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  • Abstract Number: 1376 • 2016 ACR/ARHP Annual Meeting

    In Juvenile Dermatomyositis, Organ Damage Is Comparable after Median 13.5 and 21.5 Years Follow-up Time, Despite Sustained Disease Activity

    Kristin Schjander Berntsen1, Berit Flatø1,2, Ivar Sjaastad2,3 and Helga Sanner1,4, 1Department of Rheumatology, Oslo University Hospital, Rikshospitalet, Oslo, Norway, Oslo, Norway, 2Institute for Clinical Medicine, University of Oslo, Oslo, Norway, Oslo, Norway, 3Institute for Experimental Medical Research, Oslo University Hospital and University of Oslo, Oslo, Norway, Oslo, Norway, 4Norwegian National Advisory Unit on Rheumatic Diseases in Children and Adolescents, Oslo University Hospital, Rikshospitalet, Oslo, Norway, Oslo, Norway

    Background/Purpose: All previous studies of disease outcome in juvenile dermatomyositis (JDM) patients have been based on retrospective data or cross sectional examination. We aimed to…
  • Abstract Number: 1377 • 2016 ACR/ARHP Annual Meeting

    The Role of Muscle MRI in Detecting a Flare-up of Juvenile Dermatomyositis

    Rabheh Abdul Aziz1, Charles H. Spencer2, Sharon M. Bout-Tabaku3, CHACK-YUNG Yu4, Brent Adler5, Katherine Lintner6 and Melissa Moore-Clingenpeel7, 1pediatric Rheumatology, Nationwide Children's Hospital, Columbus, OH, 2Rheumatology, Nationwide Childrens Hospital/OSU, Columbus, OH, 3Rheumatology, Nationwide Children's Hospital, Columbus, OH, 4Research, Nationwide Children's Hospital, Columbus, OH, 5Radiology, Nationwide Children's Hospital, Columbus, OH, 6The Research Institute at Nationwide Children's Hospital and The Ohio State University, Columbus, OH, 7Research, Nationwide Children's Hospital, Dublin, OH

    Background/Purpose  
  • Abstract Number: 1378 • 2016 ACR/ARHP Annual Meeting

    Pentraxin-3 Level Predicts Vasculitis and Mucocutaneous Involvement in Childhood-Onset Systemic Lupus Erythematosus

    Sezgin Sahin1, Amra Adrovic1, Kenan Barut1, Sinem Durmus2, Hafize Uzun2 and Ozgur Kasapcopur3, 1Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey, 2Biochemistry, Istanbul University, Cerrahpasa Medical School, Department of Biochemistry, Istanbul, Turkey, 3Department of Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Department of Pediatric Rheumatology, Istanbul, Turkey

    Background/Purpose:  Systemic lupus erythematosus (SLE) is a persistent or remitting-relapsing autoimmune disease that handled in the context of connective tissue diseases and also vasculitides. Although…
  • Abstract Number: 1379 • 2016 ACR/ARHP Annual Meeting

    Evaluation of S100 Proteins As Potential Biomarkers of Global and Renal-Specific Disease Activity in Childhood-Onset Systemic Lupus Erythematosus

    Jessica Turnier1, Ndate Fall2, Sherry Thornton2, Alexei Grom2,3 and Hermine I. Brunner4,5, 1Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3PRCSG, Cincinnati, OH, 4Cincinnati Children's Hospital Medical Center, PRCSG, Cincinnati, OH, 5Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Childhood-onset systemic lupus erythematosus (cSLE) is a heterogeneous disease with differing levels of disease activity and organ-specific disease manifestations in each individual.  In particular,…
  • Abstract Number: 1380 • 2016 ACR/ARHP Annual Meeting

    Multicenter Prospective Study on the Role of Urinary HER2 As a Lupus Nephritis Biomarker

    Patrícia Costa Reis1, Kelly Maurer2, Emily von Scheven3, Kathleen O'Neil4, Jon M. Burnham5, Laura E. Schanberg6, Michelle Petri7 and Kathleen E. Sullivan8, 1Division of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, PA, 2Immunology ARC 1216, The Children's Hospital of Philadelphia, Philadelphia, PA, 3Division of Rheumatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, 4Pediatrics, Indiana University, Indianapolis, IN, 5Pediatric Rheumatology, Children's Hospital Philadelphia, Philadelphia, PA, 6Pediatrics, Duke Medical Center, Durham, NC, 7Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD, 8Allergy Immunology, The Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: HER2 (Human Epidermal Growth Factor Receptor 2) is dramatically overexpressed in the glomeruli and in the tubular compartment of patients with lupus nephritis, but…
  • Abstract Number: 1381 • 2016 ACR/ARHP Annual Meeting

    Humoral Immune Response and Cytokine Profile after a Booster Dose with Tdap Vaccine in Juvenile Systemic Lupus Erythematosus and Controls

    Octavio Peracchi1, Aline Nicacio2, Fernanda Spina3, Juliana Yamada3, Brunna Alvarenga3, Maria Isabel Pinto3 and Maria Teresa Terreri4, 1Pediatric Rheumatology, Federal University of Sao Paulo, Department of Pediatrics, Sao Paulo, Brazil, Sao Paulo, Brazil, 2Pediatric Rheumatology Unit, Department of Pediatrics, Federal University of Sao Paulo, Sao Paulo, Brazil, Sao Paulo, Brazil, 3Federal University of Sao Paulo, Department of Pediatrics, Sao Paulo, Brazil, Sao Paulo, Brazil, 4Pediatric Rheumatology Unit, Federal University of São Paulo, São Paulo, Brazil

    Background/Purpose:  Pertussis cases have increased worldwide and knowledge on immune response and cytokine profile after adult Tdap vaccine is scarce. This study evaluated the humoral…
  • Abstract Number: 1382 • 2016 ACR/ARHP Annual Meeting

    Effect of Lupus Anticoagulant on Rotational Thromboelastometry in Juvenile Systemic Lupus Erythematosus: Preliminary Data on a Single Center Cohort

    Maria Pereira1, Eyal Muscal2, Lisa Hensch3, Vadim Kostousov3, Karen Bruzdoski3, Shiu-Ki Hui3, Jun Teruya3 and Marietta DeGuzman1, 1Allergy, Immunology and Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, 2Immunology, allergy and Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, 3Pathology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX

    Background/Purpose: Interpretation of coagulation tests remain a challenge in jSLE with positive aPL. Lupus anticoagulant (LA) can mimic bleeding diathesis and its effect on prolonged…
  • Abstract Number: 1383 • 2016 ACR/ARHP Annual Meeting

    ANTI-RO/SSA and/or ANTI-La/SSB Antibodies: Association with Mild LUPUS Manifestations in 645 Childhood-Onset Systemic LUPUS Erythematosus

    Glaucia V. Novak1, Mariana Marques2, Verena Balbi2, Natali W. Gormezano2, Katia T. Kozu2, Ana Paula Sakamoto3, Rosa M R Pereira4, Maria Teresa Terreri3, Claudia S. Magalhães5, Silvana B. Sacchetti Sr.6, Adriana M E Sallum2, Roberto Marini Sr.7, Virgínia Ferriani8, Cássia M. Barbosa9, Tânia C M Castro10, Valéria C. Ramos11, Eloisa Bonfá12 and Clovis A Silva13, 1Pediatric Rheumatology Unit,, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2Pediatric Rheumatology Unit, University of São Paulo, São Paulo, Brazil, 3Pediatric Rheumatology Unit, Federal University of São Paulo, São Paulo, Brazil, 4Rheumatology, University of São Paulo, São Paulo, Brazil, 5Pediatric Rheumatology Division, São Paulo State University (UNESP), Botucatu, Brazil, 6Pediatric Rheumatology Unit, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil, 7Pediatric Rheumatology Unit, State University of Campinas, São Paulo, Brazil, 8Department of Pediatrics School of Medicine of Ribeirão Preto, University of São Paulo (USP-RP), Ribeirão Preto, Brazil, 9Pediatric Rheumatology Unit, Hospital Infantil Darcy Vargas, São Paulo, Brazil, 10Pediatric Rheumatology Unit, Hospital Menino Jesus, São Paulo, Brazil, 11Pediatric Rheumatology Unit, Pontifical Catholic University of Sorocaba, São Paulo, Brazil, 12Rheumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 13Pediatric Rheumatology Unit, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose:  Anti-Ro/SSA and anti-La/SSB antibodies were reported in 30-50% and 10-30% of adult SLE patients, associated mainly with cutaneous manifestations. However, to our knowledge there…
  • Abstract Number: 1384 • 2016 ACR/ARHP Annual Meeting

    Comparison of the Systemic Lupus Collaborating Clinics-Damage Index Score with a Physician Global Assessment of Damage in an International Cohort of Patients with Childhood-Onset Systemic Lupus

    Michael J. Holland1, Jun Ying2, Nicolino Ruperto3,4, Kasha Wiley1, Earl Silverman5 and Hermine I. Brunner1, 1Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Center for Biostatistical Services, University of Cincinnati College of Medicine, Cincinnati, OH, 3Pediatria II, Reumatologia, Istituto Giannina Gaslini, Genoa, Italy, 4Paediatric Rheumatology International Trials Organization (PRINTO), Istituto Giannina Gaslini, Genoa, Italy, 5Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose:   Childhood-onset systemic lupus erythematosus (cSLE) is a chronic autoimmune disease, which can affect any organ system. cSLE is associated with significant morbidity, including…
  • Abstract Number: 1385 • 2016 ACR/ARHP Annual Meeting

    Frequency of the Systemic Lupus Collaborating Clinics- Damage Index Items in Three Registries of Childhood-Onset Systemic Lupus Erythematosus

    Michael J. Holland1, Michael W. Beresford2,3,4, Nicolino Ruperto5, Allen Watts1, Kasha Wiley1, Elisabetta Cortis5,6, Seza Ozen5,7, Oscar Porras5,8, Flavio Sztajnbok5,9, Maria Apaz5,10 and Hermine I. Brunner1, 1Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool, United Kingdom, 3Alder Hey Children's NHS Foundation Trust Hospital, Institute of Translational Medicine (Child Health), University of Liverpool, Liverpool, United Kingdom, 4On Behalf of the UK JSLE Study Group, Liverpool, United Kingdom, 5Paediatric Rheumatology International Trials Organization (PRINTO), Istituto Giannina Gaslini, Genoa, Italy, 6Santa Maria della Stella Hospital, Orvieto, Italy, 7Department of Pediatrics, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey, 8Hospital Nacional de Niños, San Jose, Costa Rica, 9Pediatric Rheumatology Division, Adolescent Health Care Unit, Universida de do Estado do Rio de Janeiro., Rio de Janeiro, Brazil, 10Pediatric Rheumatology, Hospital de Niños de Cordoba, Córdoba, Argentina

    Background/Purpose: Childhood-Onset Systemic Lupus Erythematosus (cSLE) is a chronic, multi-system autoimmune disease. In addition to active inflammation, cSLE may result in irreversible damage to affected…
  • Abstract Number: 1386 • 2016 ACR/ARHP Annual Meeting

    Outcome of 847 Childhood-Onset Systemic LUPUS Erythematousus Patients in Three Age Groups

    Sandra R M Lopes1, Natali W. Gormezano2, Roberta C. Gomes Sr.3, Nadia E Aikawa4, Rosa M R Pereira5, Maria Teresa Terreri6, Claudia S. Magalhães7, Eunice M. Okuda8, Ana Paula Sakamoto6, Adriana M E Sallum2, Simone Appenzeller9, Virgínia Ferriani10, Cássia M. Barbosa11, Simone Lotufo12, Adriana A. Jesus13,14, Luis E C Andrade15, Lucia M A Campos4, Eloisa Bonfa16 and Clovis A Silva3, 1Division of Rheumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2Pediatric Rheumatology Unit, University of São Paulo, São Paulo, Brazil, 3Pediatric Rheumatology Unit, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4Pediatric Rheumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 5Rheumatology Division, Rheumatology Division, Faculdade de Medicina da USP, São Paulo, Brazil, 6Pediatric Rheumatology Unit, Federal University of São Paulo, São Paulo, Brazil, 7Pediatric Rheumatology Division, São Paulo State University (UNESP), Botucatu, Brazil, 8Pediatric Rheumatology Unit, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil, 9Pediatric Rheumatology Unit, State University of Campinas, Campinas, Brazil, 10Department of Pediatrics School of Medicine of Ribeirão Preto, University of São Paulo (USP-RP), Ribeirão Preto, Brazil, 11Pediatric Rheumatology Unit, Hospital Infantil Darcy Vargas, São Paulo, Brazil, 12Pediatric Rheumatology Unit, Hospital Municipal Infantil Menino Jesus, São Paulo, Brazil, 13Pediatrics Department, Universidade de São Paulo, São Paulo, Brazil, 14Pediatrics, Instituto da Criança da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Sao Paulo, Brazil, 15Pediatric Rheumatology Unit, Universidade Federal de São Paulo, São Paulo, Brazil, 16Rheumatology Divison, Hospital das Clinicas, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil

    Background/Purpose: A recent large study comparing childhood systemic lupus erythematosus (cSLE) with adult-onset SLE revealed a more aggressive and worse outcome in the former group.…
  • 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…
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