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  • Abstract Number: 1387 • 2016 ACR/ARHP Annual Meeting

    Evaluation of Mild to Moderate SLE Flare in Patients with Childhood-Onset Disease

    Malki Peskin1, Dawn Wahezi2,3, Chaim Putterman4, Tamar Rubinstein5,6 and Nicole Jordan4,7, 1Pediatrics, Albert Einstein College of Medicine, Bronx, NY, 2Pediatric Rheumatology, The Children's Hospital at Montefiore, Bronx, NY, 3Pediatric Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 4Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 5Pediatric Rheumatology, Children's Hospital at Montefiore, Bronx, NY, 6Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 7Montefiore Medical Center, New York, NY

    Background/Purpose: One aspect of childhood SLE lacking understanding is the prediction of disease flares. The objective of this study is to identify predictors of mild…
  • Abstract Number: 1388 • 2016 ACR/ARHP Annual Meeting

    Distinct Clinical Correlates of Immune Thrombocytopenic Purpura at Diagnosis of Childhood-Onset and Adult SLE

    Gladys Esteves1, Natali W. Gormezano2, Oriany Pereira1, David Kern1, Katia T. Kozu2, Rosa M R Pereira3, Clovis A Silva4, Eloisa Bonfa5 and Nadia E Aikawa6, 1University of São Paulo, São Paulo, Brazil, 2Pediatric Rheumatology Unit, University of São Paulo, São Paulo, Brazil, 3Rheumatology, University of São Paulo, São Paulo, Brazil, 4Pediatric Rheumatology Unit, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 5Rheumatology Divison, Hospital das Clinicas, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil, 6Rheumatology Division, University of São Paulo, São Paulo, Brazil

    Background/Purpose:  Hematologic abnormalities are common manifestations in systemic lupus erythematosus (SLE) patients. Several studies have demonstrated a higher frequency of immune thrombocytopenic purpura (ITP) in…
  • Abstract Number: 1389 • 2016 ACR/ARHP Annual Meeting

    Alterations in Nailfold Capillaroscopy in Childhood-Onset Systemic Lupus Erythematosus: The Role of Disease Activity in a Prospective Study

    Nadia E Aikawa1, Luiz Sousa2, Mariana O Perez3, Ana Paula Luppino-Assad4, Rosa M R Pereira5 and Maria Teresa Caleiro2, 1Pediatric Rheumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2Rheumatology Division, University of São Paulo, São Paulo, Brazil, 3Rheumatology Divison, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4Division of Rheumatology, University of São Paulo, sao paulo, Brazil, 5Rheumatology, University of São Paulo, São Paulo, Brazil

    Background/Purpose: The association between disease activity and nailfold capillaroscopy (NC) alterations has been described in systemic lupus erythematosus (SLE). However, data on longitudinal assessment of…
  • Abstract Number: 1391 • 2016 ACR/ARHP Annual Meeting

    Novel Electronic Health Record-Based Method Confirms Increased Renal Disease Burden in Pediatric-Onset Vs. Adult-Onset Patients with Systemic Lupus Erythematosus

    April Barnado1, Robert Carroll2, Carolyn Casey1, Joshua C. Denny2 and Leslie J. Crofford3, 1Medicine, Vanderbilt University Medical Center, Nashville, TN, 2Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, 3Medicine, Vanderbilt University Medical Center, Nasville, TN

    Background/Purpose: Children with Systemic Lupus Erythematosus (SLE) are often understudied compared with adults. Using the electronic health record (EHR) can increase sample size and the…
  • Abstract Number: 1392 • 2016 ACR/ARHP Annual Meeting

    Familial Aggregation of Autoimmune Diseases in Childhood and Adulthood Systemic Lupus Erythematosus

    Nailu A. Sinicato1, Luciana de Oliveira2, Aline Tamires Lapa2, Lilian Tereza Costallat3, Roberto Marini Sr.4, Timothy B. Niewold5 and Simone Appenzeller6, 1Pediatrics, State University of Campinas, Campinas, Brazil, 2Medicine, State University of Campinas, Campinas, Brazil, 3RUA EZEQUIEL MAGALHAES,26, Unicamp, Campinas, Brazil, 4Pediatric Rheumatology Unit, State University of Campinas, São Paulo, Brazil, 5Rheumatology and Immunology, Mayo Clinic, Rochester, MN, 6Pediatric Rheumatology Unit, State University of Campinas, Campinas, Brazil

    Background/Purpose:  Genetic factors play a role in SLE, evidenced by the high sibling risk ratio (λs=8–29) and higher concordance rates between monozygotic twins (>35%) compared…
  • Abstract Number: 1393 • 2016 ACR/ARHP Annual Meeting

    Mycophenolic Acid Pharmacokinetics in Childhood-Onset Systemic Lupus Erythematosus Patients of Hispanic Ethnicity in a Single Center

    Anna Carmela Sagcal-Gironella1, Marietta De Guzman1, Daping Zhang2, Lorita Agu2 and Diana Chow2, 1Pediatric Immunology, Allergy, and Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, 2Pharmacological and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, TX

    Background/Purpose: Mycophenolic acid (MPA) is the biologically active metabolite of mycophenolate mofetil (MMF), a widely used immunosuppressant in the treatment of childhood-onset systemic lupus erythematosus…
  • Abstract Number: 1394 • 2016 ACR/ARHP Annual Meeting

    A Pilot Study of Consensus Treatment Plans for Induction Therapy in Childhood Proliferative Lupus Nephritis

    Jennifer C. Cooper1, B. Anne Eberhard2, Marilynn Punaro3, Stacy P. Ardoin4, Hermine I. Brunner5, Joyce Hsu6, Linda Wagner-Weiner7, Kelly Rouster-Stevens8, Laura E. Schanberg9, Marisa Klein-Gitelman10, Emily von Scheven11 and CARRA Registry Investigators, 1Pediatrics, Divison of Rheumatology, University of California, San Francisco, San Francisco, CA, 2Cohen Children's Medical Center of New York, New Hyde Park, NY, 3Texas Scottish Rite Hospital for Children, Dallas, TX, 4Pediatric & Adult Rheumatology, Ohio State University, Columbus, OH, 5Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 6Pediatric Rheumatology, Stanford University, Palo Alto, CA, 7Pediatric Rheumatology, University of Chicago Hospitals, Chicago, IL, 8Pediatric Rheumatology, Emory University School of Medicine, Atlanta, GA, 9Pediatrics, Duke Medical Center, Durham, NC, 10Division of Rheumatology, Department of Pediatrics, Ann & Robert H. Lurie Children’s Hospital of Chicago/Northwestern University Feinberg School of Medicine, Chicago, IL, 11Division of Rheumatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA

    Background/Purpose:   Childhood-onset systemic lupus erythematous (cSLE) patients are at higher risk for renal disease than those with adult-onset disease. Mycophenolate mofetil (MMF) and intravenous…
  • Abstract Number: 1395 • 2016 ACR/ARHP Annual Meeting

    Regional Brain Gray Matter Volume Loss in Children and Adolescents with SLE

    Andrea Knight1, Michelle Vickery2, Jimit Doshi3, Guray Erus4, Arastoo Vossough5 and Susan Furth6, 1Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, 2PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA, 3Section of Biomedical Image Analysis, University of Pennsylvania, Philadelphia, PA, 4Section on Biomedical Image Analysis, University of Pennsylvania, Philadelphia, PA, 5Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, 6Division of Nephrology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Neuropsychiatric SLE in children and adolescents presents diagnostic challenge due to limitations of conventional magnetic resonance imaging (MRI) to detect clinically relevant brain changes.…
  • Abstract Number: 1396 • 2016 ACR/ARHP Annual Meeting

    Cognitive Function in Children with SLE Nephritis: A Cross-Sectional Comparison to Children with Other Glomerular Chronic Kidney Diseases

    Andrea Knight1,2,3, Matthew Matheson4, Susan Furth5, Brad Warady6, Stephen Hooper7 and Amy Kogon8, 1Division of Pediatric Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 2PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA, 3Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, 4Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 5Division of Nephrology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 6Division of Nephrology, Children's Mercy Hospital, Kansas City, MO, 7Department of Allied Health Sciences, University of North Carolina School of Medicine, Chapel Hill, NC, 8Division of Nephrology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH

    Background/Purpose: Children with lupus nephritis (LN) are at risk for cognitive impairment due to effects on the brain from systemic inflammation and from potential effects…
  • Abstract Number: 1397 • 2016 ACR/ARHP Annual Meeting

    Correlation and Responsiveness of Cutaneous Lupus Disease Area and Severity Index (CLASI) and Skindex-29 with Cutaneous Childhood Lupus Erythematosus (cSLE)

    Ashwaq Aleed, CCHMC, cincinnati, OH; Pediatric, Qassim University, Qassim, Saudi Arabia

    Correlation and Responsiveness of Cutaneous Lupus Disease Area and Severity Index (CLASI) and Skindex-29 with Cutaneous Childhood Lupus Erythematosus (cSLE) *Ashwaq AlEÕed, **Nora Al Mutairi ,…
  • Abstract Number: 1398 • 2016 ACR/ARHP Annual Meeting

    Practice-Based Differences Between Pediatric Rheumatologists and Dermatologists Caring for Children with Discoid Lupus

    Lisa Arkin1, Kaveh Ardalan2, Heather Brandling-Bennett3, Yvonne Chiu4, Benjamin Chong5, Megan Curran6, Raegan Hunt7, Amy Paller8, Victoria P. Werth9,10, Marisa Klein-Gitelman6, Emily von Scheven11 and for the CARRA SLE workgroup, 1Department of Dermatology and Pediatrics;, University of Wisconsin School of Medicine & Public Health/American Family Children’s Hospital, Madison, WI, 2Division of Rheumatology; Department of Pediatrics, Ann & Robert H. Lurie Children’s Hospital of Chicago/Northwestern University Feinberg School of Medicine, Chicago, IL, 3Division of Dermatology; Department of Pediatrics, Seattle Children’s Hospital/University of Washington School of Medicine, Seattle, WA, 4Department of Dermatology and Pediatrics, Medical College of Wisconsin / Children's Hospital of Wisconsin, Milwaukee, WI, 5Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, 6Division of Rheumatology, Department of Pediatrics, Ann & Robert H. Lurie Children’s Hospital of Chicago/Northwestern University Feinberg School of Medicine, Chicago, IL, 7Departments of Dermatology and Pediatrics, Baylor College of Medicine / Texas Children’s Hospital, Houston, TX, 8Departments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine/Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, 9Dermatology, University of Pennsylvania, Philadelphia, PA, 10Dermatology, Veterans Affairs Medical Center, Philadelphia, PA, 11Division of Rheumatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Discoid lupus erythematosus (DLE) is rare in children.  There are no consensus guidelines for management or screening for evolution to systemic lupus erythematosus (SLE).…
  • Abstract Number: 1399 • 2016 ACR/ARHP Annual Meeting

    Transitioning Lupus Patients from Pediatric to Adult Rheumatology

    Joyce Hui-Yuen1, Ashlea Cook2, Lisa F. Imundo3, Amy Starr2, Andrew Eichenfield4 and Anca D. Askanase5, 1North Shore-Long Island Jewish Health System, Lake Success, NY, 2Pediatric Rheumatology, Columbia University Medical Center, New York, NY, 3Assoociate Professor of Pediatrics in Medicine - Rheumatology, Columbia University Medical Center, New York, NY, 4Morgan Stanley Children's Hospital of NY-Presbyterian, Columbia University, New York, NY, 5Department of Medicine, Rheumatology, Columbia University College of Physicians & Surgeons, New York, NY

    Background/Purpose: Pediatric rheumatologists have successfully improved the life expectancy and quality of life of children with systemic lupus (cSLE). cSLE has higher morbidity and mortality…
  • Abstract Number: 1400 • 2016 ACR/ARHP Annual Meeting

    Preliminary Validation of the Turkish Simple Measure of Impact of Lupus Erythematosus in Youngsters (SMILEY) in a Single Center

    Gozde Yucel1, Sezgin Sahin2, Amra Adrovic2, Kenan Barut2, Ela Tarakci3, Ahmet Arvas4, Nandini Moorthy5 and Ozgur Kasapcopur6, 1Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey, 2Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey, 3Istanbul University, Faculty of Health Science, Division of Physiotherapy and Rehabilitation, Istanbul, Turkey, 4Istanbul University, Cerrahpasa Medical School, Department of Pediatrics, Istanbul, Turkey, 5Robert Wood Johnson Medcal School, Department of Pediatric Rheumatology, New Brunswick, NJ, 6Department of Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey

    Background/Purpose: Juvenile systemic lupus erythematosus (SLE) is a chronic multisystemic disease with an episodic course which is prevalent in all cultures with wide-ranging effects on…
  • Abstract Number: 1401 • 2016 ACR/ARHP Annual Meeting

    Ultrasonography of Major Salivary Glands in Juvenile SjöGren’s Syndrome − Preliminary Findings in a Multi-Center Study

    Daniel S. Hammenfors1, Valeria Valim2, Vibke Lilleby3, Blanca Bica4, Sandra Gofinet Pasoto5, Clovis Silva6, Juan Carlos Nieto7, Scott Lieberman8, Akaluck Thatayatikom9, Roland Jonsson10, Johan G. Brun11 and Malin V. Jonsson12, 1Department of Rheumatology, Haukeland University Hospital, Bergen, Norway, 2Rheumatology, Department of Medicine, Universidade Federal do Espírito Santo, Vitória, Brazil, Vitória, Brazil, 3Rheumatology, Oslo University Hospital, Oslo, Norway, 4Hospital Universitário Clementino Fraga Filho, Rio de Janeiro, Brazil, 5Internal Medicine, Division of Rheumatology - Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 6Department of Pediatric Rheumatology, Federal University of São Paulo, São Paulo, Brazil, 7Hospital General Universitario Gregorio Marañón and Complutense University, Madrid, Spain, 8Pediatrics (Division of Rheumatology), University of Iowa Children's Hospital, Iowa City, IA, 9University of Florida, Gainesville, FL, 10Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway, 11Department of Clinical Science, University of Bergen, Norway, Bergen, Norway, 12Department of Clinical Dentistry, Section for Oral and Maxillofacial Radiology, University of Bergen, Bergen, Norway

    Background/Purpose: Juvenile Sjögren’s syndrome (jSS) is a rare, poorly defined and possibly underdiagnosed condition. Mean age of diagnosis is approximately 10 years, with major salivary…
  • Abstract Number: 1402 • 2016 ACR/ARHP Annual Meeting

    Meeting the Needs of Adolescents with Autoimmune Diseases, the Development of a Clinical Transition Pathway

    Margot Walter1, Johanna M.W. Hazes2, Radboud JEM Dolhain3, Philomine A. van Pelt4, A. Dijk van5 and Sylvia S.M. Kamphuis6, 1Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands, 2Department of Rheumatology, Erasmus University Medical Centre, Rotterdam, Netherlands, 3Rheumatology, University Medical Center Rotterdam, Rotterdam, Netherlands, 4Rheumatology, Erasmus MC, Rotterdam, Netherlands, 5Sophia Children's Hospital, Erasmusmc, Rotterdam, Netherlands, 6Pediatric Rheumatology, Sophia Children's Hospital – Erasmus University Medical Centre, Rotterdam, Netherlands

    Background/Purpose: Evidence based recommendations for transitional programs are available. Despite this, half of Young People (YP) do not make a successful transfer and implementation of…
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