1Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada, 2Fetal Cardiac Program, The Hospital for Sick Children, Toronto, Canada, 3Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Toronto, ON, Canada, 4Mount Sinai Hospital, University of Toronto, Toronto, Canada, 5Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Translational Medicine, Research Institute, The Hospital for Sick Children, Toronto, Canada, 6Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, Canada

    Background/Purpose: Neonatal Lupus Erythematosus (NLE) is an acquired autoimmune disorder of newborns secondary to the transplacental passage of maternal anti-Ro/La antibodies. Prior studies have suggested…
  • Abstract Number: 1743 • 2019 ACR/ARP Annual Meeting

    Kawasaki Disease: Is Intravenous Immunoglobulin Alone Adequate for the Child with Kawasaki Disease and Coronary Artery Lesions? A Retrospective Study of 65 Children with Kawasaki Disease from a Single North Indian Centre

    Manjari Agarwal 1, Sumidha Mittal 1, Anju Singh 1, Neeraj Agarwal 2 and Sujata Sawhney1, 1Department of pediatric rheumatology, Sir Ganga Ram Hospital, New Delhi, India, New Delhi, India, 2Sir Gangaram Hospital, New delhi, India

    Background/Purpose: Steroid use in Kawasaki disease (KD)is  controversial and has swung from contraindicated, to maybe &  now perhaps “should be given to all.”(1) Currently, standard…
  • Abstract Number: 1744 • 2019 ACR/ARP Annual Meeting

    Serum Sickness Following Rituximab Treatment of Childhood-Onset SLE: A Single Center Experience

    Ugo Awa1, Marietta De Guzman 2 and Eyal Muscal 3, 1Baylor College of Medicine/Texas Children's Hospital, Houston, 2Baylor College of Medicine/Texas Children's Hospital, Houston, TX, 3Baylor College of Medicine, Houston, TX

    Background/Purpose: Childhood-onset SLE (cSLE) is an autoimmune disease characterized by multiorgan involvement often necessitating a variety of immunolytic and immunomodulatory therapies to achieve adequate disease…
  • Abstract Number: 1745 • 2019 ACR/ARP Annual Meeting

    Exercise Improves Arterial Inflammation in Childhood-onset Takayasu Arteritis: A Randomized Controlled Trial

    Camilla Astley1, Gleice Clemente 2, Maria Teresa Terreri 3, Camila Carneiro 4, Marcos lima 4, Carlos Buchpiguel 4, Hilton Leão Filho 4, Fernanda Lima 1, Ana Lúcia Sá-Pinto 1, Clovis Silva 5, Nadia Aikawa 6, Saulo Gil 1, Hamilton Roschel 1, Rosa Pereira 7 and Bruno Gualano 1, 1Division of Rheumatology, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, sao paulo, Sao Paulo, Brazil, 2ivision of Paediatric Rheumatology, Departament of Paediatrics, Universidade Federal de São Paulo, sao paulo, Sao Paulo, Brazil, 3Pediatric Rheumatology Unit, Universidade Federal de São Paulo, São Paulo, Brazil, 4Nuclear Medicine Institute, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, sao paulo, Sao Paulo, Brazil, 5Pediatric Rheumatology Unit, Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo (HCFMUSP), Sao Paulo, Brazil., Sao Paulo, Brazil, 6Rheumatology Division, Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo (HCFMUSP), Sao Paulo, Brazil., Sao Paulo, Brazil, 7Faculdade de Medicina da Universidade de Sao Paulo, São Paulo, Sao Paulo, Brazil

    Background/Purpose: Childhood-onset Takayasu Arteritis (c-TA) is a rare primary systemic vasculitis that affects aorta and its major branches. This condition is associated with reduced wall…
  • Abstract Number: 1746 • 2019 ACR/ARP Annual Meeting

    Identifying Additional Risk Factors for Arterial and Venous Thrombosis Among Pediatric Antiphospholipid Antibodies Carriers

    Elizabeth Sloan1, Tracey Wright 1 and Yu Zuo 2, 1University of Texas Southwestern, Texas Scottish Rite Hospital for Children, Children's Health, Dallas, TX, 2University of Texas Southwestern, Dallas, TX

    Background/Purpose: Antiphospholipid antibodies (aPL) have been extensively reported in children; however, research on thrombotic risks associated with aPL among pediatric patients is scarce. Positive aPL…
  • Abstract Number: 1747 • 2019 ACR/ARP Annual Meeting

    Practice Variations in Treatment of Pediatric Anti-neutrophil Cytoplasmic Antibody (ANCA)-associated Vasculitis (AAV) with Renal Disease

    Audrea Chen1, Cherry Mammen 1, Jaime Guzman 2, David Cabral 2 and Kimberly Morishita 1, 1BC Children's Hospital, Vancouver, BC, Canada, 2University of British Columbia, Vancouver, BC, Canada

    Background/Purpose: Renal disease is common in ANCA-associated vasculitis (AAV) and one of the goals of early treatment is to maximize renal function recovery. Corticosteroids are…
  • Abstract Number: 1748 • 2019 ACR/ARP Annual Meeting

    Incidence of Retinopathy in Individuals Who Initiated Hydroxychloroquine Therapy During Childhood

    Sara Patrizi1, Douglas Stram 2, Miranda Weintraub 3 and Alexandra Aminoff 1, 1Kaiser Permanente, Department of Pediatrics, Oakland, 2Kaiser Permanente Northern California, Division of Research, Oakland, 3Kaiser Permanente, Department of Graduate Medical Education, Oakland

    Background/Purpose: Hydroxychloroquine (HCQ), a medication used to treat Systemic Lupus Erythematosus (SLE), Discoid Lupus Erythematosus (DLE) and Sjogren’s Syndrome (SS), reduces disease flare-ups, organ damage,…
  • Abstract Number: 1749 • 2019 ACR/ARP Annual Meeting

    Improving Eye Screening Among Pediatric Rheumatology Patients Receiving Hydroxychloroquine: Experience of a Quaternary Care Center

    Ohoud AlAhmed1, Amanda Way 2, Shoghik akoghlanian 2, Fatima Barbar-Smiley 2, Stephanie Lemle 2, Darby MacDonald 2, Kelly Wise 2, Stacy Ardoin 2 and Vidya Sivaraman 3, 1Nationwide Children's Hospital, Columbu, OH, 2Nationwide Children's Hospital, Columbus, OH, 3Nationwide Children's Hospital and The Ohio State University, Columbus, OH

    Background/Purpose: Hydroxychloroquine (HCQ) is commonly used in the treatment of autoimmune diseases. However, its use is associated with progressive irreversible retinal damage and vision loss…
  • Abstract Number: 1750 • 2019 ACR/ARP Annual Meeting

    Pediatric Sjögren Syndrome: A Single-Center Experience

    Rachel Randell1 and Heather Van Mater 1, 1Duke University, Durham, NC

    Background/Purpose: Sjögren syndrome (SS) is a chronic autoimmune disease of exocrine gland dysfunction that affects up to 4 million adults in the United States. Children…
  • Abstract Number: 1751 • 2019 ACR/ARP Annual Meeting

    A Systematic Literature Review of Efficacy and Safety of Biologic Agents for the Treatment of Juvenile Dermatomyositis

    edoardo marrani1, Sarah Abu Rumeileh 1, Francesca Tirelli 2, Ilaria Maccora 3 and Gabriele Simonini 4, 1Post graduate School of pediatrics, University of Florence, Firenze, Italy, 2Post Graduate School of Pediatrics, University of Florence, Florence, Italy, Firenze, Italy, 3Post Graduate School of Pediatrics, University of Florence, Florence, Italy, Florence, Toscana, Italy, 4Anna Meyer Children's Hospital, Flotence, Italy

    Background/Purpose: Juvenile dermatomyositis (JDM) is a rare, chronic autoimmune illness characterized by symmetric, proximal muscle damages and involvement of the skin. While first line treatment…
  • Abstract Number: 1752 • 2019 ACR/ARP Annual Meeting

    Is Early Standardized Rituximab Therapy Sufficient for Toddlers with NMDAR Encephalitis?

    Hitha Amin1, Mered Parnes 1, Christian Niedzwecki 2, Sarah Risen 1 and Eyal Muscal 3, 1BCM, child neurology, houston, TX, 2BCM, Physical medicine and rehabilitation, houston, TX, 3Baylor College of Medicine, Houston, TX

    Background/Purpose: Anti-NMDAR encephalitis may be more prevalent than some forms of viral encephalitis in children. Pediatric rheumatologists are called upon to assist in the diagnosis…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

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