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  • Abstract Number: 131 • 2017 Pediatric Rheumatology Symposium

    Balancing JAK/STAT-signaling with tofacitinib may foster anti-inflammatory functions of human monocytes

    Friederike Cordes1, Eva Lenker2, Toni Weinhage2, Georg Varga2 and Dirk Foell3, 1Gastroenterology, Internal Medicine, University of Muenster, Muenster, Germany, 2Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 3Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany

    Background/Purpose: Monocytes are bridging natural and acquired immunity. Information about JAK signaling in monocytes is scarce especially in an inflammatory milieu. JAK-inhibition is a promising…
  • Abstract Number: 71 • 2017 Pediatric Rheumatology Symposium

    Consensus-based diagnostic approach to systemic juvenile idiopathic arthritis in Germany

    Claas Hinze1, Dirk Holzinger1, Elke Lainka2, Johannes Peter Haas3, Tilmann Kallinich4, Ulrich Neudorf2, Helmut Wittkowski1, Gerd Horneff5, Dirk Foell6 and PRO-KIND study group on SJIA, 1Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 2University of Essen, Essen, Germany, 3Center for Pediatric and Adolescent Rheumatology Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany, 4Charite, University Medicine Berlin, Berlin, Germany, 5Asklepios Klinik Sankt Augustin GmbH, Sankt Augustin, Germany, 6Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany

    Background/Purpose: Systemic juvenile idiopathic arthritis (SJIA) is currently classified by the International League of Associations for Rheumatology (ILAR) classification criteria. It is characterized by severe…
  • Abstract Number: 98 • 2017 Pediatric Rheumatology Symposium

    Contraceptive use, Counseling given and the Occurrence of Venous Thrombus Embolism in Adolescent Systemic Lupus Erythematosus

    Martha Curry1, Jennifer Kurkowski2, Jane Geyer3, Julie Hakim3, Haleh Sangi4 and Marietta deGuzman5, 1Pediatric Immunology, Allergy and Rheumatology, Baylor College of Medicine, Houston, TX, 2Baylor College of Medicine, Division Pediatric and Adolescent Gynecology, Houston, TX, 3Baylor College of Medicine, Division of Pediatric and Adolescent Gynecology, Houston, TX, 4Baylor College of Medicnine,Division of Pediatric and Adolescent Gynecology, Houston, TX, 5Baylor College of Medicine, Division of Pediatric Rheumatology, Houston, TX

    Background/Purpose: According to the Center for Disease Control, 46.8% of high school students surveyed in 2013 have been sexually active. Of those surveyed 34% had…
  • Abstract Number: 42 • 2017 Pediatric Rheumatology Symposium

    Evaluation of a Dosing Regimen for Tocilizumab in Patients Younger Than Two Years of Age With Systemic Juvenile Idiopathic Arthritis

    Navita L. Mallalieu1, Joy Hsu1, Karen Wang1, Sunethra Wimalasundera2, Chris Wells2, Inmaculada Calvo Penades3, Rubén J. Cuttica4, Hans-Iko Huppertz5, Rik Joos6, Yukiko Kimura7, Diana Milojevic8, Margalit Rosenkranz9, Kenneth Schikler10, Tamas Constantin11 and Carine Wouters12, 1Roche Innovation Center, New York, NY, 2Roche Products Ltd., Welwyn Garden City, United Kingdom, 3Hospital Universitario y Polytécnico La Fe, Valencia, Spain, 4Hospital General de Niños Pedro de Elizalde, Buenes Aires, Argentina, 5Professor Hess Children's Hospital, Bremen, Germany, 6ZNA Jan Palfijn Antwerpen, Antwerp, Belgium, 7Hackensack University Medical Center, Hackensack, NJ, 8Tufts Medical Center, Boston, MA, 9Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 10University of Louisville Hospital, Louisville, KY, 11Semmelweis University, Budapest, Hungary, 12University Hospital Gasthuisberg, Leuven, Belgium

    Background/Purpose: Tocilizumab (TCZ) is approved for the treatment of systemic juvenile idiopathic arthritis (sJIA) based on clinical trials in patients ≥2 years of age. This…
  • Abstract Number: 88 • 2017 Pediatric Rheumatology Symposium

    Clinical Features and Frequency of Biologic use in Patients with Juvenile Dermatomyositis-associated Calcinosis

    Amir Orandi1, Vikas Dharnidharka2, Noor Al-Hammadi3 and Kevin Baszis1, 1Pediatric Rheumatology, Washington University in St. Louis School of Medicine, Saint Louis, MO, 2Pediatric Nephrology, Washington University in St. Louis School of Medicine, Saint Louis, MO, 3Division of Biostatistics, Washington University in St. Louis School of Medicine, St Louis, MO

    Background/Purpose: Calcinosis develops in an estimated 40% of patients with Juvenile Dermatomyositis (JDM). Conflicting studies have not definitively identified actionable risk factors or demonstrated that…
  • Abstract Number: 130 • 2017 Pediatric Rheumatology Symposium

    Validation of MRP8/14 serum levels as biomarker for the diagnosis of systemic juvenile idiopathic arthritis in fever of unknown origin

    Dirk Holzinger1, Carolin Pretzer2, Maria Miranda-Garcia2,3, Hans Huppertz4, Gerd Horneff5, Johannes Peter Haas6, Gerd Ganser7, Jasmin B. Kuemmerle-Deschner8, Michael Frosch9, Johannes Roth10 and Dirk Foell2, 1Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 2Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 3Federal Institute for Vaccines and Biomedicines, Paul-Ehrlich-Institute, Langen, Germany, 4Prof Hess Children’s Hospital Bremen, Bremen, Germany, 5Department of Pediatrics, Asklepios Clinics St. Augustin, Sankt Augustin, Germany, 6Centre for Pediatric Rheumatology Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany, 7Pediatric Rheumatology, Sankt Josef Stift Sendenhorst, Sendenhorst, Germany, 8Pediatrics, University Hospital Tuebingen, Tuebingen, Germany, 9Pediatric Pain Centre,, Children's and Adolescents' Hospital Datteln, Datteln, Germany, 10Institute of Immunology, University of Muenster, Muenster, Germany

    Background/Purpose: The differential diagnosis of fever of unknown origin (FUO) is a major challenge in pediatrics especially for differentiation of systemic-onset juvenile idiopathic arthritis (SJIA)…
  • Abstract Number: 46 • 2017 Pediatric Rheumatology Symposium

    Long-term Efficacy and Safety of Adalimumab in Pediatric Patients with Enthesitis Related Arthritis

    Rubén Burgos-Vargas1, Shirley M.L. Tse2, Gerd Horneff3, Kristina Unnebrink4 and Jaclyn K. Anderson5, 1Hospital General de Mexico, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico, 2University of Toronto, The Hospital for Sick Children, Toronto, ON, Canada, 3Asklepios Klinik Sankt Augustin, Sankt Augustin, Germany, 4AbbVie Deutschland GmbH & Co. KG, Ludwigshafen, Germany, 5AbbVie Inc., North Chicago, IL

    Background/Purpose:  Enthesitis-related arthritis (ERA) is a JIA category primarily affecting entheses and peripheral joints but can involve the axial skeleton. Disease activity and structural change…
  • Abstract Number: 134 • 2017 Pediatric Rheumatology Symposium

    Akkermansia Muciniphila May Be Permissive to Arthritis in the K/BxN Mouse Model of Arthritis

    Matthew L. Stoll1, Casey D Morrow2, Pamela Weiss3, Jennifer E. Weiss4, Lennard W. Duck5, Charles O. Elson6, Randy Q. Cron7, Elliot J. Lefkowitz8, Ranjit Kumar9 and Trenton R. Schoeb10, 1Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 2Cell, Developmental, and Integrative Biology, University of Alabama at Birmingham, Birmingham, AL, 3Division of Rheumatology, Center for Pediatric Clincial Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, 4Hackensack Univ Med Ctr, Hackensack, NJ, 5Medicine, University of Alabama at Birmingham, Birmingham, AL, 6Dept of Medicine, University of Alabama at Birmingham, Birmingham, AL, 7University of Alabama at Birmingham, Birmingham, AL, 8Microbiology, University of Alabama at Birmingham, Birmingham, AL, 9Center for Clinical and Translational Sciences, University of Alabama at Birmingham, Birmingham, AL, 10Genetics and Comparative Pathology Laboratory, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose:  Studies have identified abnormalities in the microbiota of patients with arthritis. To evaluate the pathogenicity of human microbiota, we performed fecal microbial transplantation (FMT)…
  • Abstract Number: 41 • 2017 Pediatric Rheumatology Symposium

    Identification of Optimal Subcutaneous Doses of Tocilizumab in Children With Polyarticular-Course Juvenile Idiopathic Arthritis

    Hermine Brunner1, Nicola Ruperto2, Alberto Martini2, Athimalaipet Ramanan3, Rubén Cuttica4, Jennifer E. Weiss5, Michael Henrickson6, Heinrike Schmeling7, Jordi Anton8, Kirsten Minden9, Joy Hsu10, Kamal Bharucha11, Sunethra Wimalasundera12, Alysha K. Kadva13, Ruchi Upmanyu12, Navita L. Mallalieu10, Daniel Lovell6 and Fabrizio De Benedetti14, 1Rheumatology, PRCSG, Cincinnati, OH, 2PRINTO Coordinating Centre, Genoa, Italy, 3Bristol Royal Hospital for Children, Bristol, United Kingdom, 4Hospital Gral de Niños Pedro Elizalde, Buenos Aires, Argentina, 5Hackensack University Medical Center, Hackensack, NJ, 6PRCSG, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 7University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 8Hospital Sant Joan de Deu, Barcelona, Spain, 9Charité – University of Medicine Berlin, Berlin, Germany, 10Roche Innovation Center, New York, NY, 11Genentech, South San Francisco, CA, 12Roche Products Ltd., Welwyn Garden City, United Kingdom, 13Genentech, San Francisco, CA, 14IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy

       Background/Purpose: The efficacy and safety of intravenous (IV) tocilizumab (TCZ), an interleukin-6 receptor-alpha inhibitor, have been demonstrated in patients (pts) with polyarticular-course juvenile idiopathic…
  • Abstract Number: 136 • 2017 Pediatric Rheumatology Symposium

    14-3-3π(eta) Protein in Juvenile Idiopathic Arthritis

    Austin Dalrymple1,2,3, Paul Tuttle IV4, Lance Feller5, Olga S. Zhukov6, Robert J. Lagier7, Robert Bridgforth8, Gary J Williams9, Joanna Popov10, Stanley J. Naides6 and Terry Moore11, 1Division of Rheumatology and Pediatric Rheumatology, Saint Louis University School of Medicine, St Louis, MO, 2Division of Adult and Pediatric Rheumatology, Saint Louis University, St Louis, MO, 3Division of Rheumatology and Pediatric Rheumatology, Saint Louis University, St Louis, MO, 4Saint Louis University, Saint Louis, MO, 5Former fellow, Saint Louis University, Watertown, ME, 6Immunology, Quest Diagnostics Nichols Institute, San Juan Capistrano, CA, 7Research Support, Alameda, Quest Diagnostics Alameda, Alameda, CA, 8nichols Institute, Quest Diagnostics, San Juan Capistrano, CA, 9Nicolas Institue, Quest Diagnostics, San Juan Capistrano, CA, 10Immunology, Quest Diagnostics, San Jian Capistrano, CA, 11Rheumatology, Saint Louis University, St. Louis, MO

    Background/Purpose: 14-3-3 proteins are chaperonins found in all eukaryotic cells. There are multiple isoforms which are thought to be involved in intracellular signaling and transcription…
  • Abstract Number: 37 • 2017 Pediatric Rheumatology Symposium

    Increased Involvement of Teenagers with Juvenile Idiopathic Arthritis in Treatment Decisions Using Medication Choice Cards: Preliminary Report from a Case-Control Study

    Suhas Ganguli1, Sarah Hoffmann2, Meredith Akerman3, Heather Walters4 and Beth Gottlieb5, 1Pediatrics, Cohen Children's Medical Center of New York, Lake Success, NY, 2Children’s Hospital at Richmond at Virginia Commonwealth University, Richmond, VA, 3The Feinstein Institute for Medical Research, Great Neck, NY, 4Cohen Children's Medical Center of New York, Lake Success, NY, 5Pediatric Rheumatology, Cohen Children's Medical Center of New York, New Hyde Park, NY

    Background/Purpose: Shared Decision Making (SDM) is an interactive process whereby the clinician-patient-parent triad arrives at a treatment decision after reviewing treatment goals, best available medical…
  • Abstract Number: 64 • 2017 Pediatric Rheumatology Symposium

    Evaluating Levels of Activity and Health-Related Quality of Life in a Pilot Cohort of Youth Athletes with Juvenile Idiopathic Arthritis

    Tommy Gerschman1, Jordan Raugust2, Julia Brooks3, Nicole Johnson1, Nadia Luca4, Rebeka Stevenson1, Heinrike Schmeling5, Paivi Miettunen1 and Susanne Benseler4, 1Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 2Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada, 3Pediatrics, Alberta Children's Hospital, Calgary, AB, Canada, 4Pediatric Rheumatology, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 5University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada

    Background/Purpose:  Children with JIA are increasingly being encouraged to be physically active and are participating in organized and competitive sports as youth athletes. These youth…
  • Abstract Number: 4 • 2017 Pediatric Rheumatology Symposium

    Microbiota-Dependent Signals Regulate Inflammatory Myelopoiesis in a Murine Model of Macrophage Activation Syndrome

    Lehn K. Weaver1, Chhanda Biswas1, Niansheng Chu1 and Edward M. Behrens2, 1Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 2Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: Targeting host-microbiota interactions to limit production of pathogenic myeloid cells that fuel chronic inflammatory responses is of therapeutic interest. Recent evidence suggests that this may…
  • Abstract Number: 73 • 2017 Pediatric Rheumatology Symposium

    Factors Associated with Etoposide Usage in Children with Macrophage Activation Syndrome Complicating Systemic Juvenile Idiopathic Arthritis

    AnnaCarin Horne1, Francesca Minoia2, Randy Q. Cron3 and Angelo Ravelli4, 1Karolinska University Hospital Solna, Stockholm, Sweden, 2Istituto Giannina Gaslini, Genoa, Italy, 3Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 4University of Genova, Genova, Italy

    Background/Purpose: Although macrophage activation syndrome (MAS) has been reported in association with almost all rheumatic diseases, it is by far most common in systemic juvenile…
  • Abstract Number: 10 • 2017 Pediatric Rheumatology Symposium

    Severe Juvenile Arthritis Associated with a De Novo Gain-of-Function Germline Mutation in MYD88

    Keith A. Sikora1, Joshua R. Bennett1, Zuoming Deng2, Wanxia Li Tsai3, April D. Brundidge3, Fatemeh Navid3, Gerlinde Layh-Schmitt3, Eric Hanson4, Massimo G. Gadina5, Louis M. Staudt6, Thomas A. Griffin7 and Robert Colbert3, 1Pediatric Translational Research Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 2Biodata Mining & Discovery, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 3National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 4Autoimmunity Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 5Translational Immunology, Office of Science and Technology, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 6National Cancer Institute, National Institutes of Health, Bethesda, MD, 7Levine Children’s Hospital at Carolinas Medical Center, Charlotte, NC

    Background/Purpose: Myeloid differentiation primary response 88 (MyD88) is a critical adaptor protein that connects Toll-like and IL-1 receptor signaling to activation of NF-κB. Germline loss-of-function…
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