ACR Meeting Abstracts

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  • Abstract Number: 15 • 2017 Pediatric Rheumatology Symposium

    An Internet-based Self-management Program for Adolescents with Juvenile Idiopathic Arthritis – A Randomized Controlled Trial

    Jennifer N. Stinson1, Sarah Campillo2, Tania Cellucci3, Paul Dancey4, Ciarán M. Duffy5, Janet Ellsworth6, Brian Feldman7, Adam Huber8, Nicole Johnson9, Patrick McGrath8, Alan Rosenberg10, Natalie J. Shiff11, Lynn R. Spiegel12, Shirley M.L. Tse13, Lori Tucker14, J. Charles Victor15 and Stephanie Luca16, 1Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 2Montreal Children's Hospital, Montreal, QC, Canada, 3Pediatrics/Rheumatology, McMaster Children's Hospital, Hamilton, ON, Canada, 4Pediatrics, Janeway Children's Hospital, St. John's, NL, Canada, 5Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada, 6University of Alberta, Edmonton, AB, Canada, 7Department of Rheumatology, Hospital for Sick Children, Toronto, ON, Canada, 8IWK Health Centre, Halifax, NS, Canada, 9Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 10Pediatrics, University of Saskatchewan, Saskatoon, SK, Canada, 11University of Florida, Gainesville, FL, 12Rheumatology/Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada, 13Rheumatology, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada, 14Pediatric Rheum/Rm K4-120, BC Childrens Hospital, Vancouver, BC, Canada, 15University of Toronto, Toronto, ON, Canada, 16The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Juvenile Idiopathic Arthritis (JIA) is a common chronic childhood illness associated with physical and emotional symptoms that can negatively impact health-related quality of life…
  • Abstract Number: 6 • 2017 Pediatric Rheumatology Symposium

    High Health Care Utilization Preceding Diagnosis of Systemic Lupus Erythematosus in Youth

    Joyce Chang1,2, David Mandell3 and Andrea Knight4,5,6, 1Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 2Children's Hospital of Philadelphia, Philadelphia, PA, 3Psychiatry and Pediatrics, Center for Mental Health Policy and Services Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 4Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 5Center for Pediatric Clinical Effectiveness & PolicyLab, Philadelphia, PA, 6Division of Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: Childhood-onset SLE is associated with high risk for organ damage, which may be mitigated by early diagnosis and treatment. To identify points of health…
  • Abstract Number: 36 • 2017 Pediatric Rheumatology Symposium

    The Association of Obesity with Pediatric Psoriatic Arthritis

    Cynthia Manos1, Rui Xiao2, Timothy G. Brandon1, Alexis Ogdie-Beatty3 and Pamela Weiss4, 1Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 2Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, 3Rheumatology, Hospital of the University of Pennsylvania, Philadelphia, PA, 4Division of Rheumatology, Center for Pediatric Clincial Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose:   Obesity is associated with a significantly increased risk of inflammatory arthritis in adult patients with psoriasis.  Obese adults with psoriatic arthritis (PsA) also…
  • Abstract Number: 156 • 2017 Pediatric Rheumatology Symposium

    Teaching High Value Musculoskeletal Care Through Online Simulation Cases

    Nilam D Patel1, Marc Buchner2 and Angela B. Robinson3, 1Case Western Reserve University School of Medicine, Cleveland, OH, 2Department of Electrical Engineering & Computer Science, Case Western Reserve School of Engineering, Cleveland, OH, 3Pediatric Rheumatology, Rainbow Babies and Childrens Hospital, Cleveland, OH

    Background/Purpose: Musculoskeletal (MSK) complaints comprise 6-15% of general pediatric visits.1,2 Many MSK complaints can be diagnosed through simple history and physical with limited laboratory and imaging…
  • Abstract Number: 116 • 2017 Pediatric Rheumatology Symposium

    Arthritis as First Presenting Symptom of Inflammatory Bowel Disease: A Case Control Study

    Kathryn Phillippi1, Thomas Sferra2, Nora Singer3 and Elizabeth Brooks4, 1Pediatric Infectious Diseases and Rheumatology, Rainbow Babies and Children’s Hospital / Case Medical Center, Cleveland, OH, 2Pediatric Gastroenterology, Rainbow Babies and Children's Hospital/Case Medical Center, Cleveland, OH, 3MetroHealth Medical Center and Case Western Reserve University, Cleveland, Ohio, Cleveland, OH, 4Division of Pediatric Infectious Diseases and Rheumatology, Rainbow Babies and Children’s Hospital / Case Medical Center, Cleveland, OH, Cleveland, OH

    Background/Purpose: Inflammatory bowel disease (IBD) is associated with extra-intestinal manifestations, the most common of which is arthralgia/arthritis. 4.1- 15% of patients with inflammatory bowel disease…
  • Abstract Number: 115 • 2017 Pediatric Rheumatology Symposium

    Anti-Phospholipid Antibodies in Children with Down Syndrome

    Buthaina Al-Adba1, Haitham El Bashir2, Khalid ZahrAldin3, Ronald Thomas4,5, Mohammad Al-Khalifa6, Asmaa Al-Marwani6, Dekra Al-Faridi6, Muhamad Al Dabbagh7 and Basil Fathalla3, 1Pediatrics - Rheumatology, Hamad Medical Corporation, Doha, Qatar, 2Developmental Pediatrics & Children’s Rehabilitation - Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar, 3Pediatrics, Hamad Medical Corporation, Doha, Qatar, 4Department of Research and Biostatistics, Children's Hospital of Michigan, Detroit, MI, 5Children's Research Center, Wayne State University, Detroit, MI, 6Department of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, Qatar, 7Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar

    Background/Purpose: The prevalence of anti-phospholipid antibodies (APL) in children with Down syndrome (DS) is unknown. Furthermore, it is unknown if an intermittent or persistent presence…
  • Abstract Number: 123 • 2017 Pediatric Rheumatology Symposium

    Acupuncture for Pediatric Chronic Pain Relief: A Review

    Yujuan Zhang1, Stephanie Hyon2 and Chenchen Wang3, 1Pediatric Rheumatology, Tufts Medical Center, Boston, MA, 2Rheumatology, Tufts Medical School, Boston, MA, 3Rheumatology, Tufts Medical Center, Boston, MA

    Background/Purpose: Acupuncture, a type of complementary and integrative therapy, has been widely used for pain relief in adults. However, evidence of the effect of acupuncture…
  • Abstract Number: 57 • 2017 Pediatric Rheumatology Symposium

    Quantification of Dynamic MRI examinations in Juvenile Idiopathic Arthritis

    Nikolay Tzaribachev1, Romiesa Hagoug2, Polymnia Louka3, Joyee Islam3, Mark Hinton3, Olga Kubassova4 and Mikael Boesen5, 1PRI - Pediatric Rheumatology Research Institute, Bad Bramstedt, Germany, 2Imaging, Image Analysis Group, London, United Kingdom, 3Image Analysis Group, London, United Kingdom, 4Image Analysis Group, Image Analysis Group, London, England, 5Radiology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Frederiskberg, Denmark

    Background/Purpose: In chronic inflammatory conditions, the need for a more objective measurement of disease activity has been identified, where dynamic contrast enhanced (DCE) MRI as…
  • Abstract Number: 111 • 2017 Pediatric Rheumatology Symposium

    Eosinophilic Fasciitis in Children: Clinical Course and Response to Treatment from Two Large Academic Centers

    Suhas Ganguli1, Meiqian Ma2, Christine Lauren3, Maria Garzon3, Cassyanne L. Aguiar4, Andrew Eichenfield5, Amy Starr6, Lisa F. Imundo7,8, B. Anne Eberhard9 and Joyce Hui-Yuen10, 1Pediatrics, Cohen Children's Medical Center of New York, Lake Success, NY, 2Pediatric Rheumatology, Cohen Children's Medical Center of New York, Lake Success, NY, 3Division of Pediatric Dermatology, Columbia University Medical Center, New York, NY, 4Pediatric Rheumatology, Children's Hospital of The King's Daughters, Norfolk, VA, 5Columbia University Medical Center, New York, NY, 6Pediatric Rheumatology, Columbia University Medical Center, New York, NY, 7Pediatrics, Columbia University Medical Center, New York, NY, 8Assoociate Professor of Pediatrics in Medicine - Rheumatology, Columbia University Medical Center, New York, NY, 9Cohen Children's Medical Center of New York, New Hyde Park, NY, 10Cohen Children's Medical Center of New York, Lake Success, NY

    Background/Purpose: Eosinophilic fasciitis (EF) is a rare connective tissue disease characterized by a progressive inflammatory thickening of skin and soft tissues. The diagnosis is based…
  • Abstract Number: 149 • 2017 Pediatric Rheumatology Symposium

    Deficiency of Complement C4A or Low Copy Number of Total C4 Genes, HLA-DRB1*15 and HLA-DRB1*03 Are Strong Genetic Risk Factors for Pediatric SLE of European Descent

    Stacy Ardoin1, Pinar Ozge Avar Aydin2, Lai Hin Kimi Chan3, Katherine Lintner4, Yee Ling Wu5,6, Rabheh Aziz1, Anjali Patwardhan7,8, Evan Mulvihill1, Gakit Yu9, Bi Zhou10, Emeli Lundstrom11, Leonid Padyukov12, Kyla Driest13, Cagri Yildirim-Toruner13, Sharon Bout-Tabaku13, Charles Spencer14, Gloria Higgins1, Sampath Prahalad15, Hermine Brunner16 and Chack-Yung Yu10,17, 1Pediatrics and Rheumatology, Nationwide Children's Hospital and The Ohio State University, Columbus, OH, 2Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 3Pediatrics, Emory University School of Medicine, Atlanta, GA, 4Pediatrics, Nationwide Children's Hospital, Columbus, OH, 5The Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, OH, 6Center for Molecular and Human Genetics, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 7Pediatric Rheumatology, Nationwide Childrens Hospital, Columbus, OH, 8Pediatric Rheumatology, Nationwide Children's Hospital, Columbia, MO, 9Center for Molecular and Human Genetics, Nationwide Children's Hospital, Columbus, OH, 10Center for Molecular and Human Genetics, The Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, OH, 11Rheumatology, Karolinska Institute, Stockholm, Switzerland, 12Rheumatology Unit, Department of Medicine, Karolinska Institutet and Karolinska Hospital, Stockholm, Sweden, 13Rheumatology, Nationwide Children's Hospital, Columbus, OH, 14Rheumatology, Nationwide Childrens Hospital/OSU, Columbus, OH, 15Pediatrics, Emory Children's Center, Atlanta, GA, 16Rheumatology, PRCSG, Cincinnati, OH, 17Pediatrics, Ohio State Univ, Columbus, OH

    Background/Purpose:  A complete genetic deficiency of complement C4 almost always leads to the pathogenesis of systemic lupus erythematosus (SLE) with childhood onset, although its prevalence…
  • Abstract Number: 32 • 2017 Pediatric Rheumatology Symposium

    High Mobility Group Box 1 Protein in Children with Kawasaki Disease and Systemic Juvenile Idiopathic Arthritis

    Hon Yan Ng1, Stefan Slomp2, Tracy Wilson-Gerwing3, Joan Dietz4, Abid Lodhi5, Tanya Holt6 and Alan Rosenberg3, 1Department of Pediatrics, University of Saskatchewan, Saskatoon, SK, Canada, 2Pediatrics, Emergency Medicine, University of Alberta, Edmonton, AB, Canada, 3Pediatrics, University of Saskatchewan, Saskatoon, SK, Canada, 4University of Saskatchewan, Saskatoon, SK, Canada, 5Regina Qu'appelle Health Region, Regina, SK, Canada, 6University of Saskatchewan, Sasktoon, SK, Canada

    Background/Purpose: High Mobility Group Box 1 Protein (HMGB1) is a nuclear protein that stabilizes DNA and modulates gene expression.  In sepsis and in certain other…
  • Abstract Number: 53 • 2017 Pediatric Rheumatology Symposium

    A Prospective Study to Assess for Changes in Mood with Initiation of Anti-TNF therapy: A Pilot Study

    Kader Cetin Gedik1, Helen Papaioannou2, Monica Marcus3, Clifford Deutschman4 and Beth Gottlieb5, 1Pediatric Rheumatology, Cohen Children's Medical Center fo New York, New Hyde Park, NY, 2Developmental and Behavioral Pediatrics, Cohen Children's Medical Center of New York, New Hyde Park, NY, 3Pediatric Immunology, Allergy and Rheumatology, Texas Children's Hospital, Houston, TX, 4Center for Pediatric Research, Cohen Chilredn's Medical Center of New York, New Hyde Park, NY, 5Pediatric Rheumatology, Cohen Children's Medical Center of New York, New Hyde Park, NY

    Background/Purpose:  Anti- tumor necrosis factor (anti-TNF) agents have been widely studied in the treatment of juvenile idiopathic arthritis (JIA) and inflammatory bowel disease (IBD). Although there…
  • Abstract Number: 122 • 2017 Pediatric Rheumatology Symposium

    Presenting Manifestations of Amplified Musculoskeletal Pain Syndrome in Males versus Females

    Sabrina Gmuca1, Jenna L. Tress2, Jennifer Mosby3, Laura P. Richardson3 and David D. Sherry2, 1Pediatric Rheumatology, The Children's Hospital of Philadelphia, Philadelphia, PA, 2Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 3Seattle Children's Hospital, Seattle, WA

    Background/Purpose: Amplified musculoskeletal pain syndrome (AMPS) is a chronic non-inflammatory musculoskeletal pain condition. AMPS has a predilection for females but males can be affected as…
  • Abstract Number: 78 • 2017 Pediatric Rheumatology Symposium

    Predictors of Outcome Following Tonsillectomy in Periodic Fever, Aphthous Stomatitis Pharyngitis, and Cervical Adenitis (PFAPA) Syndrome

    Kalpana Manthiram1, Daniel L. Kastner2,3 and Kathryn Edwards4, 1National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 2Inflammatory Disease Section, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 3Inflammatory Disease Section, NHGRI/NIH, Bethesda, MD, 4Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN

    Background/Purpose: Tonsillectomy is considered curative in a majority of patients with periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA) syndrome. Predictors of outcome following…
  • Abstract Number: 150 • 2017 Pediatric Rheumatology Symposium

    Childhood-onset Takayasu Arteritis Associated with Mutations in CBL

    Arturo Borzutzky1,2, Charlotte Niemeyer3, Guillermo Pérez-Mateluna4, Cecilia Mellado5, Miriam Erlacher3, Marena Niewisch6, Mariana Aracena5 and Cristián García7, 1Department of Pediatric Infectious Diseases and Immunology, Pontificia Universidad Católica de Chile, Santiago, Chile, 2Millennium Institute on Immunology and Immunotherapy, Santiago, Chile, 3Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine,, University Medical Center Freiburg, Freiburg, Germany, 4Pediatric Infectious Diseases and Immunology, Pontificia Universidad Católica de Chile, Santiago, Chile, 5Section of Genetics, Department of Pediatrics, Pontificia Universidad Católica de Chile, Santiago, Chile, 6Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, University Medical Center Freiburg, Freiburg, Germany, 7Department of Radiology, Pontificia Universidad Católica de Chile, Santiago, Chile

    Background/Purpose: Takayasu arteritis (TA) is an inflammatory large-vessel vasculitis of unknown etiology that rarely presents in childhood. No monogenic etiologies of TA have been identified.…
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