ACR Meeting Abstracts

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  • Abstract Number: 1685 • ACR Convergence 2020

    Impact of the COVID-19 Pandemic Among Children with Rheumatic Diseases from Around the Globe

    Jonathan Hausmann1, Kevin Kennedy2, Salman Surangiwala3, Maggie Larche4, Karen Durrant5, Rashmi Sinha6 and Emily Sirotich4, 1Boston Children's Hospital / Beth Israel Deaconess Medical Center, Cambridge, MA, 2McMaster University, Hamilton, Canada, 3Queen’s School of Medicine, Kingston, Canada, 4McMaster University, Hamilton, ON, Canada, 5Autoinflammatory Alliance, San Francisco, CA, 6SJIA Foundation, Cincinnati

    Background/Purpose: Children with rheumatic diseases face unknown risks in the setting of the COVID-19 pandemic.  These children are often immunosuppressed due to their underlying disease…
  • Abstract Number: 1686 • ACR Convergence 2020

    The COV-ASAKI Survey from the Pediatric Tuscany Network During COVID-19 Era

    Maria Vincenza Mastrolia1, Rino Agostiniani2, Chiara Azzari3, Roberto Bernardini4, Ugo Bottone5, Giovanni Battista Calabri6, Flavio Civitelli7, Rita Consolini8, Roberto Danieli9, Rosalia Di Silvio10, Susanna Falorni11, Luigi Gagliardi12, Salvatore Grosso13, Marco Martini14, Graziano Memmini15, Marco Pezzati16, Giovanni Suriano17, Luca Tafi18, Angelina Vaccaro19, Pier Luigi Vasarri20 and Gabriele Simonini21, 1Rheumatology Unit, Meyer Children's University Hospital, Firenze, Italy, Florence, Toscana, Italy, 2Paediatric Unit, San Jacopo Hospital, Pistoia, Italy, Pistoia, Toscana, Italy, 3Paediatric Immunology Unit, Department of Health Sciences, Meyer Children’s University Hospital, Firenze, Italy, Florence, Toscana, Italy, 4Paediatric Unit, San Giuseppe Hospital, Empoli, Italy, Empoli, Toscana, Italy, 5Division of Neonatology and Pediatrics, Lotti Hospital, Pontedera, AUSL Toscana Nord Ovest, Pisa, Italy, Pisa, Toscana, Italy, 6Cardiologic Unit, Meyer Children’s University Hospital, Firenze, Italy, Florence, Toscana, Italy, 7Division of Neonatology and Pediatrics, Montepulciano Hospital, Montepulciano, AUSL Sud Est Toscana, Siena, Italy., Siena, Toscana, Italy, 8Section of clinical and laboratory Immunology, Department of clinical and experimental Medicine, University of Pisa, Italy, Pisa, Italy, 9Division of Neonatology and Pediatrics, Spedali Riuniti di Livorno, Livorno, AUSL Toscana Nord Ovest, Pisa, Italy, Livorno, Toscana, Italy, 10Paediatric Unit, Mugello Hospital, Borgo San Lorenzo, Firenze, Italy, Florence, Toscana, Italy, 11Paediatric Unit, Misericordia Hospital, Grosseto, Italy, Grosseto, Italy, 12Division of Neonatology and Pediatrics, Ospedale Versilia Hospital, Viareggio, AUSL Toscana Nord Ovest, Pisa, Italy, Viareggio, Toscana, Italy, 13Clinical Pediatrics, Department of Molecular Medicine and Development, University of Siena, Siena, Italy, Siena, Toscana, Italy, 14Paediatric Unit, San Donato Hospital, Arezzo, Italy, Arezzo, Toscana, Italy, 15Division of Neonatology and Pediatrics, Apuane Hospital, Massa Carrara, AUSL Toscana Nord Ovest, Pisa, Italy, Massa Carrara, Toscana, Italy, 16Paediatric Unit, Santa Maria Annunziata Hospital, Bagno a Ripoli, Firenze, Italy, Florence, Toscana, Italy, 17Division of Neonatology and Pediatrics, Cecina Hospital, Cecina, AUSL Toscana Nord Ovest, Pisa, Italy, Cecina, Toscana, Italy, 18Paediatric and Neonatal Unit, Valdarno Hospital, Montevarchi, Arezzo, Italy, Arezzo, Toscana, Italy, 19Division of Neonatology and Pediatrics, San Luca Hospital, Lucca, AUSL Toscana Nord Ovest, Pisa, Italy, Lucca, Toscana, Italy, 20Paediatric and Neonatologic Unit, Santo Stefano Hospital, Prato, Italy, Prato, Toscana, Italy, 21Rheumatology Unit, Meyer Children's University Hospital, Florence; NEUROFARBA Department, University of Florence, Italy, Florence, Italy

    Background/Purpose: At the end of April 2020, national and international Pediatrics scientific societies diffused an alert about a rise in the number of pediatric severe,…
  • Abstract Number: 1687 • ACR Convergence 2020

    Kawasaki Disease Shock Syndrome in the Intensive Care Unit: A Single Center Cohort

    Monica Bray1, Jennifer Rammel2, Andrea Ramirez1, Kristen Sexson1, Fong Lam1, Eyal Muscal3 and Marietta DeGuzman3, 1Baylor College of Medicine, Houston, TX, 2University of Florida Health Jacksonville, Jacksonville, FL, 3Baylor College of Medicine, Houston

    Background/Purpose: Kawasaki disease (KD), a well described vasculitis of childhood, is the leading cause of acquired heart disease in developed countries. Kawasaki disease shock syndrome…
  • Abstract Number: 1688 • ACR Convergence 2020

    Long-term Hearing Loss, Anxiety and Neurodevelopmental Outcomes Following Kawasaki Disease: A Population-based Cohort Study

    Cal Robinson1, Francis Lao2, Rahul Chanchlani1, Anastasia Gayowsky3, Sandeep Brar4, Elizabeth Darling5, Catherine Demers5, Tapas Mondal1, Rulan Parekh6, Hsien Seow5 and Michelle Batthish1, 1McMaster Children's Hospital, Hamilton, ON, Canada, 2Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada, 3ICES McMaster, Hamilton, ON, Canada, 4University of California, San Fransisco, 5McMaster University, Hamilton, ON, Canada, 6University of Toronto, Toronto, Canada

    Background/Purpose: The incidence of Kawasaki disease (KD) is increasing in Ontario. Cardiovascular sequelae following KD are well-described. However, there are limited and conflicting non-cardiovascular outcome…
  • Abstract Number: 1689 • ACR Convergence 2020

    Unexpectedly High Incidence of Kawasaki Disease in a Well-Characterized Population in Atlantic Canada

    Abdulrahman Alkanhal1, Joseph Saunders2, Fajer Altammar3, Adam Huber4, Andrew Lynk2, Alison MacLeod5, Oliva Ortiz-Alvarez6, Meighan Adams2, Suzanne Ramsey7, Elizabeth Stringer8, Andrew Warren2 and Bianca Lang9, 1University of Alberta, Edmonton, AB, Canada, 2Dalhousie University, Halifax, Canada, 3Mcmaster University, Hamilton, Canada, 4Dalhousie University, Halifax, NS, Canada, 5Annapolis Valley Health, Kentville, Canada, 6St Martha's Regional Hospital, Antigonish, Canada, 7IWK Health Centre, Dalhousie University, Halifax, NS, Canada, 8IWK Health Centre, Halifax, NS, Canada, 9Dalhousie University - Halifax, Halifax, NS, Canada

    Background/Purpose: Kawasaki Disease (KD), a systemic vasculitis of unknown etiology, is now the leading cause of acquired heart disease in children in North America. Its…
  • Abstract Number: 1690 • ACR Convergence 2020

    Henoch-Schönlein Purpura Nephritis: Different Histological Classifications, but Which One Is Most Strongly Associated to the Outcome of the Disease? Pilot Study of the Paediatric Rheumatology European Society Vasculitis Working Party

    Martina Held1, Mario Sestan1, Marijana Coric1, Stela Bulimbasic1, Teresa Giani2, Neil Martin3, Nastasia Cekada1, Sasa Srsen4, Ana Gudelj Gracanin5, Domagoj Kifer6, Merav Heshin7, Angelo Ravelli8, Rolando Cimaz9, Seza Ozen10, Alenka Gagro11, Marijan Frkovic1 and Marija Jelusic1, 1University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia, Zagreb, Grad Zagreb, Croatia, 2Anna Meyer Children’s Hospital, Florence, Italy, Florence, Toscana, Italy, 3Royal Hospital for Children, Glasgow, United Kingdom, Glasgow, Scotland, United Kingdom, 4University Hospital Centre Split, University of Split School of Medicine, Split, Croatia, Split, Splitsko-Dalmatinska, Croatia, 5University Hospital Dubrava, University of Zagreb School of Medicine, Zagreb, Croatia, Zagreb, Grad Zagreb, Croatia, 6Faculty of Pharmacy and Biochemistry, Zagreb, Croatia, Zagreb, Grad Zagreb, Croatia, 7Dana Dwek Children's Hospital, Tel Aviv, Israel, Tel Aviv, Tel Aviv, Israel, 8Università degli Studi di Genova, Genoa, Italy, 9ASST Gaetano Pini-CTO Institute and Università degli Studi di Milano, Milan, Italy, Milan, Italy, 10Department of Pediatric Rheumatology, Hacettepe University, Ankara, Turkey, Ankara, Turkey, 11Children's Hospital Zagreb, Josip Juraj Strossmayer University of Osijek, Medical Faculty Osijek, Zagreb, Croatia, Zagreb, Grad Zagreb, Croatia

    Background/Purpose: Henoch-Schönlein purpura nephritis (HSPN) is the main and almost the only cause of morbidity and mortality among children suffering from this most common vasculitis…
  • Abstract Number: 1691 • ACR Convergence 2020

    Applied Geostatistics in Pediatric Rheumatology – Spatial Clustering of IgA Vasculitis

    Matej Sapina1, Marijan Frkovic2, Mario Sestan2, Sasa Srsen3, Aleksandar Ovuka4, Mateja Batnozic Varga5, Nastasia Cekada2, Karolina Kramaric6, Dario Brdaric7, Kresimir Milas5, Alenka Gagro8 and Marija Jelusic2, 1University Hospital Centre Osijek, Josip Juraj Strossmayer University of Osijek, Medical Faculty Osijek, Faculty of Dental Medicine and Health, Osijek, Croatia, Osijek, Osjecko-Baranjska, Croatia, 2University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia, Zagreb, Grad Zagreb, Croatia, 3University Hospital Centre Split, University of Split School of Medicine, Split, Croatia, Split, Splitsko-Dalmatinska, Croatia, 4University Hospital Centre Rijeka, University of Rijeka School of Medicine, Rijeka, Croatia, Rijeka, Primorsko-Goranska, Croatia, 5University Hospital Centre Osijek, Josip Juraj Strossmayer University of Osijek, Medical Faculty Osijek, Croatia, Osijek, Osjecko-Baranjska, Croatia, 6University Hospital Centre Osijek, Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Croatia, Osijek, Osjecko-Baranjska, Croatia, 7Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health, Institute of Public Health for the Osijek-Baranja County, Osijek, Croatia, Osijek, Osjecko-Baranjska, Croatia, 8Children's Hospital Zagreb, Josip Juraj Strossmayer University of Osijek, Medical Faculty Osijek, Zagreb, Croatia, Zagreb, Grad Zagreb, Croatia

    Background/Purpose: IgA vasculitis (IgAV) is the most common childhood vasculitis, which etiology seems to be related to the combination of genetic as well as environmental…
  • Abstract Number: 1692 • ACR Convergence 2020

    Poor Physical Activity Levels and Cardiorespiratory Fitness Among Patients with Childhood-Onset Takayasu Arteritis in Remission

    Camilla Astley1, Saulo Gil2, Gleice Clemente3, Maria Teresa Terreri4, Lucia Campos5, Nadia Aikawa5, Ana Lucia de-Sá Pinto2, Rosa Pereira5, Hamilton Roschel2 and Bruno Gualano2, 1University of Sao Paulo, Sao Paulo, Sao Paulo, Brazil, 2University of Sao Paulo, Sao paulo, Brazil, 3Federal University of Sao Paulo, Sao Paulo, Brazil, 4Federal University of São Paulo, São Paulo, Brazil, 5Hospital das Clínicas, Faculdade de Medicina da Universidade de Sao Paulo (HCFMUSP), Sao Paulo, Sao Paulo, Brazil

    Background/Purpose: Childhood-onset Takayasu Arteritis (c-TA) is a rare, granulomatous, chronic large-vessel vasculitis that involves mostly the aorta and its major branches with a high mortality…
  • Abstract Number: 1693 • ACR Convergence 2020

    Evaluation of B-cell Depletion with Rituximab and IVIG Concurrent Treatment in Pediatric Autoimmune Brain Disease

    Alexis Wilsey1, Laura Cannon2, Stephanie Johannes2 and Heather Van Mater2, 1Duke University School of Medicine, Durham, 2Duke University, Durham, NC

    Background/Purpose: Rituximab is standard therapy for autoimmune brain disease (ABD) including autoimmune encephalitis (AE) and Neuromyelitis Optica Spectrum Disease (NMOSD). Recommendations for continuing concurrent intravenous…
  • Abstract Number: 1694 • ACR Convergence 2020

    Risk Factors Associated with Pneumocystis Jirovecii Pneumonia in Juvenile Myositis in North America

    Sara Sabbagh1, Jessica Neely2, Albert Chow3, Marietta DeGuzman4, Jamie Lai5, Svetlana Lvovich6, Tara McGrath7, Maria Pereira8, Iago Pinal-Fernandez9, Jordan Roberts10, Kelly Rouster-Stevens11, Heinrike Schmeling12, Anjali Sura13, Gabriel Tarshish14, Lori Tucker15, Lisa G. Rider16 and Susan Kim17, 1Medical College of Wisconsin, Fox Point, WI, 2UCSF, San Francisco, CA, 3Loma Linda University, San Bernardino, CA, 4Baylor College of Medicine, Houston, 5University of Colorado, The Woodlands, TX, 6St Christopher's Hospital for Children, Philadelphia, PA, 7University of British Columbia, Vancouver, BC, Canada, 8Baylor College of Medicine, Houston, TX, 9National Institutes of Health, Bethesda, MD, 10Boston Children's Hospital, Boston, MA, 11Emory University/Children's Healthcare of Atlanta, Atlanta, GA, 12University of Calgary, Calgary, AB, Canada, 13Upstate University Hospital, Syracuse, NY, 14Children's Hospital at Montefiore, New York, NY, 15BC Children's Hospital, Vancouver, BC, Canada, 16Environmental Autoimmunity Group, Clinical Research Branch, NIEHS, NIH, Garrett Park, MD, 17UCSF Benioff Children's Hospital, San Francisco, CA

    Background/Purpose: Pneumocystis jirovecii pneumonia (PJP) is associated with significant morbidity and mortality in adult myositis patients; however, few studies have examined PJP in juvenile myositis…
  • Abstract Number: 1695 • ACR Convergence 2020

    Anti-Melanoma Differentiation Associated Protein 5 (MDA5) Positive Juvenile Dermatomyositis: Focus on the Lung

    David Moreno McNeill1, Miriah Gillispie-Taylor2, Kevin Baszis3, Edouard Sayad1, Manuel Silva Carmona1 and Tiphanie Vogel1, 1Baylor College of Medicine/Texas Children's Hospital, Houston, TX, 2Baylor College of Medicine, Houston, 3Washington Univ School of Medicine, St Louis, MO

    Background/Purpose: A subset of juvenile dermatomyositis (JDM), clinically amyopathic dermatomyositis (CADM), is uncommon and mainly described in adults. CADM is classically characterized by skin ulcerations,…
  • Abstract Number: 1696 • ACR Convergence 2020

    Measuring Quality Improvement from CME Participants: Results from the RAPID® CME Initiative

    Stephen Bender1, Michael Weinblatt2 and Daniel Duch1, 1FACTORx, Cherry Hill, NJ, 2Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Medical claims data have been used since 2008 to measure the implementation of the diagnostic and referral strategies resulting from participation in RAPID® CME…
  • Abstract Number: 1697 • ACR Convergence 2020

    Immune Related Adverse Events from Checkpoint Inhibitor Therapy: Survey of Hospitalists’ Awareness and Experiences

    Cassandra Calabrese1, Alexa Meara2 and Varalakshmi Janamanchi1, 1Cleveland Clinic, Cleveland, OH, 2Ohio State University Wexner School of Medicine, Columbus, OH

    Background/Purpose: The introduction of immunologic checkpoint inhibitor therapy (ICI) has caused a paradigm shift in the world of cancer treatment. Their use, however, is attended…
  • Abstract Number: 1698 • ACR Convergence 2020

    Polyarthritis Workup in Primary Care Setting : How Are We Doing?

    Ruhani Desai1, Cassandra Calabrese2, Neel Patel3 and Jessica Donato4, 1Cleveland Clinic Foundation, DeLand, FL, 2Cleveland Clinic, Cleveland, OH, 3Case Western Reserve University, Cleveland, OH, 4Cleveland Clinic Foundation, Cleveland

    Background/Purpose: Joint pain is a common presenting complaint in Primary Care with around 54.4 million adults diagnosed with some form of arthritis per 2013 CDC survey. Polyarthritis…
  • Abstract Number: 1699 • ACR Convergence 2020

    Training Residents to ‘Choose Wisely’ When Testing for Antinuclear Antibodies

    Iman Qaiser1, Tracy Koehler1 and Richard Martin2, 1Mercy Health Saint Mary's, Grand Rapids, MI, 2Michigan State University College of Human Medicine, Grand Rapids, MI

    Background/Purpose: In many hospitals residents are the first providers to evaluate new patients. Consequently, residents often initiate the work-up of newly admitted patients. Multiple studies…
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