ACR Meeting Abstracts

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  • Abstract Number: 1345 • 2014 ACR/ARHP Annual Meeting

    Improving Pneumococcal Immunization Rates for Patients on Immunosuppressant Medications at an Academic Rheumatology Clinic

    Lauren Dudley1, Stephen Liu2, Krista Merrihew1, Jocelyn Verrill1 and Lin Brown1, 1Rheumatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 2Internal Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH

    Background/Purpose: Patients with rheumatologic diseases are frequently placed on immunosuppressant medications which increase their risk of developing Streptococcus pneumoniae infections.  The Advisory Committee on Immunization…
  • Abstract Number: 1344 • 2014 ACR/ARHP Annual Meeting

    Electronic Medical Record-Based Best Practice Alert Used By Clinical Staff Improved Pneumococcal Vaccination and Documentation Among Immunosuppressed Rheumatoid Arthritis Patients

    Heena Sheth1, Larry W. Moreland2, Hilary J. Peterson1 and Rohit Aggarwal1, 1Medicine, University of Pittsburgh, Pittsburgh, PA, 2Medicine, Division of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: The Centers for Disease Control and American College of Rheumatology guidelines recommend pneumococcal vaccination for all immunosuppressed patients, specifically those taking disease modifying antirheumatic…
  • Abstract Number: 1343 • 2014 ACR/ARHP Annual Meeting

    A Quality Improvement Initiative to Improve Pneumococcal Vaccination Rates in Immunosuppressed Patients

    Melissa Bussey1 and Rochella A. Ostrowski2, 1Rheumatology, Division of Rheumatology, Loyola University Medical Center, Maywood, IL, 2Rheumatology, Loyola University Medical Center, Maywood, IL

    Background/Purpose    Patients with autoimmune diseases are at increased risk of complicated infections, and immunomodulating treatment regimens further enhance this risk.  Many of these infections,…
  • Abstract Number: 1342 • 2014 ACR/ARHP Annual Meeting

    Improving Serologic Testing for Antiphospholipid Antibodies in Patients with Systemic Lupus Erythematosus

    Arshad Mustafa1, Kara Prescott2, Una Makris3 and E. Blair Solow4, 1Internal Medicine - Rheumatology, UT Southwestern Medical Center at Dallas, Dallas, TX, 2Internal Med - Rheumatology, Dallas VA Medical Ctr, Dallas, TX, 3Rheumatology, Dallas VA Medical Ctr, Dallas, TX, 4Internal Medicine, Division of Rheumatic Diseases, UT Southwestern Medical Center, Dallas, TX

    Background/Purpose: Antiphospholipid antibodies (APL) in patients with Systemic Lupus Erythematosus (SLE) are common. Persistent positivity is known to increase the risk of thrombosis and pregnancy…
  • Abstract Number: 1361 • 2014 ACR/ARHP Annual Meeting

    Rheumatologists’ Attitudes on Cardiovascular Risk and Lipid Screening in Patients with Rheumatoid Arthritis at an Academic Medical Center

    Ashwini Komarla1 and Alexis Ogdie2, 1Medicine/Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Rheumatology and Epidemiology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Cardiovascular (CV) disease is a major cause of morbidity and mortality in the rheumatoid arthritis (RA) population. Thus, the recognition and management of cardiovascular…
  • Abstract Number: 1360 • 2014 ACR/ARHP Annual Meeting

    Monitoring Methotrexate and Leflunomide Treatment for Liver Toxicity:  the Kaiser Permanente Experience

    Robert Goldfien1 and Lisa Herrinton2, 1Rheumatology, Kaiser Permanente, Richmond, CA, 2Division of Research, Kaiser Permanente, Oakland, CA

    Background/Purpose: Methotrexate (MTX) and Leflunomide (LEF) are widely prescribed to treat rheumatologic and other diseases. Each has the potential to cause liver injury in some…
  • Abstract Number: 1358 • 2014 ACR/ARHP Annual Meeting

    A Systematic Analysis of the Safety of Prescribing Anti-Rheumatic Immunosuppressive and Biologic Drugs in Pregnant Women

    Sonia Panchal1, Julia Flint2, Maud van de Venne3, Madeline Piper4, Alice Hurrel5, Joel Cunningham5, Mary Gayed6, Karen Schreiber7, Subha Anthanari8, Mohamed Nisar8, David Williams9, Munther Khamashta10, Caroline Gordon11 and Ian Giles2, 1Rheumatology, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom, 2UCL Division of Medicine, University College London, London, United Kingdom, 3Obstetrics and Gynaecology, North Bristol NHS Trust, Bristol, United Kingdom, 4Ysbyty Ystrad Fawr, Aneurin Bevan Health Board Wales, Wales, United Kingdom, 5Institute for Women's Health, University College London, London, United Kingdom, 6Rheumatology Division of Infection and Immunity, The Medical School, University of Birmingham, Birmingham, United Kingdom, 7Lupus Research Unit, Division of Infection and Immunity, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom, 8Rheumatology, Burton Hospitals NHS Foundation Trust, Burton-upon-Trent, United Kingdom, 9University College London, London, United Kingdom, 10Lupus Research Unit, Division of Women's Health, Guy's and St Thomas' NSH Foundation Trust, London, United Kingdom, 11Rheumatology, Division of Infection and Immunity, The Medical School, University of Birmingham, Birmingham, United Kingdom

    Background/Purpose The use of anti-rheumatic drugs in pregnancy is often complicated by concerns over their potential for adverse effects. Given that rheumatic diseases often affect…
  • Abstract Number: 1359 • 2014 ACR/ARHP Annual Meeting

    Care of Women with Rheumatological Conditions during Family Planning and Pregnancy

    Megan E. B. Clowse1, Munther Khamashta2, Daphnee S. Pushparajah3 and Eliza Chakravarty4, 1Rheumatology, Duke University Medical Center, Durham, NC, 2Graham Hughes Lupus Research Laboratory, The Rayne Institute, London, United Kingdom, 3UCB Pharma, Brussels, Belgium, 4OMRF, Oklahoma City, OK

     Background/Purpose Rheumatological diseases often affect women of reproductive age and can impact pregnancy outcomes. There is a need to understand how patients (pts) are managed…
  • Abstract Number: 1329 • 2014 ACR/ARHP Annual Meeting

    Comparison of Clinical and Serological Features of Childhood Sjögren Syndrome Based on the Presence or Absence of Parotitis

    Jay Mehta1, Namrata Singh2 and Scott Lieberman3, 1Pediatrics, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx, NY, 2Medicine, University of Iowa, Iowa City, IA, 3Pediatrics (Division of Rheumatology), University of Iowa Children's Hospital, Iowa City, IA

    Background/Purpose: Sjögren syndrome is a complex autoimmune disease that affects lacrimal and salivary glands with the potential to cause damage to other organs. Diagnosis of…
  • Abstract Number: 1328 • 2014 ACR/ARHP Annual Meeting

    Modulation of Natural IgM-Autoantibodies to Oxidative Stress-Related Neo-Epitopes on Apoptotic Cells in Newborns of Mothers with Anti-Ro Autoimmunity

    Caroline Grönwall1, Robert M. Clancy2, Lelise Getu3, Don L. Siegel4, Joanne Reed3, Jill P. Buyon2 and Gregg J. Silverman1, 1Medicine, New York University School of Medicine, New York, NY, 2Department of Medicine, Division of Rheumatology, New York University School of Medicine, New York, NY, 3New York University School of Medicine, New York, NY, 4Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

    Background/Purpose At birth, the human immune system expresses substantial circulating levels of polymeric IgM that include autoantibodies to oxidation-associated epitopes on apoptotic cells. This study…
  • Abstract Number: 1327 • 2014 ACR/ARHP Annual Meeting

    Decreased CD3-CD16CD56+ Natural Killer Cell Counts Are Associated with Disease Activity in Children with Orbital Myositis

    Melissa R. Bussey1, Gabrielle A. Morgan2, Maria C. Amoruso2, Bahram Rahmani3 and Lauren M. Pachman4, 1Rheumatology, Division of Rheumatology, Loyola University Medical Center, Maywood, IL, 2Stanley Manne Children’s Research Institute, affiliated with Ann & Robert H. Lurie Children’s Hospital of Chicago, Cure JM Myositis Center, Chicago, IL, 3Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, 4Division of Pediatric Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose:  Orbital myositis (OM), an inflammatory disease affecting the extra-ocular muscles, typically presents in the third decade.  It more commonly affects females and is extremely…
  • Abstract Number: 1326 • 2014 ACR/ARHP Annual Meeting

    Transition of Care and Long-Term Outcomes of Juvenile Systemic Sclerosis during Adulthood: Results from a French Single-Center Case-Control Study

    Francois-Xavier Mauvais1, Brigitte Bader-Meunier2, Alice Berezne3, Guillaume Bussone4, Christine Bodemer5, Loïc Guillevin6, Pierre Quartier2 and Luc Mouthon6, 1INSERM U1151 / CNRS 8253, PARIS, France, 2Pediatric Rheumatology, IMAGINE Institute, Hôpital Necker-Enfants Malades, Assistance Publique Hôpitaux de Paris, Université Paris-Descartes, Paris, France, 3Paris Descartes University, Internal Medicine department, Cochin Hospital, Paris, France, 4Internal Medicine, Hopital Cochin, Paris, France, 5Hôpital Necker-Enfants Malades, Paris, France, 6National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France

    Background/Purpose To describe the transition of care from Pediatric to an adult Internal Medicine department and long-term outcomes of patients with juvenile-onset SSc. Methods Twenty…
  • Abstract Number: 1325 • 2014 ACR/ARHP Annual Meeting

    Single Hub and Access Point for Pediatric Rheumatology in Europe (SHARE): Evidence Based Recommendations for Diagnosis and Treatment of Juvenile Localized Scleroderma and Juvenile Systemic Sclerosis

    Bas Vastert1, Roberta Culpo2, Jordi Anton3, Tadej Avcin4, Eileen Baildam5, Christina Boros6, Tamás Constantin7, Jeff Chaitow8, Pavla Dolezalova9, Ozgur Kasapcopur10, Sheila Oliveira11, Clarissa Pilkington12, Annet van Royen-Kerkhof13, Ricardo A. G. Russo14, Claudia Saad-Magalhaes15, Natasa Toplak16, Angelo Ravelli17, Nico Wulffraat18, Ivan Foeldvari19 and Francesco Zulian20, 1University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Pediatrics., University of Padua, Padua, Italy, 3Pediatric Rheumatology Unit. Hospital Sant Joan de Déu. Universitat de Barcelona, Barcelona, Spain, 4Pediatric Rheumatology, University Children´s Hospital, Ljubjana, Slovenia, 5Paediatric Rheumatology, Alder Hey Children's Foundation NHS Trust, Liverpool, United Kingdom, 6University of Adelaide, Adelaide, Australia, 7Pediatric Rheumatology, University Childrens Hospital, Budapest, Hungary, 8The Children’s Hospital Westmead, Sydney, Australia, 9Department of Paediatrics and Adolescent Medicine, Charles University, Prague, Czech Republic, 10University Cerrahpasa Faculty of Medicine, Istanbul, Turkey, 11Pediatric Rheumatology, Universidade F Rio De Janeiro, Rio De Janeiro, Brazil, 12Rheumatology, Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom, 13Paediatric Immunology and Rheumatology, University Medical Centre Utrecht - Wilhelmina Children's Hospital, Utrecht, Netherlands, 14Immunology & Rheumatology, Hospital de Pediatria Garrahan, Buenos Aires, Argentina, 15Faculdade de Medicina de Botucatu, Botucatu, Brazil, 16Pediatric Rheumatology, University Medical Center, Ljubliana, Slovenia, 17Istituto Giannina Gaslini and University of Genova, Genova, Italy, 18Pediatric rheumatology, Wilhelmina Children's Hospital/ UMC Utrecht, Utrecht, Netherlands, 19Department of Pediatric Rheumatology, Hamburger Zentrum für Kinder und Jugendrheumatologie, Hamburg, Germany, 20Pediatrics/Rheumatology Div, University of Padua, Padua, Italy

    Background/Purpose Juvenile Localized Scleroderma (JLS) and Juvenile Systemic Sclerosis (JSSc) form a group of rare pediatric diseases that can lead to significant morbidity. Evidence-based guidelines…
  • Abstract Number: 1324 • 2014 ACR/ARHP Annual Meeting

    Predictors of Disease Relapse in Juvenile Localized Scleroderma

    Kathryn S. Torok1, Katherine Kurzinski2 and Christina Kelsey3, 1Pediatric Rheumatology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 2Pediatric Rheumatology, Univ of Pittsburgh Med Ctr, Pittsburgh, PA, 3Pediatric Rheumatology, University of Pittsburgh/UPMC, Pittsburgh, PA

    Background/Purpose Localized scleroderma (LS) is an autoimmune disease characterized by inflammation of the skin and underlying tissue leading tissue damage including atrophy, dyspigmentation, and fibrosis. …
  • Abstract Number: 1323 • 2014 ACR/ARHP Annual Meeting

    Gastrointestinal Involvement in Juvenile Systemic Sclerosis: Development of Recommendations for Screening and Investigation

    Ivan Foeldvari1, Clare Pain2, Tamás Constantin3, Eileen Baildam4, Henning Lenhartz5, Michael Blakley6, Dana Nemkova7 and Clarissa A Pilkington8, 1Department of Pediatric Rheumatology, Hamburger Zentrum für Kinder und Jugendrheumatologie, Hamburg, Germany, 2Pediatric Rheumatology, University Children´s Hospital, Liverpool, United Kingdom, 3Pediatric Rheumatology, University Childrens Hospital, Budapest, Hungary, 4Paediatric Rheumatology, Alder Hey Children's Foundation NHS Trust, Liverpool, United Kingdom, 5Pediatric Gastroenterology, Wilhelmstift, Hamburg, Germany, 6Internal Medicine and Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at IU Health, Indianapolis, IN, 7Pedaitric Rheumatology, Prague, Czech Republic, 8Rheumatology, Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom

    Background/Purpose There are currently no agreed recommendations on how to investigate children for gastrointestinal (GI) involvement in Juvenile Systemic Sclerosis (JSSc). The aim of screening…
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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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