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  • 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…
  • Abstract Number: 65 • 2017 Pediatric Rheumatology Symposium

    Barriers at School for Children with Juvenile Idiopathic Arthritis (JIA) –A Patient Reported Outcome

    Kelsey Chomistek1, Nicole Johnson2, Rebeka Stevenson2, Nadia Luca3, Paivi Miettunen2, Susanne Benseler3, Dwaraka Veeramreddy4 and Heinrike Schmeling5, 1Alberta Children's Hospital, University of Calgary, Calgary, AB, Canada, 2Pediatrics, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 3Pediatric Rheumatology, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 4Department of Pediatrics/Alberta Children's Hospital, Alberta Children's Hospital, University of Calgary, Calgary, AB, Canada, 5University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada

    Background/Purpose: Few studies in children with chronic illnesses/disability have reported challenges faced by patients at school. Therefore, the objective of this study is to identify…
  • Abstract Number: 128 • 2017 Pediatric Rheumatology Symposium

    Treatment Response in Polyarticular Juvenile Idiopathic Arthritis is Associated With Transcriptional Changes and Chromatin Reorganization in CD4+ T cells

    Evan Tarbell1, Kaiyu Jiang2, Yanmin Chen2, Tao Liu3 and James Jarvis4, 1Biochemistry, University at Buffalo, Buffalo, NY, 2Pediatrics, University at Buffalo, Buffalo, NY, 3Department of Biochemistry, University at Buffalo, Buffalo, NY, 4Pediatrics, SUNY Buffalo School of Medicine, Buffalo, NY

    Background/Purpose: The polyarticular form of JIA is associated with well-documented transcriptional abnormalities in peripheral blood cells. The abnormalities can be observed in neutrophils, peripheral blood…
  • Abstract Number: 114 • 2017 Pediatric Rheumatology Symposium

    Clinical Features and Treatment Outcomes in Down’s Arthropathy

    Jordan T. Jones1 and Leena Danawala2, 1Rheumatology Division, Children's Mercy Kansas City, Kansas City, MO, 2University of Missouri-Kansas City School of Medicine, Kansas City, MO

    Background/Purpose: Crude prevalence estimates indicate Down’s Arthropathy (DA) is 3-8 times more common than juvenile idiopathic arthritis (JIA), however, DA is still largely under recognized…
  • Abstract Number: 84 • 2017 Pediatric Rheumatology Symposium

    Predictors of Corticosteroid Discontinuation, Complete Clinical Response and Remission in Patients with Juvenile Dermatomyositis

    Takayuki Kishi1, William Warren-Hicks2, Michael Ward3, Nastaran Bayat1, Lan Wu1, Gulnara Mamyrova4, Ira N. Targoff5, Frederick Miller1, Lisa G. Rider1 and the Childhood Myositis Heterogeneity Study Group, 1Environmental Autoimmunity Group, National Institute of Environmental Health Sciences, National Institute of Health, Bethesda, MD, 2EcoStat, Inc., Mebane, NC, 3National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 4Division of Rheumatology, Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, 5VA Medical Center, University of Oklahoma Health Sciences Center, and Oklahoma Medical Research Foundation, Oklahoma City, OK

    Background/Purpose:  Factors affecting treatment (Rx) responses in juvenile dermatomyositis (JDM) are not well understood.  We examined a large JDM registry for predictors of excellent Rx…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

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