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  • Abstract Number: 2439 • 2015 ACR/ARHP Annual Meeting

    Methotrexate Failure in Pediatric Uveitis

    Courtney McCracken1, Steven Yeh2, Kirsten Jenkins3, Daneka Stryker4, Steven Tommasello5, Curtis Travers1, Scott R. Lambert2, Carolyn Drews-Botsch6 and Sheila T. Angeles-Han1,2,3, 1Pediatrics, Emory University School of Medicine, Atlanta, GA, 2Ophthalmology, Emory University School of Medicine, Atlanta, GA, 3Children's Healthcare of Atlanta, Atlanta, GA, 4Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, 5University of Alabama, Birmingham, AL, 6Epidemiology, Emory University School of Public Health, Atlanta, GA

    Background/Purpose: Pediatric uveitis can lead to ocular complications and vision loss. Treatment consists of steroid drops, methotrexate (MTX), and anti-tumor necrosis factor (TNF) drugs.  Only…
  • Abstract Number: 2440 • 2015 ACR/ARHP Annual Meeting

    Using Patient-Relevant Variables to Describe the Disease Course in Children with Juvenile Idiopathic Arthritis

    Jaime Guzman1, Andrew Henrey2, Thomas Loughin2, Roberta Berard3, Natalie Shiff4, Roman Jurencak5, Susanne Benseler6, Lori B. Tucker7 and ReACCh-Out Investigators, 1Rheumatology, Division of Rheumatology, BC Children's Hospital, Vancouver, BC, Canada, 2Statistics and Actuarial Science, Simon Fraser University, Burnaby, BC, Canada, 3Children's Hospital of Western Ontario, London, ON, Canada, 4Pediatric Rheumatology, University of Saskatchewan, Saskatoon, SK, Canada, 5University of Ottawa, Ottawa, ON, Canada, 6Alberta Children's Hospital Research Institute/University of Calgary, Calgary, AB, Canada, 7Rheumatology, BC Children's Hospital, Vancouver, BC, Canada

    Background/Purpose: To define distinct disease course groups among children with Juvenile Idiopathic Arthritis (JIA) based on observed changes in quality of life, pain, medication requirements,…
  • Abstract Number: 2441 • 2015 ACR/ARHP Annual Meeting

    Serum 14-3-3η Is Present in JIA and Is Not Associated with RF+ Polyarthritis

    Alan M. Rosenberg1, Walter Maksymowych2, Yuan Gui3 and Anthony Marotta3, 1Department of Pediatrics, University of Saskatchewan, Saskatoon, SK, Canada, 2Department of Medicine, University of Alberta, Edmonton, AB, Canada, 3Augurex Life Sciences Corp., Vancouver, BC, Canada

    Background/Purpose: Juvenile Idiopathic Arthritis (JIA) is a collective term used to denote clinically discrete subtypes, which include: Enthesitis-related arthritis, Oligoarthritis, Polyarthritis, Psoriatic arthritis, Systemic arthritis…
  • Abstract Number: 2442 • 2015 ACR/ARHP Annual Meeting

    The Family Journey to Diagnosis with Systemic Juvenile Idiopathic Arthritis As Evidenced through Changing Social Media Presence

    Renee F Modica1, Kathleen G Lomax2, Pamela Batzel3, Leah Shapardanis3, Kimberly A Compton3 and Melissa E Elder4, 1UF Health Shands Children’s Hospital, Gainesville, FL, 2Medical Affairs, Immunology and Dermatology, Novartis Pharmaceuticals Corporation, East Hanover, NJ, 3TREATO, Princeton, NJ, 4Pediatrics, Univ of Florida, Gainesville, FL

    Background/Purpose: Patients with systemic juvenile idiopathic arthritis (SJIA) frequently encounter delays from symptom onset to SJIA diagnosis (dx), partly due to the broad differential of…
  • Abstract Number: 2443 • 2015 ACR/ARHP Annual Meeting

    Pediatric Tele-Rheumatology: A Pilot Project to Assess Accuracy of Physical Examination Findings and Diagnostic Concordance at a Distance

    Michael Henrickson1, Jody Raugh2, Kelsey Hofacer3 and Adam Furnier4, 1Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Occupational and Physical Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Center for Telehealth, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 4Quality Improvement Systems, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Telemedicine (TM) offers a strategic means of extending limited clinical pediatric rheumatology (PR) workforce capacity to improve access to care for patients in remote…
  • Abstract Number: 2444 • 2015 ACR/ARHP Annual Meeting

    Accelerometer-Assessed Daily Physical Activity in Relation to Pain Cognitions and Quality of Life in Juvenile Idiopathic Arthritis

    Mette Noergaard1, Johanne Lomholt2, Mikael Thastum2, Morten Herlin3, Marinka Twilt4 and Troels Herlin4, 1Department of Physiotherapy, Aarhus University Hospital, Aarhus, Denmark, 2Psychology and Social Sciences, Aarhus University, Aarhus, Denmark, 3Pediatrics, Aarhus University Hospital, Aarhus, Denmark, 4Pediatric Rheumatology Clinic, Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark

    Background/Purpose: Juvenile Idiopathic Arthritis (JIA) has been associated with decreased physical activity (PA). However, accurate, objective measurements of PA related to potential factors limiting PA…
  • Abstract Number: L25 • 2014 ACR/ARHP Annual Meeting

    Efficacy and Safety of Subcutaneous Tabalumab in Patients with Systemic Lupus Erythematosus (SLE): Results from 2 Phase 3, 52-Week, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trials

    David A. Isenberg1, Murray B. Urowitz2, Joan T. Merrill3, Robert W. Hoffman4, Matthew D. Linnik4, MaryAnn Morgan-Cox4, Melissa F. Veenhuizen4, Noriko Iikuni4, Michelle Petri5 and ILLUMINATE-1 Investigators, 1University College London, London, United Kingdom, 2University of Toronto, Toronto Western Hospital, Toronto, ON, 3Department of Clinical Pharmacology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 4Eli Lilly and Company, Indianapolis, IN, 5Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: B-cell Activating Factor (BAFF) is a key regulator of B-cell development, survival, and activation. Tabalumab is a human IgG4 monoclonal antibody, administered subcutaneously, that binds…
  • Abstract Number: 3017 • 2014 ACR/ARHP Annual Meeting

    Program Evaluation of ‘the Joint Clinic’: An Innovative Clinical Service for Patients with Hip or Knee Osteoarthritis

    J. Haxby Abbott1, Helen Harcombe2, Chris Crane3, Liam Hutton3, Kirsten Stout3, Cathy Chapple4 and David Gwynne-Jones5, 1Centre for Musculoskeletal Outcomes Research, Department of Surgical Sciences, University of Otago, Dunedin, New Zealand, 2Centre for Musculoskeletal Outcomes Research, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand, 3Dunedin Hospital, Southern District Health Board, Dunedin, New Zealand, 4School of Physiotherapy, University of Otago, Dunedin, New Zealand, 5Orthopaedic Surgery, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand

    Background/Purpose: In socialized healthcare systems with free public access to healthcare, there are circumstances wherein patients referred by general medical practitioners (GPs) for specialist physician…
  • Abstract Number: 3018 • 2014 ACR/ARHP Annual Meeting

    Testing of a Newly Developed Computerized Animated Activity Questionnaire  for Assessing Activity Limitations in Patients with Hip and Knee Osteoarthritis

    Wilfred FH Peter1, Mick Loos2, Henrica de Vet3, Maarten Boers3, Jaap Harlaar4, Leo D. Roorda5, Rudolf Poolman6, Vanessa Scholtes6, Jan Bogaard7, Hilda Buitelaar1, Martijn P.M. Steultjens8, Ewa M. Roos9, Anne-Christine Rat10, Francis Guillemin11, Maria Grazia Benedetti12, Antonio Escobar Martinez13, Nina Østerås14 and Caroline Terwee3, 1Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, Netherlands, 2Epidemiology and Biostatistics and the EMGO Institute for Health and Care research, VU University Medical Center, Amsterdam, Netherlands, 3Dep of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, Netherlands, 4Dep of Rehabilitation Medicine and MOVE research institute, VU University Medical Center, Amsterdam, Netherlands, 5Amsterdam Rehabilitation Research Center | Reade, Amsterdam, the Netherlands, Amsterdam, Netherlands, 6Department of Orthopedics, Joint Research, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands, 7Dep of Epidemiology and Biostatistics and the EMGO Institute for Health and Care research, VU University Medical Center, Amsterdam, Netherlands, 8Institute for Applied Health Research and School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, 9Inst Sports and Biomechanics, University of Southern Denmark, Odense, Denmark, 10University Paris Descartes, EA 4360 APEMAC, University of Lorraine, Nancy, France, 11INSERM, Centre d'Investigation Clinique - Epidémiologie Clinique (CIC-EC) CIE6, Nancy, France, 12Physical Medicine and Rehabilitation Unit, Istituto Ortopedico Rizzoli, Bologna, Italy, 13Health Service Research Network on Chronic Diseases (REDISSEC), Basurto University Hospital, Bilbao, Spain, 14Department of rheumatology, National Advisory Unit for rehabilitation in rheumatology, Diakonhjemmet Hospital, Oslo, Norway

    Background/Purpose Self-report questionnaires and performance-based tests correlate moderately in measuring activity limitations, indicating that they measure different aspects. Self-reports measure mainly how patients think they…
  • Abstract Number: 2997 • 2014 ACR/ARHP Annual Meeting

    Development and External Validation of a Five-Year Mortality Risk Stratification Tool for Early Diffuse Systemic Sclerosis Patients

    Robyn T. Domsic1, Svetlana I. Nihtyanova2, Mary Lucas3, Stephen R. Wisniewski4, Michael J. Fine5, C. Kent Kwoh6, Christopher P. Denton7 and Thomas A. Medsger Jr.8, 1Medicine - Rheumatology, University of Pittsburgh, Pittsburgh, PA, 2Department of Rheumatology, Royal Free and University College Medical School, London, United Kingdom, 3Division of Rheumatology, University of Pittsburgh, Pittsburgh, PA, 4Epidemiology Data Center, University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA, 5General Medicine, University of Pittsburgh and Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare, Pittsburgh, PA, 61501 N. Campbell Avenue, Room 8303, The University of Arizona Arthritis Center, Tucson, AZ, 7Centre for Rheumatology, Royal Free and University College Medical School, London, United Kingdom, 8Medicine/Rheumatology, University of Pittsburgh, Pittsburgh, PA

    Background/Purpose : Knowledge of mortality risk and predictors is important in systemic sclerosis (SSc) patient care and clinical trial design.   There is no validated 5-year…
  • Abstract Number: 2998 • 2014 ACR/ARHP Annual Meeting

    Screening for Interstitial Lung Disease in Systemic Sclerosis: Performance of High-Resolution Computed Tomography with Limited Number of Slices – a Prospective Study

    Thomas Frauenfelder1, Anna Winklehner1, Thi Dan Linh Nguyen1, Rucsandra Dobrota2,3, Stephan Baumüller1, Britta Maurer2 and Oliver Distler2, 1Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland, 2Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 3Department of Internal Medicine and Rheumatology, Dr.I.Cantacuzino Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Background/Purpose Early diagnosis of interstitial lung disease (ILD), currently the main cause of death in systemic sclerosis (SSc), is needed. The gold standard is high…
  • Abstract Number: 2999 • 2014 ACR/ARHP Annual Meeting

    Development of a Composite Index for Clinical Trials in Early Diffuse Cutaneous Systemic sclerosis—the Combined Response Index in Systemic Sclerosis

    Dinesh Khanna1, Veronica Berrocal2, Edward Giannini3, Maureen Mayes4, Peter A. Merkel5, Jeffrey Siegel6, James R. Seibold7, Murray Baron8, Philip J. Clements9, Yannick Allanore10, Virginia D. Steen11, Christopher P. Denton12, Oliver Distler13, Sindhu R. Johnson14, Marco Matucci-Cerinic15, Lazlo Czirjak16, Janet E. Pope17, Susanna Proudman18, Weng Kee Wong19, Athol U. Wells20 and Daniel E. Furst9, 1University of Michigan Scleroderma Program, Ann Arbor, MI, 2Department of Biostatistics- School of Public Health, University of Michigan, Ann Arbor, MI, 3Ped Rheum/Pav 2-129, Childrens Hosp Med Ctr, Cincinnati, OH, 4Internal Medicine/Rheumatology, University of TX Health Science Center -Houston, Houston, TX, 5Vasculitis Center, E5, Boston University School of Medicine, Boston, MA, 6Genentech, South San Francisco, CA, 7Scleroderma Research Consultants LLC, Avon, CT, 8Pavillion A, Rm 216, Lady David Institute for Medical Research and Jewish General Hospital, Montreal, QC, Canada, 9University of California, Los Angeles, Department of Medicine, Los Angeles, CA, 10Department of Rheumatology, University Paris Descartes and Cochin Hospital, Paris, France, 11Department of Rheumatology, Georgetown University Medical Center, Washington, DC, 12Centre for Rheumatology and Connective Tissue Diseases, UCL Medical School Royal Free Campus, London, United Kingdom, 13Division of Rheumatology, University Hospital Zurich, Zurich, Switzerland, 14Medicine, Division of Rheumatology, Toronto Western Hospital, University Health Network Pulmonary Hypertension Programme, Toronto General Hospital, Mount Sinai Hospital and University of Toronto, Toronto, ON, Canada, 15Dept of Medicine/Div of Rheum, University of Florence, Florence, Italy, 16Immunology and Rheumatology, University of Pécs, Pécs, Hungary, 17Medicine, Western University, London, ON, Canada, 18Rheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia, 19Biostatistics, UCLA Fielding School of Public Health, Los Angeles, CA, 20Royal Brompton and Harefield NHS Foundation Trust, Department of Radiology, London, United Kingdom

    Background/Purpose: Diffuse systemic sclerosis (dcSSc) is a multisystem disease that involves skin and internal organs. Our objective was to develop a composite response index in…
  • Abstract Number: 3000 • 2014 ACR/ARHP Annual Meeting

    Comparison of Systemic Sclerosis Subsets As Predictors of Mortality and Morbidity

    Hebah Alhajeri1, Marie Hudson2,3, Canadian Scleroderma Research Group CSRG4 and Murray Baron5, 1Rheumatology, McGill University, Montreal, QC, Canada, 2Rheumatology, Lady David Institute for Medical Research and Jewish General Hospital, Montreal, QC, Canada, 3Division of Rheumatology, McGill University, Montreal, QC, Canada, 4McGill University, Montreal, QC, Canada, 5Pavillion A, Rm 216, Lady David Institute for Medical Research and Jewish General Hospital, Montreal, QC, Canada

    Background/Purpose: Identifying systemic sclerosis (SSc) subsets that predict mortality and morbidity could provide useful prognostic information. We undertook this study to compare the predictive ability…
  • Abstract Number: 3001 • 2014 ACR/ARHP Annual Meeting

    Targeting IL-6 By Both Passive or Active Immunization Strategies Prevents Inflammation-Driven Skin Fibrosis

    Jerome Avouac1, Lucille Desallais2, Maxime Fréchet3, Muriel Elhai3, Jean François Zagury2 and Yannick Allanore1, 1Paris Descartes University, Rheumatology A Department and INSERM U1016, Cochin Hospital, Paris, France, 2Chaire de Bioinformatique, Laboratoire Génomique, Bioinformatique et Applications, EA 4627, Conservatoire National des Arts et Métiers, Paris, France, 3INSERM U1016, Cochin Institute, Paris, France

    Background/Purpose: Interleukin 6 (IL-6) is a pleiotropic cytokine involved in inflammatory and autoimmune processes. Preliminary data have suggested that IL-6 might contribute to systemic sclerosis…
  • Abstract Number: 3002 • 2014 ACR/ARHP Annual Meeting

    Anti-Fibrotic Effects of a Newly Discovered HGF Receptor Carboxy-Terminal Fragment in Systemic Sclerosis

    Yuichiro Shirai1, Ilia Atanelishvili2, Tanjina Akter1, Richard Silver3 and Galina Bogatkevich1, 1Division of Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC, 2Division of Rheumatology & Immunology, Medical University of South Carolina,Charleston,USA, Charleston, SC, 3Division of Rheumatology & Immunology, Medical University of South Carolina, Charleston, SC

    Background/Purpose Systemic sclerosis (SSc) is an irreversible fibrotic disorder with interstitial lung disease (ILD) being a major complication and leading cause of mortality. African American…
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