ACR Meeting Abstracts

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  • Abstract Number: 1317 • 2014 ACR/ARHP Annual Meeting

    Anti-p155/140 Autoantibodies and Selected Features at Illness Onset Are Associated with a Chronic Course of Illness in the Juvenile Idiopathic Inflammatory Myopathies

    G. Esther A. Habers1, Adam M. Huber2, Gulnara Mamyrova3, Ira Targoff4, Chantal Boonacker5, Marco van Brussel1, Frederick W. Miller6, Lisa G. Rider6 and Annet van Royen-Kerkhof7, 1Child Development and Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, Netherlands, 2IWK Health Centre, Halifax, NS, Canada, 3Rheumatology, George Washington University, Washington, DC, 4Oklahoma Medical Research Foundation, Oklahoma City, OK, 5Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands, 6Environmental Autoimmunity Group, NIEHS, NIH, Bethesda, MD, 7Paediatric Immunology and Rheumatology, University Medical Centre Utrecht - Wilhelmina Children's Hospital, Utrecht, Netherlands

    Background/Purpose : Three types of disease courses can be distinguished in patients with juvenile idiopathic inflammatory myopathies (JIIM), namely monocyclic (M), polycyclic (P), and chronic…
  • Abstract Number: 1316 • 2014 ACR/ARHP Annual Meeting

    A Hybrid Conjoint Analysis Model Is Proposed As the Definition of Minimal, Moderate and Major Clinical Improvement in Juvenile Dermatomyositis Clinical Trials

    Lisa G. Rider1, Rohit Aggarwal2, Nastaran Bayat1, Brian Erman3, Brian M. Feldman4, Adam M. Huber5, Rolando Cimaz6, Rubén J. Cuttica7, Sheila K. Feitosa de Oliveira8, Carol B. Lindsley9, Clarissa A Pilkington10, Marilynn G. Punaro11, Angelo Ravelli12, Ann M. Reed13, Kelly A. Rouster-Stevens14, Annet van Royen-Kerkhof15, Luca Villa16, Mariangela Rinaldi16, Angela Pistorio17, Howard Rockette18, Peter A. Lachenbruch1, Frederick W. Miller1, Jiri Vencovsky19 and Nicolino Ruperto20, 1Environmental Autoimmunity Group, NIEHS, NIH, Bethesda, MD, 2Medicine, University of Pittsburgh, Pittsburgh, PA, 3Social and Scientific Systems, Inc., Durham, NC, 4Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 5IWK Health Centre, Halifax, NS, Canada, 6Pediatrics, University of Firenze, Firenze, Italy, 7Hospital de Niños Pedro de Elizalde - University of Buenos Aires, Buenes Aires, Argentina, 8Pediatric Rheumatology, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil, 9Dept of Pediatrics/ PTD, Univ Kansas City Med Ctr, Kansas City, KS, 10Rheumatology, Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom, 11Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, 12University of Genova, Genova, Italy, 13Rheumatology, Mayo Clinic, Rochester, MN, 14Pediatrics, Emory University School of Medicine, Atlanta, GA, 15Paediatric Immunology and Rheumatology, University Medical Centre Utrecht - Wilhelmina Children's Hospital, Utrecht, Netherlands, 16Pediatria II, Reumatologia, PRINTO, IRCCS Istituto G. Gaslini, Genova, Italy, 17Istituto Giannina Gaslini, Genova, Italy, 18University of Pittsburgh, Pittsburgh, PA, 19Institute of Rheumatology, Charles University, Prague, Czech Republic, 20Pediatria II,, Istituto Giannina Gaslini, Genoa, Italy

    Background/Purpose:   Preliminary definitions of improvement (DOIs) for juvenile dermatomyositis (JDM) combining IMACS or PRINTO core set activity measures (CSMs) have been used as a…
  • Abstract Number: 1315 • 2014 ACR/ARHP Annual Meeting

    Cross-Sectional Evaluation of Hydroxychloroquine (HCQ) Therapy in Children with Juvenile Dermatomyositis (JDM) Enrolled in the Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry

    Yonit Sterba1, Dawn Wahezi2 and For the CARRA investigators3, 1Pediatric Rheumatology, Montefiore Medical Center, Bronx, NY, 2Pediatric Rheumatology, Children's Hospital at Montefiore, Bronx, NY, 3Duke Children's Hospital, Durham, NC

    Background/Purpose: Hydroxychloroquine is an antimalarial agent commonly used in the treatment of rheumatologic diseases. Data on the use of HCQ in JDM is limited, primarily…
  • Abstract Number: 1301 • 2014 ACR/ARHP Annual Meeting

    Trabecular Bone Impairment Assessed By HR-pQCT in Juvenile-Onset Systemic Lupus Erythematous with Vertebral Fractures

    Juliane Paupitz, Glauce Lima, Valéria Caparbo, Henrique Fuller, Eloisa Bonfa and Rosa M R Pereira, Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose The three-dimensional evaluation of bone by HR-pQCT has the advantage to provide assessment to not only bone density, but also to a noninvasive evaluation…
  • Abstract Number: 1300 • 2014 ACR/ARHP Annual Meeting

    Subclinical Right Ventricle Systolic Dysfunction By Two-Dimensional Speckle-Tracking Echocardiography in Childhood-Onset Systemic Lupus Erythematosus Patients

    Gabriela N Leal1, Kellen F Silva1, Camila M. P. França2, Alessandro C. Lianza3, José L. Andrade1, Lucia M. A. Campos2, Eloisa Bonfa4 and Clovis A Silva5, 1Radiology, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 2Pediatric Rheumatology Unit, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 3Radiology, University of São Paulo, Sao Paulo, Brazil, 4Rheumatology, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 5Pediatric Rheumatology Unit, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose: Evaluation of right ventricle (RV) systolic function by standard echocardiogram remains a challenge because of the complex geometry of this chamber. Recently, two-dimensional Speckle-tracking…
  • Abstract Number: 1299 • 2014 ACR/ARHP Annual Meeting

    A Cross-Sectional Study of Mental Health Symptoms and Mental Health Care in Pediatric SLE/MCTD Patients and Their Peers

    Andrea Knight1,2, Michelle Vickery1, Pamela Weiss1,2,3, Knashawn Morales3 and Ron Keren3,4, 1Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, 2Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 3Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, 4Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: Mental health problems are prevalent in pediatric systemic lupus erythematosus (SLE). We aimed to compare the rates of mental health problems and mental health…
  • Abstract Number: 1298 • 2014 ACR/ARHP Annual Meeting

    Macrophage Activation  Macrophage Activation Syndrome: A Severe and Frequent Manifestation of Acute Pancreatitis in Childhood-Onset Compared to Adult Systemic Lupus Erythematosus Patients

    Natali W. Spelling1, Carini I. Otsuzi1, Diego L. Barros1, Mariana A. da Silva1, Rosa M. R. Pereira1, Lucia M. A. Campos1, Eduardo F. Borba1, Eloisa Bonfá1 and Clovis A Silva2, 1Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil, 2Pediatric Rheumatology Unit, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose: Acute pancreatitis (AP) is a rare and severe manifestation of childhood-onset systemic lupus erythematosus (cSLE) and adult SLE (aSLE) patients. Macrophage activation syndrome (MAS)…
  • Abstract Number: 1297 • 2014 ACR/ARHP Annual Meeting

    Safety and Efficacy of Rituximab in Pediatric Lupus and Other Rheumatic Diseases

    Ajay Tambralli1, Timothy Beukelman2, Randy Q. Cron2 and Matthew L. Stoll2, 1Medicine, University of Rochester, Rochester, NY, 2Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL

    Background/Purpose:  Rituximab (RTX) is a chimeric monoclonal antibody that specifically targets CD20 positive B cells and is used successfully for a variety of pediatric rheumatologic…
  • Abstract Number: 1296 • 2014 ACR/ARHP Annual Meeting

    Pulse- Pediatric Update on Lupus in South Africa: Epidemiology and Management

    Laura Lewandowski1, Laura Schanberg1, Nathan Thielman2 and Christiaan Scott3, 1Pediatric Rheumatology, Duke University Medical Center, Durham, NC, 2Duke Hubert Yeargan Center for Global Health, Durham, NC, 3Rheumatology, Red Cross War Memorial Children's Hospital, Cape Town, South Africa

    Background/Purpose: In developed nations, SLE is more common and severe in people of African extraction than in Caucasians; however, the epidemiology of SLE in Africa…
  • Abstract Number: 1295 • 2014 ACR/ARHP Annual Meeting

    Childhood-Onset Systemic Lupus Erythematosus:  Short-Term Treatment Response Rates in Proliferative Lupus Nephritis

    Andrea Human1, Simon Yu Tian2, Earl D. Silverman3 and Deborah M. Levy1, 1Rheumatology, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada, 2Rheumatology and Program of Child Health Evaluative Sciences, The Hospital for Sick Children, Institute of Medical Science, University of Toronto, Toronto, ON, Canada, 3Division of Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Proliferative Lupus Nephritis (PLN) occurs in up to 50% of patients with childhood-onset systemic lupus erythematosus (cSLE).  PLN is a significant source of morbidity and…
  • Abstract Number: 1294 • 2014 ACR/ARHP Annual Meeting

    Gender Differences in the Lupus Nephritis Biomarkers in Children

    Khalid Abulaban1, Hermine Brunner2, Michael Bennett3, Shannen L. Nelson4, Jun Ying5 and Prasad Devarajan3, 1Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Nephrology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 4Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 5University of Cincinnati, Cincinnati, OH

    Background/Purpose:  Lupus nephritis (LN) is frequently associated with a poor long-term prognosis. The non-invasive traditional measures of LN (LN-TM) currently used to monitor LN have…
  • Abstract Number: 1293 • 2014 ACR/ARHP Annual Meeting

    Identification of an Inflammation-Driven Phenotype of Osteoarthritis By Quantification of Synovial Inflammation Ex Vivo and in Serum from Patients

    Cecilie F. Kjelgaard-Petersen1, Anne Sofie Siebuhr2, Kristian Kjaer Petersen3, Lars Arendt-Nielsen4, Thomas Eskehave5, Hans Christian Hoeck5, Ole Simonsen6, Thorbjørn Christiansen7, Line Lindhardt Egsgaard8, Morten A. Karsdal9 and Anne C. Bay-Jensen1, 1Nordic Bioscience, Biomarkers and Research, Herlev, Denmark, 2Rheumatology, Nordic Bioscience, Biomarkers and Research, Herlev, Denmark, 3Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Denmark, Center for Sensory-Motor Interaction, Aalborg, Denmark, 4Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Center for Sensory-Motor Interaction, Aalborg, Denmark, 5Center for Clinical and Basic Research (CCBR), Aalborg, Denmark, 6Frederikshavn Hospital, Frederikshavn, Denmark, 7Orthopaedic Surgery Unit, Gentofte University Hospital, Gentofte, Denmark, 8Center for Sensory-Motor Interaction (SMI), Aalborg University, Aalborg, Denmark, 9Research & Development, Nordic Bioscience, Biomarkers and Research, Herlev, Denmark

    Background/Purpose Osteoarthritis (OA) is a multifaceted degenerative joint disease, where inflammation of the synovial membrane leads to accelerated joint destruction, resulting in elevated release of…
  • Abstract Number: 1292 • 2014 ACR/ARHP Annual Meeting

    Synovitis Characteristics and Associated Intra-Articular Pathology in a Cohort of Patients Undergoing Meniscectomy for Meniscal Tear

    Marta Favero1, Giovanni Trisolino2, Antonello Lazzaro3, Mary B. Goldring4, Steven R. Goldring5, Elisa Assirelli6, Claudio Iacobellis7, Augusto Cigolotti8, Assunta Pozzuoli3, Ambrogio Fassina8, Ermanno Martucci2, Leonardo Punzi9, Andrea Facchini6 and Eleonora Olivotto6, 1University Hospital of Padova, Italy, Rheumatology Unit, Padova, Italy, 2Rizzoli Orthopaedic Institute, Reconstructive Hip and Knee Joint Surgery, Bologna, Italy, 3University of Padova, Orthopaedic Clinic, Padova, Italy, 4Tissue Engineering Repair and Regeneration Program, Hospital for Special Surgery and Weill Cornell Medical College, New York, NY, 5Hospital for Special Surgery, New York, NY, 6Rizzoli Orthopaedic Institute, Laboratory of Immunorheumatology and Tissue Regeneration/RAMSES, Bologna, Italy, 7Hospital of Padova, UOC of Orthopaedic and Traumatology, Padova, Italy, 8University of Padova, Surgical Pathology and Cytopathology Unit, Department of Medicine, University of Padova, Italy, Padova, Italy, 9Department of Medicine - DIMED, University of Padova, Padova, Italy

    Background/Purpose: Previous epidemiologic studies have established that there is a strong relationship between meniscal tear and the risk for subsequent development of osteoarthritis (OA). Though…
  • Abstract Number: 1291 • 2014 ACR/ARHP Annual Meeting

    Relationships Between Inflammation, Disease Severity and Synovial Fluid Calcium Crystals Detected By Scanning Electronic Microscopy in Early Osteoarthritis

    Paola Frallonardo1, Francesca Oliviero1, Luca Peruzzo2, Leonardo Tauro3, Anna Scanu1, Mariagrazia Lorenzin1, Augusta Ortolan1, Leonardo Punzi4 and Roberta Ramonda1, 1Rheumatology Unit, Department of Medicine, University of Padova, Padova, Italy, 2Institute for Geosciences and Earth Resources IGG-CNR, Padova, Italy, 3Department of Geosciences, University of Padova, Padova, Italy, 4Department of Medicine - DIMED, University of Padova, Padova, Italy

    Background/Purpose The presence of calcium crystals (CC) in synovial fluid (SF) of osteoarthritis (OA) is a well known and frequent feature (1). However, their role…
  • Abstract Number: 1289 • 2014 ACR/ARHP Annual Meeting

    Classification of Osteoarthritis Phenotypes By Metabolomics Analysis

    Weidong Zhang1, Sergei Likhodii2, Yuhua Zhang1, Erfan Aref-Eshghi1, Patricia E. Harper1, Edward Randell2, Roger Green1, Glynn Martin3, Andrew Furey3, Guang Sun4, Proton Rahman5,6 and Guangju Zhai1, 1Discipline of Genetics, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada, 2Department of Laboratory Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada, 3Department of Surgery, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada, 4Discipline of Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada, 5Faculty of Medicine, Memorial University of Newfoundland, St. John's, NF, Canada, 6Rheumatology, St. Claires Mercy Hospital, St. Johns, NF, Canada

    Background/Purpose: Osteoarthritis (OA) is a group of heterogeneous conditions consisting of different subgroups or phenotypes that continuously evolve, eventually leading to common clinical manifestations. Identifying…
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