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  • Abstract Number: 2276 • 2018 ACR/ARHP Annual Meeting

    Risk of Hemorrhagic Strokes in Patients with Adenosine Deaminase 2 Deficiency

    Patrycja M. Hoffmann1, Amanda Ombrello1, Deborah L. Stone2, Dean Follmann3, Karyl Barron4, Anne Jones5, Tina Romeo1, Camilo Toro6, Ariane Soldatos7, Arielle Hay8, Qing Zhou9, Ivona Aksentijevich10 and Daniel L. Kastner5, 1NHGRI, National Institutes of Health, Bethesda, MD, 2Inflammatory Disease Section, NHGRI/NIH, Bethesda, MD, 3NIAID, Bethesda, MD, 4National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 5Inflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 6NIH Undiagnosed Diseases Program, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 7NINDS, National Institutes of Health, Bethesda, MD, 8Nicklaus Children’s Hospital, Miami, FL, 9China, 10Metabolic, Cardiovascular, and Inflammatory Disease Genomics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD

    Background/Purpose: Deficiency of adenosine deaminase 2 (DADA2) is an autosomal recessive condition characterized by recurrent fevers, early-onset ischemic strokes, livedo racemosa, polyarteritis nodosa, portal hypertension,…
  • Abstract Number: 2277 • 2018 ACR/ARHP Annual Meeting

    Colchicine: An Effective Treatment Option for Unclassified Autoinflammatory Diseases in Children

    Jasmin B. Kuemmerle-Deschner1, Anna Lena Schock2, Sandra Hansmann3 and Susanne Benseler4, 1Department of Pediatrics, Division of Rheumatology, University Hospital Tuebingen, Germany, Tuebingen, Germany, 2Department of Pediatrics, Division of Rheumatology, University Hospital Tuebingen, Tuebingen, Germany, Tuebingen, Germany, 3Department of Pediatrics, Division of Pediatric Rheumatology, University Hospital Tuebingen, Tuebingen, Germany, Tuebingen, Germany, 4Rheumatology, Department of Paediatrics, Alberta Children's Hospital, University of Calgary, Alberta, Canada, Calgary, AB, Canada

    Background/Purpose: Interleukin-1 (IL-1) inhibition was found to be an effective, yet very expensive treatment option for children with clinically and genetically defined autoinflammatory diseases (AID).…
  • Abstract Number: 2278 • 2018 ACR/ARHP Annual Meeting

    Cryopyrinopathy across Generations: Longterm Disease Outcome

    Sarka Fingerhutova1, Jana Franova2, Eva Hlavackova3, Eva Jancova4, Leona Prochazkova5, Marketa Tesarova6 and Pavla Dolezalová7, 1Paediatric Rheumatology Unit, General University Hospital in Prague and 1st Faculty of Medicine, Charles University, General University Hospital in Prague and 1st Faculty of Medicine, Prague, Czech Republic, 2Department of Paediatric Rheumatology, University Hospital Brno, Brno, Czech Republic, Brno, Czech Republic, 3Department of Allergology and Immunology, St Ann´s Hospital Brno, University Hospital, Brno, Czech Republic, Brno, Czech Republic, 4Department of Nephrology, General University Hospital in Prague and 1st Faculty of Medicine, Prague, Czech Republic, 5Department of Rheumatology, St Ann´s Hospital Brno, University Hospital, Brno, Czech Republic, Brno, Czech Republic, 6Laboratory for study of Mitochondrial Disorders, Department of Paediatrics and Adolescent Medicine, General University Hospital and 1st Faculty of Medicine, Charles University, Prague, Czech Republic, Prague, Czech Republic, 7Pediatric Rheumatology Unit, Department of Pediatrics and Adolescent Medicine, General University Hospital in Prague, Prague, Czech Republic

    Background/Purpose: Cryopyrinopathies are autoinflammatory disorders (AID) caused by mutations of NLRP3 gene that lead to interleukin-1 (IL-1) overproduction with the clinical picture of periodic fever.…
  • Abstract Number: 2279 • 2018 ACR/ARHP Annual Meeting

    Therapeutic Value of Canakinumab in Patients with Yao Syndrome

    Qingping Yao, Rheumatology, Allergy and Immunology, Stony Brook University Hospital, Stony Brook, NY; Rheumatology, Allergy, and Immunology, Stony Brook University School of Medicine, Stony Brook, NY

    Background/Purpose: Yao syndrome (YAOS, OMIM 617321), formerly termed nucleotide-binding, oligomerization domain 2(NOD2)-associated autoinflammatory disease, is characterized by periodic fever, dermatitis, arthritis, and swelling of the…
  • Abstract Number: 2280 • 2018 ACR/ARHP Annual Meeting

    Transcriptomic Analysis of Hidradenitis Suppurativa Skin Demonstrates Dysregulation of Antimicrobial Proteins and Inflammatory Pathways

    Victoria Shanmugam1, Derek Jones2, Matthew Bendall3 and Keith Crandall4, 1Rheumatology, The George Washington University, Washington, DC, 2The George Washington University, Washington, DC, 3Department of Microbiology, Immunology and Tropical Medicine, The George Washington University, Washington, DC, 4Department of Biology, The George Washington University, Washington, DC

    Background/Purpose: Hidradenitis suppurativa (HS) is a chronic, recurrent, inflammatory disease of the apocrine sweat glands. The purpose of the current study was to identify transcripts…
  • Abstract Number: 2281 • 2018 ACR/ARHP Annual Meeting

    Treatment Choices and Response Rates of SAPHO Syndrome: Single Center Case Series

    Abdulsamet Erden1, Mustafa Ekici2, Alper Sari3, Berkan Armagan3, Levent Kilic3, Sule Apras Bilgen1, Ali Akdogan1, Omer Karadag1, Sedat Kiraz3 and Ihsan Ertenli1, 1Rheumatology, Hacettepe University, Faculty of Medicine, Ankara, Turkey, 2Hacettepe University Faculty of Medicine, Ankara, Turkey, 3Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Background/Purpose: SAPHO Syndrome is a chronic disease with bone, joint and skin involvement characterized by synovitis, acne, pustulosis, hyperostosis, osteitis. Treatment decisions of SAPHO syndrome…
  • Abstract Number: 2282 • 2018 ACR/ARHP Annual Meeting

    Measurement of the Pro-Coagulant Activity of Microparticles in Patients with Inflammatory Rheumatic Diseases: Prospective Study

    Christine Mekhail1, Xavier Guillot2, Clément Prati3, Philippe Saas4, Guillaume Mourey5 and Daniel Wendling6, 1Rheumatology, CHRU, Besançon, France, 2PEPITE EA 4267, Bourgogne-Franche-Comté university, Besançon, France, 3Rheumatology, University Hospital - Bourgogne Franche Comté University, Besancon, France, 4INSERM UMR1098, Besançon university hospital, Besançon, France, 5EFS, Besançon, France, 6Rheumatology, University Hospital - Bourgogne Franche Comté University, Besançon, France

    Background/Purpose: Microparticles (MPs) are small membrane-bound vesicles that arise from activated and dying cells. Although the majority of MPs in the blood originate from platelets,…
  • Abstract Number: 2283 • 2018 ACR/ARHP Annual Meeting

    Incidental Steroid Use May Worsen Outcomes in Patients with Heparin Induced Thrombocytopenia in the ICU Setting

    Roy Souaid1 and Connie Lu2, 1Internal medicine, Brown University, Providence, RI, 2Medical school, Brown university, Providence, RI

    Background/Purpose: Heparin induced thrombocytopenia (HIT) is the destruction of platelets in patients exposed to heparin products. While there are two types of HIT, the term…
  • Abstract Number: 2284 • 2018 ACR/ARHP Annual Meeting

    Safety and Efficacy of Lenabasum in Refractory Skin-Predominant Dermatomyositis Subjects Treated on an Open-Label Extension of Trial JBT101-DM-001

    Victoria P. Werth1,2, David Pearson1,2, Joyce Okawa1,2, Rui Feng3, Josef Concha1,2, Basil Patel1,2, Emily Hejazi1,2, Caitlin Cornwall4, Scott Constantine4 and Barbara White4, 1University of Pennsylvania, Philadelphia, PA, 2Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, 3University of Pennsylvania, Philadelphia', PA, 4Corbus Pharmaceuticals, Inc., Norwood, MA

    Background/Purpose: Lenabasum is a synthetic, non-immunosuppressive, selective cannabinoid receptor type 2 agonist that activates resolution of innate immune responses. Lenabasum had acceptable safety and tolerability…
  • Abstract Number: 2285 • 2018 ACR/ARHP Annual Meeting

    Factors Associated with Corticosteroid Discontinuation, Complete Clinical Response and Remission in Patients with Juvenile Dermatomyositis

    Takayuki Kishi1,2, William Warren-Hicks3, Nastaran Bayat1, Ira Targoff4, Terri H Finkel5, Ellen Goldmuntz6, Michael Henrickson7, Bianca Lang8, Andrew Mammen9, Lauren M. Pachman10, Murray Passo11, Terrance P. O'Hanlon1, Frederick W. Miller1, Michael Ward9 and Lisa G. Rider1, 1Environmental Autoimmunity Group, National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, MD, 2Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan, 3EcoStat, Inc., Mebane, NC, 4VA Medical Center, University of Oklahoma Health Sciences Center and Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Department of Pediatrics, Nemours Children's Health System/ Nemours Children's Hospital, Orlando, FL, 6NIAID, NIH, Bethesda, MD, 7Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 8Department of Pediatrics, IWK Health Centre and Dalhousie University, Halifax, NS, Canada, 9National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 10Cure JM Program of Excellence in Juvenile Myositis Research, Stanley Manne Children’s Research Institute, affiliated with Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, 11Division of Rheumatology PTD, Medical University of South Carolina, Charleston, SC

    Background/Purpose: We examined patients in a large juvenile dermatomyositis (JDM) registry for frequency of and factors associated with final corticosteroid discontinuation (Steroid DC), complete clinical…
  • Abstract Number: 2286 • 2018 ACR/ARHP Annual Meeting

    Myositis and Fasciitis By Magnetic Resonance Imaging in Recent-Onset Polymyalgia Rheumatica and Effect of Tocilizumab Therapy

    Jean Patrick Laporte1, Florent Garrigues2, Anais Huwart2, Sandrine Jousse-Joulin3, Thierry Marhadour1, Dewi Guellec3, Divi Cornec4, Valérie Devauchelle-Pensec3 and Alain Saraux3, 1CHU Brest, Brest, France, 2Radiology, CHU Brest, Brest, France, 3Rheumatology, CHU Brest, Brest, France, 4Rheumatology and UMR1227, Lymphocytes B et Autoimmunité, CHU Brest, Brest, France

    Background/Purpose: To assess the prevalence of myofascial inflammatory lesions visible by magnetic resonance imaging (MRI) and their changes after tocilizumab therapy in active polymyalgia rheumatica…
  • Abstract Number: 2287 • 2018 ACR/ARHP Annual Meeting

    Interim Results of an Open-Label Study Assessing Efficacy and Safety of Adrenocorticotropic Hormone Gel for Treatment of Refractory Cutaneous Manifestations of Dermatomyositis

    Anthony Fernandez, Dermatology and Pathology, Cleveland Clinic, Cleveland, OH

    Background/Purpose: Cutaneous dermatomyositis (DM) is often refractory to multiple medications, suggesting better treatments are needed.  Adrenocorticotropic hormone gel is a repository corticotropin injection that is…
  • Abstract Number: 2288 • 2018 ACR/ARHP Annual Meeting

    Preexisting Anti-Acetylcholine Receptor Autoantibodies and B Cell Lymphopenia Are Associated with the Development of Myositis in Thymoma Patients Treated with Avelumab, an Immune Checkpoint Inhibitor Targeting Programmed Death-Ligand 1

    Andrew Mammen1, Arun Rajan2, Katherine Pak1, Tanya Lehky3, Livia Casciola-Rosen4, Renee Donahue2, Lauren Lepone2, Anastasia Zekeridou5, Sean Pittock5, Raffit Hassan2, Jeffrey Schlom2 and James Gulley2, 1National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 2NCI, NIH, Bethesda, MD, 3NINDS, NIH, Bethesda, MD, 4Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 5Neurology, Mayo Clinic, Rochester, MN

    Background/Purpose: Immune checkpoint inhibitors (ICIs) enhance the immune response against tumors but may also trigger immune-related adverse events (IRAEs). Myositis following receipt of ICIs is…
  • Abstract Number: 2289 • 2018 ACR/ARHP Annual Meeting

    Granulomatous Myositis: Heterogeneity and Response to Treatment

    Yannick Dieudonné1, Yves Allenbach2, Olivier Benveniste3, Sarah Leonard-louis4, Baptiste Hervier2, Kuberaka Mariampillai3, Beatrice Lannes5, Daniel Wendling6, Christan Von Frenckell7, Nicolas Poursac8, Emmanuel Mortier9, Christian Lavigne10, Olivier Hinschberger11, Julie Magnant12, Bernard Geny13, Jean Sibilia14 and Alain Meyer15, 1Département d’Immunologie Clinique et Médecine Interne, Centre de Référence des Maladies Auto-immunes Rares, Hôpitaux Universitaires de Strasbourg, STRASBOURG, France, 2Department of Internal Medicine and Clinical Immunology and Inflammation-Immunopathology-Biotherapy Department (I2B), Pitié-Salpêtrière University Hospital, Assistance Publique-Hôpitaux de Paris, East Paris Neuromuscular Diseases Reference Center, Paris, France, 3Département de Médecine Interne et Immunologie Clinique, Centre de Référence des Maladies Neuro-Musculaires Paris Est, Assistance Publique – Hôpitaux de Paris (AP-HP), Hôpital Universitaire Pitié-Salpêtrière, Paris, France, 4Département de Neuropathologie, Centre de Référence des Maladies Neuro-Musculaires Paris Est, Assistance Publique – Hôpitaux de Paris (AP-HP), Hôpital Universitaire Pitié-Salpêtrière, Paris, France, 5Département de Pathologie, Hôpitaux Universitaires de Strasbourg, STRASBOURG, France, 6Rheumatology, University Hospital - Bourgogne Franche Comté University, Besançon, France, 7Département de Rhumatologie, Hôpital Universitaire Sart-Tilman, Liège, Belgium, 89Departement de Rhumatologie, Hôpital Universitaire de Bordeaux, Bordeaux, France, 9Departement de Médicine Interne, Hôpital Universitaire Louis Mourier, Colombes, France, 10Departement de Médicine Interne et Maladies Vasculaires, Hopital Universitaire d'Angers, Angers, France, 11Departement de Médicine Interne, Hôpital Emile Muller, Mulhouse, France, 12Departement de Médicine Interne, Hôpital Universitaire de Tours, Tours, France, 13Institut de Physiologie EA 3072, Service de Physiologie et d’Explorations Fonctionnelles, Hôpitaux Universitaires de Strasbourg, Strasbourg, France, 14Département de Rhumatologie, Centre de Référence des Maladies Auto-immunes Rares, Hôpitaux Universitaires de Strasbourg, Strasbourg, France, 1515Département de Rhumatologie, Centre de Référence des Maladies Auto-immunes Rares, Hôpitaux Universitaires de Strasbourg, Strasbourg, France

    Background/Purpose: Granuloma in the muscle can be found in patients with myopathy. This finding has alternatively been interpreted as either sarcoid myopathy or other myositis…
  • Abstract Number: 2290 • 2018 ACR/ARHP Annual Meeting

    Long Term Follow-up Results of Myositis Patients Treated with H. P. Acthar Gel

    Didem Saygin1, Galina Marder2, Chester V. Oddis3, Siamak Moghadam-Kia4, Preeya Nandkumar5, Zengbiao Qui6, Diane Koontz7 and Rohit Aggarwal8, 1Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, 2Rheumatology, Northwell Health, Manhasset, NY, 3Division of Rheumatology and Clinical Immunology, Department of Medicine, Unviersity of Pittsburgh/University of Pittsburgh Medical Center, Pittsburgh, PA, 4Rheumatology, University of Pittsburgh, Pittsburgh, PA, 5Department of Medicine-- Division of Rheumatology, Northwell Health, GREAT NECK, NY, 6Rheumatology, University of Pittsburgh Medical Center, Pittsburgh, PA, 7Internal Medicine Division of Rheumatology, University of Pittsburgh, Pittsburgh, PA, 8Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh/University of Pittsburgh Medical Center, Pittsburgh, PA

    Background/Purpose: Although HP Acthar gel is a purified, injectable formulation of full-length adrenocorticotropic hormone approved by the FDA for use in myositis, peer-reviewed data is…
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