ACR Meeting Abstracts

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  • Abstract Number: 052 • 2026 Pediatric Rheumatology Symposium

    Case Series: Treatment of Refractory Lung Disease in Systemic Juvenile Idiopathic Arthritis with Cyclophosphamide and Rituximab Combination Therapy

    William Freeman1, Randy Cron2 and Eileen Rife3, 1Zucker School of Medicine at Hofstra University, Bellerose, NY, 2University of Alabama at Birmingham, Birmingham, AL, 3University of Alabama Birmingham, Vestavia Hills, AL

    Background/Purpose: Systemic juvenile idiopathic arthritis-associated lung disease (sJIA-LD) is a rare, potentially fatal complication of sJIA, often accompanied by pulmonary hypertension (PH) and macrophage activation…
  • Abstract Number: 026 • 2026 Pediatric Rheumatology Symposium

    Treatment strategies for articular flares in JIA patients receiving biologic therapy

    Jonatan zalcman, Yoel Levinsky, Liora Harel, Ruth Livny and gil amarilyo, Schneider Children's medical center of Israel

    Background/Purpose: Biologic agents form the cornerstone of therapy for Juvenile Idiopathic Arthritis (JIA); however, the optimal management of flares that occur during ongoing treatment remains…
  • Abstract Number: 003 • 2026 Pediatric Rheumatology Symposium

    Dysregulated Macrophage–Fibroblast Crosstalk Identified by Single-Cell RNA-seq in Juvenile Systemic Scleroderma Skin

    Aneri Shethji1, Theresa Hutchins1, Anwesha Sanyal1 and Kathryn Torok2, 1UPMC Childrens Hospital of Pittsburgh, 2University of Pittsburgh, Pittsburgh, PA

    Background/Purpose: Juvenile systemic scleroderma (jSSc) is a rare autoimmune disease characterized by progressive fibrosis and vascular dysfunction. Although jSSc shares important clinical features with adult…
  • Abstract Number: 045 • 2026 Pediatric Rheumatology Symposium

    Genotypes and Clinical Phenotypes of Monogenic Autoinflammatory Disorders in Michigan

    Ryan Mitacek1, Veronica Kwiatkowski1 and Basil Fathalla2, 1Children's Hospital of Michigan, Central Michigan University College of Medicine, 2Children's Hospital of Michigan, Detroit, MI

    Background/Purpose: Data regarding monogenic systemic autoinflammatory disorders (SAID) from the USA is scarce. Our study aims to report the spectrum of SAID and detail unique…
  • Abstract Number: 023 • 2026 Pediatric Rheumatology Symposium

    Screening Tools for Spondyloarthropathies among Patients with Inflammatory Bowel Disease: A Scoping Review

    Hanul (Erica) Park1, Ellen Kuenzig2, Fatima Mela3, Emaan Awan4, Sherry Rohekar5, Eileen Crowley1 and Roberta A Berard6, 1London Children's Hospital, ON, Canada, 2Schulich- University of Western Ontario, ON, Canada, 3Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry at Western University, ON, Canada, 4Western University, ON, Canada, 5University of Western Ontario - London, London, ON, Canada, 6London Health Sciences Centre, London, ON, Canada

    Background/Purpose: Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, is a systemic chronic inflammatory disease of the gastrointestinal tract where extraintestinal manifestations (EIMs)…
  • Abstract Number: 025 • 2026 Pediatric Rheumatology Symposium

    Longitudinal Single Cell Transcriptomic Analysis of Type I and II Interferon (IFN) Response Genes (IRG) in Refractory Juvenile Dermatomyositis (JDM) Patients with Baricitinib Treatment

    Jessica Simpson1, Vicky Chen2, Adeline Chin3, Ujana Zajmi3, Amy Kaneshiro3, Megan Darrell4, Stephen Brooks3, Robert Colbert5, Lisa Rider6, Stefania Dell’Orso3, Faiza Naz3 and Hanna Kim7, 1National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)/National Institutes of Health (NIH), 2National Institute of Allergy and Infectious Diseases (NIAID)/ National Institutes of Health (NIH), Frederick, MD, 3National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) / National Institutes of Health (NIH), 4National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) / National Institutes of Health (NIH), NY, 5National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) / National Institutes of Health (NIH), Rockville, MD, 6National Institute of Environmental Health Sciences (NIEHS)/National Institutes of Health (NIH), 7National Institute of Arthritis Musculoskeletal and Skin Diseases (NIAMS) / National Institutes of Health (NIH)

    Background/Purpose: JDM is a rare heterogenous autoimmune condition. Pathogenesis is incompletely understood, though dysregulated type I/II IFN signaling is well-documented. Patients with refractory JDM had…
  • Abstract Number: 021 • 2026 Pediatric Rheumatology Symposium

    Medication Changes and Lung Disease Activity in Systemic JIA: Six-Month Follow-Up of CARRA Registry SJIA-LD Cohort

    Grant Schulert1, Eileen Rife2, Mary Ellen Riordan3, Alan Russell4, Mei-Sing Ong5, Esraa Eloseily6, Lexi Auld7, Yukiko Kimura8, and CARRA Registry SJIA-LD Cohort Investigators 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2University of Alabama Birmingham, Vestavia Hills, AL, 3Hackensack University Medical Center, Westwood, NJ, 4Duke Clinical Research Institute, NC, 5Boston Children's Hospital, Boston, MA, 6UT Southwestern Children's Medical Center, Dallas, TX, 7Cincinnati Children's Hospital Medical Center, OH, 8Hackensack Meridian School of Medicine, New York, NY

    Background/Purpose: Lung disease is a severe and potentially fatal complication of systemic juvenile idiopathic arthritis (SJIA-LD). The Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry…
  • Abstract Number: 030 • 2026 Pediatric Rheumatology Symposium

    Musculoskeletal and Nail Ultrasound Findings in Children with Psoriasis: A Case-Control Study

    Laura Nedorezov1, Pinar Avar-Aydin2, Tracy Ting3, Cheryl Bayart4, Amy Cassedy5 and Patricia Vega-Fernandez3, 1Cleveland Clinic Children's, 2Division of Rheumatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, TR, 3Division of Rheumatology, Department of Pediatrics, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA, Cincinnati, OH, 4Cincinnati Children's Hospital Medical Center, 5Division of Biostatistics and Epidemiology, Department of Pediatrics, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA, Cincinnati, OH

    Background/Purpose: The presentation of juvenile psoriatic arthritis (JPsA) in children with psoriasis can be insidious and poses a diagnostic challenge. Musculoskeletal ultrasound (MSUS) is a…
  • Abstract Number: 005 • 2026 Pediatric Rheumatology Symposium

    Magnetic Resonance Enterography Detected Sacroiliitis in Pediatric Crohn’s Disease: A Retrospective Cohort Study

    Aaisham Ali1, Vishal Kalia2, Ian Ross2, Luke Daichendt3, Julia Sawicka4, Michael R Miller5, Sarah Wells6, Eileen Crowley6 and Roberta A Berard7, 1Schulich School of Medicine & Dentistry, Pediatrics, London Health Sciences Centre, London, ON, Canada, 2Department of Medical Imaging, Western University, 3Schulich School of Medicine & Dentistry, Western University, 4Western University, 5Department of Pediatrics, Children's Hospital, London Health Sciences Centre, 6London Children's Hospital, ON, Canada, 7London Health Sciences Centre, London, ON, Canada

    Background/Purpose: Musculoskeletal (MSK) manifestations are amongst the most common extraintestinal manifestations (EIMs) in pediatric Crohn’s disease (CD). MSK EIMs contribute to reduced quality of life…
  • Abstract Number: 014 • 2026 Pediatric Rheumatology Symposium

    Bone Microarchitecture Impairment in Juvenile Systemic Lupus Erythematosus Patients: A Comparative Study

    BEATRIZ ROSA1, Melissa Fraga2, Ana Sakamoto3, Erica Barbosa4, Jade Fernandez4, Marcelo Pinheiro5 and Maria Teresa Terreri6, 1UNIVERSIDADE FEDERAL DE SO PAULO, So Paulo, Brazil, 2Universidade Federal de So Paulo, So Paulo, So Paulo, Brazil, 3Federal University of So Paulo (UNIFESP), So Paulo, Brazil, 4UNIFESP/ EPM, Sao Paulo, Sao Paulo, Brazil, 5UNIFESP/ EPM, So Paulo, Brazil, 6UNIFESP, So Paulo, So Paulo, Brazil

    Background/Purpose: Juvenile Systemic Lupus Erythematosus (jSLE) is a multisystem inflammatory disease frequently associated with bone mass loss. This reduction can be assessed through bone mineral…
  • Abstract Number: 020 • 2026 Pediatric Rheumatology Symposium

    Building Consensus on Key Research Domains and Research Topics in Childhood-onset Neuropsychiatric Lupus: An International Prioritization Initiative

    Ekemini Ogbu1, Martha Rodriguez2, Alexandra Theisen3, Simone Appenzeller4, Emily Beil5, Onengiya Harry6, Ryan Kammeyer7, Natoshia Cunningham8, Kristen Fisher9, Marisa Klein-Gitelman10, Monica Banks11, Eyal Muscal12, Sefi Kronenberg13, Paige Seegan14, Lawrence Ng15, Marietta DeGuzman12, Mckenna Bowes16, Kiana Johnson17, Y. Ingrid Goh18, Eve Smith19, Katerina Bouchalova20, Lea Höfel21, Jainish Patel1, Mekibib Altaye22, Rashmi Sahay23, Susanne Benseler24, Hermine Brunner1 and Andrea Knight25, 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Riley Hospital For Children At Indiana University, Carmel, IN, 3Riley Hospital for Children at Indiana University, 4Universidade Estadual de Campinas, Brazil, 5Atrium Health, Levine Children's Hospital, 6Atrium Health Wake Forest School of Medicine, 7Departments of Pediatrics and Neurology, University of Colorado School of Medicine, Aurora, CO, 8Michigan State University, Grand Rapids, 9Baylor College of Medicine, 10Ann & Robert H. Lurie Children's Hospital Chicago, Chicago, IL, 11Family Advisory Council, Neuropsychiatric Workgroup, Childhood Arthritis and Rheumatology Research Alliance, 12Baylor College of Medicine, houston, TX, 13The Hospital for Sick Children and University of Toronto, 14Johns Hopkins School of Medicine, Baltimore, MD, 15The Hospital for Sick Children, Toronto, Canada, Toronto, ON, Canada, 16West Virginia University School of Medicine, Morgantown, WV, 17East Tennessee State Universityy, TN, 18The Hospital for Sick Children, 19University of Glasgow, Glasgow, Scotland, United Kingdom, 20Palacky University Olomouc, Olomouc, Czech Republic, 21Pediatric clinic Garmisch-Partenkirchen / Germany, Garmisch-Partenkirchen, Bayern, Germany, 22Cincinnati Children's Hospital, Cincinnati, 23Cincinnati Children's Hospital Medical Center, OH, 24Children’s health Ireland, Dublin, Dublin, Ireland, 25Hospital for Sick Children, Toronto, ON, Canada

    Background/Purpose: Neuropsychiatric systemic lupus erythematosus (NPSLE) is a major end-organ manifestation of childhood-onset systemic lupus erythematosus (cSLE) and is poorly understood. High-quality, collaborative and patient-centered…
  • Abstract Number: 037 • 2026 Pediatric Rheumatology Symposium

    Off-the-Shelf Anti-CD19 CAR T-cell Therapy with Reduced or No Conditioning Chemotherapy Demonstrates Efficacy and Tolerability in Systemic Lupus Erythematosus: Meaningful Activity Supports Planned Adolescent Enrollment

    Natalie Shiff1, Jennifer Medlin2, Parastoo Fazeli3, Shirley Pang4, Sheetal Desai5, Andrew BitMansour6, Claudette Bethune1, Debra Zack7, Rebecca Elstrom8, Trever Greene1, Lilly Wong1, Carol Wong1, Beatrice Ferguson1 and Vaneet Sandhu1, 1Fate Therapeutics, Inc., San Diego, CA, 2University of Nebraska Medical Center, Omaha, NE, 3University of Minnesota, ST PAUL, MN, 4Providence Medical Foundation, Fullerton, CA, 5University of California Irvine, Orange, CA, 6Fate Therapeutics, Inc., San Carlos, CA, 7Fate Therapeutics, Inc., Solana Beach, CA, 8Fate Therapeutics, Inc.

    Background/Purpose: Childhood-onset systemic lupus erythematosus (SLE) is typically more severe than adult-onset disease, with higher morbidity, organ damage, and mortality. Despite this, pediatric drug trials…
  • Abstract Number: 043 • 2026 Pediatric Rheumatology Symposium

    Challenges of Cognitive Screening and Formal Neuropsychological Evaluation in Youth with Childhood-Onset Systemic Lupus Erythematosus: A Survey of CARRA Providers

    Ryan Kammeyer1, Martha Rodriguez2, Andrea Knight3, Rebecca Sadun4, Jeffrey Bennett5, Robert Fuhlbrigge6, Christa Hutaff-Lee5 and Ekemini Ogbu7, 1Departments of Pediatrics and Neurology, University of Colorado School of Medicine, Aurora, CO, 2Riley Hospital For Children At Indiana University, Carmel, IN, 3Hospital for Sick Children, Toronto, ON, Canada, 4Duke University School of Medicine, Durham, NC, 5University of Colorado School of Medicine, 6University of Colorado, Aurora, CO, 7Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Cognitive dysfunction (CD) occurs in 30-60% of youth with childhood-onset systemic lupus erythematosus (cSLE), and negatively impacts medical care, socioeconomic achievement, and quality of…
  • Abstract Number: 015 • 2026 Pediatric Rheumatology Symposium

    Obinutuzumab Induces Histologic Remission And Deep Kidney Parenchymal B-Cell Depletion In Patients With Lupus Nephritis: Exploratory Analyses From The REGENCY Trial

    Brad H. Rovin1, Elsa Martins2, Cary D. Austin3, Harini Raghu3, Caleb Chan3, Patrick S. Chang3, Jay P. Garg3, Valeria Alberton4, Mittermayer B. Santiago5, Gustavo Aroca-Martínez6, Fedra I. Palazuelos7, Teresa Baczkowska8, Jose Alfaro9, Jorge Ravelo-Hernandez10, Richard A. Furie11, Luis F. Pinto12, Eduardo H. Albeiro13, Christopher Larsen14, Bongin Yoo3, Jennifer Pulley15, Andrew Thorley3, Thomas Schindler16, Theodore A. Omachi3, William F. Pendergraft3, Betty Loflin3 and Ana Malvar17, 1The Ohio State University, Columbus, OH, 2F. Hoffmann-La Roche Ltd, Basel-Landschaft, Switzerland, 3Genentech, Inc., CA, 4Pathology Unit, Fernández Hospital, Buenos Aires, Argentina, 5Bahiana School of Medicine and Public Health and UFBA, Federal University of Bahia, and Clínica SER da Bahia, Bahia, Brazil, 6Universidad Simón Bolívar y Clínica de la Costa, Barranquilla, Colombia, 7Centro de Investigación y Tratamiento Reumatológico S.C, Distrito Federal, Mexico, 8Department of Transplantation Medicine, Nephrology and Inernal Medicine, Medical University of Warsaw, Poland, 9Instituto Peruano del Hueso y la Articulación, Lima, Peru, 10Clínica San Juan Bautista, Unidad de Investigación en Reumatología e Inmunología, Lima, Peru, 11Division of Rheumatology, Northwell Health, NY, 12Internal Medicine and Rheumatology, Hospital Pablo Tobón Uribe, Colombia, 13Sanatorio Allende, Cordoba, Argentina, 14Arkana Laboratories, Little Rock, AR, 15Roche Products Ltd, Welwyn Garden City, England, United Kingdom, 16F. Hoffmann-La Roche Ltd, Basel, Basel-Landschaft, Switzerland, 17Organización Médica de Investigación, Buenos Aires, Argentina

    Background/Purpose: The REGENCY trial (NCT04221477) demonstrated superiority of obinutuzumab (OBI) plus standard therapy (+ST) vs placebo (PBO) +ST in achieving complete renal response (CRR) at…
  • Abstract Number: 053 • 2026 Pediatric Rheumatology Symposium

    Association between Childhood Opportunity Index and Disparities in Health Care Access and Utilization in Childhood Onset Systemic Lupus Erythematosus

    Abigale Jagger1, Elaine Yung2, Hermine Brunner2, Andrew Beck3, Eneida Mendonca3, Qing Duan4, Cole Brokamp4, Giya Harry5 and Jackeline Rodriguez-Smith2, 1Cincinnati Children's, Cincinnati, OH, 2Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 4Cincinnati Children's Hospital Medical Center, 5Brenner Children's Hospital - Wake Forest Baptist Health, Winston-Salem, NC

    Background/Purpose: Disparities in pediatric health outcomes are well described. The role of social determinants of health (SDOH) in the persistence of such disparities is increasingly…
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All abstracts accepted to PRYSM 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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