ACR Meeting Abstracts

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  • Abstract Number: 1416 • 2018 ACR/ARHP Annual Meeting

    Risk Score of Macrophage Activation Syndrome in Patients with Systemic Juvenile Idiopathic Arthritis

    Simone Carbogno1, Denise Pires Marafon2, Giulia Marucci3, Manuela Pardeo3, Antonella Insalaco3, Virginia Messia3, Rebecca Nicolai3, Fabrizio De Benedetti4 and Claudia Bracaglia3, 1University of Milan, Milan, Italy, 2Pediatric Unit, Fondazione IRCCS Ca’ Grande Ospedale Maggiore Policlinico, Milan, Italy, 3Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, 4IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy

    Background/Purpose: Macrophage Activation Syndrome (MAS) is a severe, life-threatening, complication of rheumatic diseases in childhood, particularly of systemic Juvenile Idiopathic Arthritis (sJIA), occurring in approximately…
  • Abstract Number: 1417 • 2018 ACR/ARHP Annual Meeting

    Hemophagocytic Lymphohistiocytosis (HLH) Mimickers: CXCL9 As a Potential Biomarker Distinguishing HLH from Other Hyperferritinemic Syndromes

    Giulia Marucci1, Ivan Caiello2, Manuela Pardeo1, Virginia Messia1, Giusi Prencipe1, Antonia Pascarella1, Fabrizio De Benedetti3 and Claudia Bracaglia1, 1Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, 2Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy, 3IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy

    Background/Purpose: Increased ferritin is considered biomarker highly suggestive of primary and secondary HLH and it is one of the HLH-2004 diagnostic and MAS guidelines (1,2),…
  • Abstract Number: 1418 • 2018 ACR/ARHP Annual Meeting

    External Validation of the Autoinflammatory Disease Activity Index (AIDAI) in Patients with Colchicine-Resistant FMF, Hids/Mkd, and TRAPS: Results from a Pivotal, Phase 3 Trial of Canakinumab

    Isabelle Koné-Paut1, Maryam Piram2, Susanne Benseler3, Jasmin B. Kuemmerle-Deschner4, Annette F. Jansson5, Itzhak Rosner6, Alberto Tommasini7, Sara Murias8, Omer Karadag9, Jeremy Levy10, Serge Smeets11 and Fabrizio De Benedetti12, 1APHP, CHU de Bicêtre, University of Paris SUD, Paris, France, 2Pediatrics, APHP, CHU de Bicêtre, University of Paris SUD, Paris, France, 3Alberta Children's Hospital, Calgary, AB, Canada, 4Pediatrics, University Hospital Tübingen, Tübingen, Germany, 5Ludwig Maximilian University, Munich, Germany, 6Bnai-Zion Medical Center, Haifa, Israel, 7Department of Internal Medicine, Università Cattolica Sacro Cuore, Rome, Italy, 8Hospital Infantil La Paz, Madrid, Spain, 9Rheumatology, Hacettepe University, Faculty of Medicine, Ankara, Turkey, 10BIOP, Reinach, AR, Switzerland, 11Novartis Pharma B.V., Arnhem, Netherlands, 12IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy

    Background/Purpose: AIDAI is a novel and unique, validated patient (pt)-reported assessment tool to evaluate disease activity in familial Mediterranean fever (FMF), hyper-IgD syndrome/mevalonate kinase deficiency…
  • Abstract Number: 1419 • 2018 ACR/ARHP Annual Meeting

    Long-Term Outcome of 50 Patients with Linear Scleroderma Treated with  Methotrexate

    Giorgia Martini1, Gloria Fadanelli1, Anna Agazzi1, Fabio Vittadello1, Alessandra Meneghel2 and Francesco Zulian2, 1Department of Woman and Child Health, University of Padua, Padua, Italy, 2University of Padua, Department of Woman and Child Health, Padua, Italy

    Background/Purpose: Linear Scleroderma (LS) is the most common subtype of localized Scleroderma in children and the one most frequently associated with tissue damage and functional…
  • Abstract Number: 1420 • 2018 ACR/ARHP Annual Meeting

    Prospective Validation of Cone Beam Computed Tomography for the Assessment of Disease Progression in Linear Scleroderma of the Face

    Alessandra Meneghel1, Stefano Puggina2, Eleni Kamburi3, Giorgia Martini3, Fabio Vittadello3 and Francesco Zulian1, 1University of Padua, Department of Woman and Child Health, Padua, Italy, 2Unix Radiology Service, Affidea Group, Piove di Sacco, Italy, 3Department of Woman and Child Health, University of Padua, Padua, Italy

    Background/Purpose: Currently, the techniques used for the monitoring of Localized Scleroderma of the face (LSF) have significant limitations. We prospectively evaluated the reliability of the…
  • Abstract Number: 1421 • 2018 ACR/ARHP Annual Meeting

    Evaluating the Validity of SIX-Minute Walk Test in Juvenile Systemic Sclerosis

    Oya Koker1, Amra Adrovic2, Sezgin Sahin2, Kenan Barut2, Rukiye Omeroglu3 and Ozgur Kasapcopur4, 1Istanbul University, Istanbul Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey, 2Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey, 3Pediatric Rheumatology, Istanbul University, Istanbul Medical School, Department of Pediatric Rheumatology, istanbul, Turkey, 4Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey

    Background/Purpose: Pulmonary vascular disease and interstitial lung fibrosis are the leading causes of morbidity and mortality in Juvenile Systemic Sclerosis (JSSc). Six-minute walk test (6MWT)…
  • Abstract Number: 1422 • 2018 ACR/ARHP Annual Meeting

    Impact of Juvenile Localized Scleroderma on Longitudinal Quality of Life

    Vidya Sivaraman1, Kathryn S. Torok2, Melissa Moore-Clingenpeel3, Fatma Dedeoglu4, Polly Ferguson5, Elena Pope6, Thomas G. Mason II7, Mara L Becker8, Gloria Higgins9, C. Egla Rabinovich10, Sandy Hong11, Maria Ibarra12, Ronald M. Laxer13, Robert Fuhlbrigge14, Katie Stewart15, Marilynn Punaro16 and Suzanne Li17, 1Nationwide Children’s Hospital and The Ohio State University, Columbus, OH, 2Pediatric Rheumatology, University of Pittsburgh Med Ctr, Pittsburgh, PA, 3Research, Nationwide Children's Hospital, Dublin, OH, 4Rheumatology, Boston Children's Hospital, Boston, MA, 5Pediatrics, University of Iowa, Iowa City, IA, 6Section of Dermatology, The Hospital for Sick Children, Hospital for Sick Children, Toronto, ON, Canada, 7Division of Rheumatology - Department of Medicine, Mayo Clinic Rochester, Rochester, MN, 8Rheumatology, Children's Mercy Kansas City, Kansas City, MO, 9Pediatrics and Rheumatology, Nationwide Children's Hospital and The Ohio State University, Columbus, OH, 10Duke University Medical Center, Durham, NJ, 11Pediatrics-Rheumatology, U of Iowa Children's Hosp, Iowa City, IA, 12Children's Mercy Hospital, Kansas City, MO, Kansas City, MO, 13Div of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 14Children's Hospital Colorado, Aurora, CO, 15UT Southwestern, Dallas, TX, 16Texas Scottish Rite Hospital for Children, Dallas, TX, 17Pediatrics, Hackensack University Medical Center, Hackensack, NJ

    Background/Purpose: Juvenile localized scleroderma (jLS) is a chronic autoimmune disease, with cutaneous and extra-cutaneous manifestations (ECM) requiring long-term immunosuppressive therapy. Few studies have evaluated the…
  • Abstract Number: 1423 • 2018 ACR/ARHP Annual Meeting

    Autoantibody Testing in Pediatric Localized Scleroderma (LS)

    Aidan Porter1, Emily Mirizio2, Marvin J. Fritzler3, Rachael Brown4, May Choi3, Kaila Schollaert-Fitch5, Christopher Liu5 and Kathryn S. Torok6, 1Peds, University of Pittsburgh Med Ctr, Pittsburgh, PA, 2Peds Rheum, University of Pittsburgh Med Ctr, Pittsburgh, PA, 3Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 4Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 5University of Pittsburgh Med Ctr, Pittsburgh, PA, 6Pediatric Rheumatology, University of Pittsburgh Med Ctr, Pittsburgh, PA

    Background/Purpose: Pediatric localized scleroderma (LS) is typically categorized by the depth and extent of skin lesions into main subtypes: linear scleroderma, including linear trunk/limb and…
  • Abstract Number: 1424 • 2018 ACR/ARHP Annual Meeting

    After 24 Months Observation Period the Patients Related Outcomes Improve Significantly in the Juvenile Scleroderma Inceptions Cohorte

    Ivan Foeldvari1, Jens Klotsche2, Ozgur Kasapcopur3, Maria Teresa Terreri4, Tadey Avcin5, Rolando Cimaz6, Mikhail Kostik7, Maria M. Katsicas8, Dana Nemkova9, Cristina Battagliotti10, Lillemor Berntson11, Juergen Brunner12, Liora Harel13, Tilmann Kallinich14, Kirsten Minden15, Maria José Santos16, Kathryn S. Torok17 and Nicola Helmus1, 1Hamburg Center for Pediatric and Adolescent Rheumatology, Hamburg, Germany, 2Program Area Epidemiology, German Rheumatism Research Center, Berlin, Germany, 3Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey, 4Pediatric Rheumatology Unit, Federal University of São Paulo (UNIFESP - Universidade Federal de São Paulo), São Paulo, Brazil, 5University Children's Hospital, Ljubljana, Slovenia, 6Pediatrics, Ospedale Pediatrico Anna Meyer, Florence, Italy, 7Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russian Federation, 8Service of Immunology & Rheumatology., Hospital de Pediatría Prof Dr JP Garrahan, Buenos Aires, Argentina, 9Pediatric Rheumatology Unit, Department of Pediatrics and Adolescent Medicine, General University Hospital in Prague, Prague, Czech Republic, 10Hospital de Niños Dr Orlando Alasia, Santa Fé, Argentina, 11Dept. of Pediatrics, Uppsala University Hospital, Uppsala, Sweden, 12Division of Pediatric Rheumatology, Medical University Innsbruck, Innsbruck, Austria, 13Schneider Children's Medical Center of Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel, 14Charité Berlin Campus Virchow, Berlin, Germany, 15Charité–Universitätsmedizin Berlin, Berlin, Germany, 16Reuma.pt, Almada, Portugal, Almada, Portugal, 17Pediatric Rheumatology, University of Pittsburgh Med Ctr, Pittsburgh, PA

    Background/Purpose: Juvenile systemic scleroderma (jSSc) is an orphan disease with a prevalence 3 in a 1 000 000 children(1). Published data is limited regarding the…
  • Abstract Number: 1425 • 2018 ACR/ARHP Annual Meeting

    Update from the Juvenile Scleroderma Inception Cohort

    Ivan Foeldvari1, Jens Klotsche2, Ozgur Kasapcopur3, Amra Adrovic4, Kathryn S. Torok5, Valda Stanevicha6, Flavio Sztajnbok7, Maria Teresa Terreri8, Ekaterina Alexeeva9, Jordi Anton10, Maria M. Katsicas11, Vanessa Smith12, Tadey Avcin13, Rolando Cimaz14, Mikhail Kostik15, Thomas J. A. Lehman16, Walter A. Sifuentes-Giraldo17, Simone Appenzeller18, Mahesh Janarthanan19, Dana Nemkova20, Maria José Santos21, Cristina Battagliotti22, Lillemor Berntson23, Blanca Bica24, Juergen Brunner25, Patrícia Costa Reis26, Despina Eleftheriou27, Liora Harel28, Gerd Horneff29, Tilmann Kallinich30, Dragana Lazarevic31, Kirsten Minden32, Susan Mary Nielsen33, Yosef Uziel34 and Nicola Helmus1, 1Hamburg Center for Pediatric and Adolescent Rheumatology, Hamburg, Germany, 2Program Area Epidemiology, German Rheumatism Research Center, Berlin, Germany, 3Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey, 4Department of Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey, 5Pediatric Rheumatology, Scleroderma Center of Pittsburgh, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 6Pediatric cathedra, Riga Stradiņš University, Riga, Latvia, 7Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil, 8Pediatric Rheumatology Unit, Federal University of São Paulo (UNIFESP - Universidade Federal de São Paulo), São Paulo, Brazil, 9National Medical Research Center of Children's Health and Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russian Federation, 10Hospital Sant Joan de Deu, Barcelona, Spain, 11Service of Immunology & Rheumatology., Hospital de Pediatría Prof Dr JP Garrahan, Buenos Aires, Argentina, 12Department of Internal Medicine, Department of Rheumatology, Ghent University Hospital, Department of Internal Medicine, Ghent University, Ghent, Belgium, Ghent, Belgium, 13University Children's Hospital, Ljubljana, Slovenia, 14Pediatrics, Ospedale Pediatrico Anna Meyer, Florence, Italy, 15Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russian Federation, 16Pediatric Rheumatology, Hospital for Special Surgery Weill Cornell Medical College, New York, NY, 17Department of Rheumatology, University Hospital Ramón y Cajal, Madrid, Spain, 18Faculty of Medical Science State University of Campinas (UNICAMP), Sao Paulo, Brazil, 19Pediatric Rheumatology, Chennai, India, 20Pediatric Rheumatology Unit, Department of Pediatrics and Adolescent Medicine, General University Hospital in Prague, Prague, Czech Republic, 21Reuma.pt, Almada, Portugal, Almada, Portugal, 22Hospital de Niños Dr Orlando Alasia, Santa Fé, Argentina, 23Dept. of Pediatrics, Uppsala University Hospital, Uppsala, Sweden, 24"Chefe do Serviço de Reumatologia do Hospital Universitário Clementino Fraga Filho (HUCFF)Universidade Federal do Rio de Janeiro ", Rio de Janeiro, Brazil, 25Division of Pediatric Rheumatology, Medical University Innsbruck, Innsbruck, Austria, 26Pediatrics, Hospital De Santa Maria, Lisbon, Portugal, 27Infection, Inflammation and Rheumatology, UCL Institute of Child Health, London, United Kingdom, 28Schneider Children's Medical Center of Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel, 29Asklepios Kinderklinik St. Augustin GmbH, Sankt Augustin, Germany, 30Charité Berlin Campus Virchow, Berlin, Germany, 31Dept of Pediatric Rheumatology and Immunology Clinical Center Nis, Nis, Serbia, 32Children’s University Hospital Charite/German Rheumatism Research Centre Berlin, Berlin, Germany, 33Rigshospitalet, Copenhagen, Denmark, 34Meir Medical Center, Kfar Saba, Israel

    Background/Purpose: Juvenile systemic scleroderma (jSSc) is an orphan disease with a prevalence of 3 in 1 000 000 children(1). There is limited data published regarding…
  • Abstract Number: 1426 • 2018 ACR/ARHP Annual Meeting

    The Utilization of S100 Proteins Testing in Pediatric Rheumatology Patients in a Tertiary Care Institution and Implications for Care

    Najla Aljaberi1, Angela Merritt2, Alexei Grom1, Grant Schulert3, Jennifer L. Huggins4, Michael Henrickson5 and Hermine I. Brunner1, 1Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Pediatric Rheumatology, Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Rheumatology, Divisions of Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 4Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 5Cincinnati Children’s Medical Center, Cincinnati, OH

    Background/Purpose: S100 proteins are calcium-binding proteins of increasing value as biomarkers in various inflammatory conditions (e.g. autoinflammatory diseases, vasculitides, inflammatory bowel disease). The two highly…
  • Abstract Number: 1427 • 2018 ACR/ARHP Annual Meeting

    A New Model of Care for Pediatric Rheumatology in Ontario: Preliminary Results from Pilot Telemedicine Clinics Utilizing Advanced Clinician Practitioners in Arthritis Care

    Roberta Berard1, Susan MacQueen2, Michelle Diebold3, Y. Ingrid Goh4, Anne MacLeod5, Kristi Whitney-Mahoney6, Christine O'Brien6, Brian M. Feldman7 and Deborah M. Levy8, 1Pediatrics, Children's Hospital, London Health Sciences Centre, London, ON, Canada, 2The Arthritis Society, Kitchener, ON, Canada, 3Department of Rheumatology, Children's Hospital, London Health Sciences Centre, London, ON, Canada, 4Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada, 5The Arthritis Society, Thunder Bay, ON, Canada, 6The Hospital for Sick Children, Toronto, ON, Canada, 7Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 8Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada

    AbstractBackground/Purpose: Twenty-five pediatric rheumatologists (PR) service a population of 14 million Ontarians. To facilitate care to patients living in distance communities we proposed a new…
  • Abstract Number: 1428 • 2018 ACR/ARHP Annual Meeting

    Parental Involvement and Adolescents/Young Adults Self-Management during the Transition Period: A Cross-Sectional Survey in Childhood Onset Rheumatic Diseases

    Pauline Yi1, Hana Conlon2, Jae Hee Yun3, Kayla Neville2, George Danias2, Anca Askanase4 and Lisa F. Imundo5, 1Rheumatology, Columbia University College of Physicians & Surgeons, New York, NY, 2Rheumatology, Columbia University Medical Center, New York, NY, 3Medicine/Rheumatology, Columbia University, College of Physicians & Surgeons, New York, NY, 4Columbia University, College of Physicians & Surgeons, New York, NY, 5Pediatrics, Columbia University Medical Center, New York, NY

    Background/Purpose: A NIH focus group study found that adolescents and young adults (AYA) with active disease relied heavily on their parents for disease management. It…
  • Abstract Number: 1429 • 2018 ACR/ARHP Annual Meeting

    A Quality Update: Improved Transfer Time Among Rheumatology Patients Transferring from Pediatric to Adult Care at an Academic Medical Center

    Kimberly DeQuattro1, Michael Evans1, Aimee O. Hersh2, Jinoos Yazdany1, Emily von Scheven3 and Erica Lawson3, 1Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 2Pediatrics/Rheumatology, University of Utah, Salt Lake City, UT, 3Pediatrics/Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Transfer from pediatric- to adult-oriented health care is challenging for patients with childhood-onset rheumatologic disease, and may be associated with treatment non-adherence, disease flares…
  • Abstract Number: 1430 • 2018 ACR/ARHP Annual Meeting

    Research Priorities for Addressing Mental Health Needs of Pediatric Patients with Rheumatologic Disease

    Tamar Rubinstein1, Lindsay Waqar2, Jennifer Woo3, Ekemini Ogbu4, W. Blaine Lapin5, Lawrence Ng6, Erin Treemarcki7 and Andrea M. Knight8, 1Pediatric Rheumatology, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY, 2Children's Hospital of Philadelphia, Philadelphia, PA, 3University of California Los Angeles, Los Angeles, CA, 4Pediatrics, Emory University, Atlanta, GA, 5Baylor College of Medicine, Houston, TX, 6The Hospital for Sick Children, Toronto, ON, Canada, 7Hospital for Special Surgery Weill Cornell Medical College, New York, NY, 8Center for Pediatric Clinical Effectiveness & PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: Mental health problems are prevalent in pediatric rheumatology patients. Gaps in knowledge exist regarding the detection, effective treatment, and the impact of mental illness…
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