ACR Meeting Abstracts

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  • Abstract Number: 086 • 2020 Pediatric Rheumatology Symposium

    Advanced Multidisciplinary Care: A New Approach to Childhood Arthritis

    Julia Brooks1, Dorothy Adams 2, Robin Hellweg 1, Maggie Mercer 1, Joni Shair 2, Dwaraka Veeramreddy 3, Aynsley Wennberg 1 and Heinrike Schmeling 4, 1Alberta Children's Hospital, Calgary, Alberta, Canada, 2Alberta Children's Hospital, Calgary, Canada, 3Alberta Children's Hospital/University of Calgary, Calgary, Canada, 4Alberta Children's Hospital/University of Calgary, Calgary, Alberta, Canada

    Background/Purpose: Many patients are overwhelmed with the diagnosis of chronic childhood arthritis and require long-term treatments. Our objective was to develop a new, child and…
  • Abstract Number: 087 • 2020 Pediatric Rheumatology Symposium

    Standardizing Care and Fostering Systemic Autoinflammatory Disease (SAID) Research Through the CARRA Autoinflammatory Disease Network

    Grant Schulert1, Julie Cherian 2, Theresa Wampler Muskardin 3, Marinka Twilt 4, Shoghik Akoghlanian 5, Gil Amarilyo 6, Dilan Dissanayake 7, Karen Durrant 8, Polly Ferguson 9, Maria Gutierrez 10, Liora Harel 11, Jonathan Hausmann 12, Merav Heshin Bekenstein 13, Ronald Laxer 7, Aleksander Lenert 9, Suzanne Li 14, Greg Licameli 15, Geraldina Lionetti 16, Ian Michelow 17, Lakshmi Moorthy 18, Evan Propst 19, Vivian Saper 20, Hemalatha Srinivasalu 21, Yuriy Stepanovskiy 22, Akaluck Thatayatikom 23, Lori Tucker 24, Peter Wright 25, Cagri Yildirim-Toruner 5, Fatma Dedeoglu 15 and Sivia Lapidus 26 for the CARRA investigators, 1Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, 2Stony Brook Children's Hospital, Stony Brook, 3Colton Center for Autoimmunity, NYU School of Medicine, New York, 4Alberta Children's Hospital, Calgary, Canada, 5Nationwide Children's Hospital, Columbus, 6Schneider Hospital, Tel Aviv University, Kibbutz Magal, Israel, 7The Hospital for Sick Children and University of Toronto, Toronto, Canada, 8Kaiser Permanente San Francisco Medical Center and Autoinflammatory Alliance, San Francisco, 9University of Iowa Carver College of Medicine, Iowa City, 10Johns Hopkins University School of Medicine, Baltimore, 11Schneider Hospital, Tel Aviv University, Petah-Tiqva, Israel, 12Division of Immunology, Boston Children's Hospital; Rheumatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, 13Dana Children’s Hospital of Tel Aviv Medical Center, Binyamina, Israel, 14Joseph M. Sanzari Children's Hospital Hackensack Meridian Health, Hackensack, 15Boston Children's Hospital, Boston, 16UCSF Benioff Children’s Hospital, Oakland, 17Alpert Medical School, Brown University, Providence, 18Rutgers Robert Wood Johnson Medical School, Metuchen, 19The Hospital for Sick Children, University of Toronto, Toronto, Canada, 20Stanford University, Los Altos, 21Children's National Medical Center, Washington, 22Shupyk National Medical Academy of Postgraduate Education, Kiev, 23University of Florida, Gainesville, 24BC Children's Hospital, Vancouver, British Columbia, Canada, 25Dartmouth-Hitchcock Medical Center, Lebanon, 26The Joseph M. Sanzari Children's Hospital, Hackensack Meridian Health, Maplewood

    Background/Purpose: International registries have significantly enhanced the understanding of the genetics, phenotype, prognosis, and treatment of Systemic Autoinflammatory Diseases (SAIDs) that could be further augmented…
  • Abstract Number: 088 • 2020 Pediatric Rheumatology Symposium

    Sun Protection Use in Patients Followed in a Pediatric Rheumatology Clinic in an Urban Setting

    Tamara Tanner1, Gabriel Tarshish 2, Dawn Wahezi 3 and Tamar Rubinstein 4, 1Montefiore Medical Center, Bronx, 2Children's Hospital at Montefiore, New York, 3Children's Hospital at Montefiore, Bronx, 4Albert Einstein College of Medicine, White Plains

    Background/Purpose: Exposure to sunlight has been implicated as a major contributing factor in the pathogenesis of systemic lupus erythematosus (SLE) and juvenile dermatomyositis (JDM). Despite…
  • Abstract Number: 089 • 2020 Pediatric Rheumatology Symposium

    Associations Among Pain, Mood, and Sleep in Children with Rheumatic Conditions

    Arionna Rudolph1, Kathryn Thompson 1, Aaron Fobian 1, Matthew Stoll 1, Peter Weiser 2 and Burel Goodin 1, 1University of Alabama at Birmingham, Birmingham, 2Birmingham

    Background/Purpose: Chronic pain in school-aged children and adolescents is highly prevalent and can be debilitating. Literature suggests that children with musculoskeletal pain are at risk…
  • Abstract Number: 090 • 2020 Pediatric Rheumatology Symposium

    Using a Patient-Engaged Approach to Identify Cross-Cutting Disease Factors Impacting Mental Health in Youth with Rheumatologic Disease

    Ashley Danguecan1, Oluwatunmise Fawole 2, Michelle Reed 3, Julia Harris 4, Aimee Hersh 5, Martha Rodriquez 6, Karen Onel 7, Erica Lawson 8, Tamar Rubinstein 9, Kaveh Ardalan 10, Esi Morgan 11, Anne Paul 12, Judy Barlin 13, R. Paola Daly 14, Mitali Dave 15, Shannon Malloy 16, Shari Hume 17, Suzanne Schrandt 18, Laura Marrow 19, Angela Chapson 20, Donna Napoli 3, Michael Napoli 3, Miranda Moyer 3, Vincent Del Gaizo 21, Emily von Scheven 22 and Andrea Knight 23, 1Hospital for Sick Children, Toronto, Canada, 2New York University School of Medicine, New York, 3The Children's Hospital of Philadelphia, Philadelphia, 4Children's Mercy Kansas City, Overland Park, 5University of Utah Primary Children's Hospital, Salt Lake City, 6Riley Hospital For Children At Indiana University, Carmel, 7Hospital for Special Surgery, New York, 8UCSF, San Francisco, 9Albert Einstein College of Medicine, White Plains, 10Duke University Medical Center, Durham, 11Cincinnati Children's Hospital, Cincinnati, 12Cincinnati Children's Hospital Medical Centre, Cincinnati, 13Lupus Foundation of America, Miami, 14Lupus Foundation of America, Washington, 15Short Hills, 16Cure JM Foundation, Leesburg, 17Encinitas, 18Arthritis Foundation, Atlanta, 19Arthritis Foundation, Saint Paul, 20Children's Hospital of Philadelphia, Philadelphia, 21Childhood Arthritis & Rheumatology Research Alliance (CARRA), Whitehouse Station, 22San Francisco, 23SickKids Research Institute, Toronto, Canada

    Background/Purpose: Mental health problems are common and often untreated in youth with rheumatologic disease, yet their relationship with disease features is poorly understood. We engaged…
  • Abstract Number: 091 • 2020 Pediatric Rheumatology Symposium

    Protracted Febrile Myalgia Findings on Magnetic Resonance Imaging

    Neta Hana Aviran1, Liora Harel 2, Gil Amarilyo 3, Yosef Uziel 4, Yonatan Butbul Aviel 5 and Rotem Tal 6, 1Schneider children's medical center of Israel, Kfar Saba, Israel, 2Schneider Hospital, Tel Aviv University, Petah-Tiqva, Israel, 3Schneider Hospital, Tel Aviv University, Kibbutz Magal, Israel, 4Kfar Saba, Israel, 5Rambam Medical center, Haifa, Hefa, Israel, 6schneider medical center, Ramat Gan, Israel

    Background/Purpose: Protracted febrile myalgia syndrome (PFMS) is a rare complication of familial Mediterranean fever (FMF) which consist of prolonged attack of fever, excruciating myalgia (up…
  • Abstract Number: 092 • 2020 Pediatric Rheumatology Symposium

    The Initial Treatment of Systemic Juvenile Idiopathic Arthritis: An International Collaboration Among 10 Registries

    Mary Beth Son1, Yukiko Kimura 2, Kristiina Aalto 3, Lillemor Berntson 4, Johnathan Dallas 1, Ciaran Duffy 5, Mia Glerup 6, Jaime Guzman 7, Troels Herlin 8, Petteri Hovi 9, Kimme Hyrich 10, Jens Klotsche 11, Bo Magnusson 12, Vanessa McIntyre 13, Ellen Nordal 14, Seza Ozen 15, Maria Jose Santos 16, Betul Sozeri 17 and Timothy Beukelman 18, 1Boston Children's Hospital, Boston, Massachusetts, 2Hackensack Meridian School of Medicine, Hackensack, 3Department of Pediatrics, New Children's Hospital, Helsinki University Hospital, Pediatric Research Center, University of Helsinki, Helsinki, Finland., HUS, Finland, 4Department of Womens and Childrens Health, Uppsala University, Uppsala, Sweden., Uppsala, Sweden, 5Ottawa, Canada, 6Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark, Aarhus, Denmark, 7University of British Columbia and BC Children's Hospital, Vancouver, Canada, 8Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark., Aarhus N, Denmark, 9Helsinki University Hospital, Helsinki, Finland, 10Manchester, United Kingdom, 11Berlin, Germany, 12Karolinska University Hospital, Stockholm, Sweden, 13Manchester University, Manchester UK, United Kingdom, 14Department of Pediatrics, University Hospital of North Norway, and Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway., Tromsø, Norway, 15Hacettepe University, Division of Pediatric Rheumatology, Department of Pediatrics, Faculty of Medicine, 16Portugal, 17Boston, Turkey, 18University of Alabama at Birmingham, Birmingham

    Background/Purpose: The introduction of biologic medications has revolutionized the care of children with systemic juvenile idiopathic arthritis (SJIA). Differences in treatment approaches among different countries…
  • Abstract Number: 093 • 2020 Pediatric Rheumatology Symposium

    Treatment of Systemic Juvenile Idiopathic Arthritis in the CARRA Registry

    Ginger Janow 1, Timothy Beukelman 2, Yukiko Kimura 3, Rayfel Schneider 4, Shalini Mohan 5, Gail Rodich 6 and Mary Beth Son7 for the CARRA investigators, 1Joseph M. Sanzari Children's Hospital at Hackensack Meridian Health, Hackensack, New Jersey, 2University of Alabama at Birmingham, Birmingham, 3Hackensack Meridian School of Medicine, Hackensack, 4The Hospital for Sick Children, Toronto, Canada, 5Genentech, Inc., South San Francisco, 6Genentech, Mill Valley, 7Boston Children's Hospital, Boston, Massachusetts

    Background/Purpose: The treatment of systemic juvenile idiopathic arthritis (SJIA) has changed dramatically over the past decade, associated with overall improvement in functional outcomes.  There may…
  • Abstract Number: 094 • 2020 Pediatric Rheumatology Symposium

    A Good Inter- and Intra-observer Reliability of Subtypes in Nailfold Capillary Micro-haemorrhages in Childhood-onset Systemic Lupus Erythematosus

    Sandy Bergkamp1, Dieneke Schonenberg-Meinema 2, Merlijn van den Berg 2, Vanessa Smith 3, Amber Vanhaecke 4, Karin Melsens 4, Amara Nassar Sheikh Rashid 5, Taco Kuijpers 6 and Maartje Boumans 7, 1Amsterdam Medical Center, Uithoorn, Netherlands, 2Amsterdam, Netherlands, 3Ghent University Hospital, Ghent, Belgium, 4Ghent University, Ghent, Belgium, 5Amsterdam Medical Center, Amsterdam, Netherlands, 6AMC, Amsterdam, Netherlands, 7Maxima Medical Center, Eindhoven, Netherlands

    Background/Purpose: In previous studies, micro-haemorrhages have often been observed in nailfold capillaroscopy in SLE.1 The interpretation of this finding is still a topic of research.…
  • Abstract Number: 095 • 2020 Pediatric Rheumatology Symposium

    Pyoderma Gangrenosum Ulceration as a Presenting Feature of Pediatric Granulomatosis with Polyangiitis (GPA)

    Rotem Semo1, Rotem Tal 2, Tomas Dallos 3, Liora Harel 4, Lukas Plank 3 and Linda Wagner-Weiner 1, 1university of chicago, chicago, Illinois, 2schneider medical center, Ramat Gan, Israel, 3National Institute of Child Diseases, Bratislava, Slovakia, 4Schneider Hospital, Tel Aviv University, Petah-Tiqva, Israel

    Background/Purpose:  GPA is a form of anti-neutrophilic cytoplasmic antibody vasculitis affecting small to medium sized vessels and involves most commonly the kidneys and the respiratory…
  • Abstract Number: 096 • 2020 Pediatric Rheumatology Symposium

    Medication Adherence in Adolescents and Young Adults with Childhood Onset SLE

    Rotem Semo Oz1, Linda Wagner-Weiner 2, Cuoghi Edens 1, Grace Cameron 1 and Melissa Tesher 1, 1university of chicago, Chicago, 2University of Chicago, Chicago, Illinois

    Background/Purpose: Compared to adults with SLE, young patients with SLE face particular challenges, including more severe disease, more renal involvement and medications side effects like…
  • Abstract Number: 097 • 2020 Pediatric Rheumatology Symposium

    A Pilot Randomized Controlled Trial of the iCanCope Pain Self-management Application for Adolescents with Juvenile Idiopathic Arthritis

    Chitra Lalloo 1, Lauren Harris 2, Amos Hundert 2, Roberta Berard 3, Joseph Cafazzo 4, Mark Connelly 5, Brian Feldman 2, Kristin Houghton 6, Adam Huber 7, Ronald Laxer 8, Nadia Luca 9, Heinrike Schmeling 10, Lynn Spiegel 11, Lori Tucker 12, Quynh Pham 4, Cleo Davies-Chalmers 13 and Jennifer Stinson14, 1The Hospital for Sick Children, Toronto, Ontario, Canada, 2The Hospital for Sick Children, Toronto, Canada, 3Children's Hospital London Health Sciences Centre, London, Canada, 4University of Toronto, Toronto, Canada, 5Kansas City, 6University of British Columbia - Vancouver, Vancouver, Canada, 7IWK Health Centre & Dalhousie University, Halifax, Nova Scotia, Canada, 8The Hospital for Sick Children and University of Toronto, Toronto, Canada, 9University of Calgary, Calgary, Alberta, Canada, 10Alberta Children's Hospital/University of Calgary, Calgary, Alberta, Canada, 11University of Toronto/Hospital for Sick Children, Thornhill, Canada, 12BC Children's Hospital, Vancouver, British Columbia, Canada, 13The Hospital for Sick Children, Toonto, Canada, 14University of Toronto & The Hospital for Sick Children, Toronto, Ontario, Canada

    Background/Purpose: Pain is the most common symptom of Juvenile Idiopathic Arthritis (JIA), a chronic childhood illness that has potentially debilitating effects on health-related quality of…
  • Abstract Number: 098 • 2020 Pediatric Rheumatology Symposium

    Early Treatment with Anakinra in Systemic Juvenile Idiopathic Arthritis

    Manuela Pardeo1, Claudia Bracaglia 1, Emanuela Sacco 1, Denise Pires Marafon 1, Antonella Insalaco 1, Giulia Marucci 1, Rebecca Nicolai 2, Virginia Messia 1 and Fabrizio De Benedetti 1, 1Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy, 2IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy

    Background/Purpose: Systemic juvenile idiopathic arthritis (sJIA) should be considered as a polygenic autoinflammatory disease. Interleukin 1 (IL-1) has been shown to be a major mediator…
  • Abstract Number: 099 • 2020 Pediatric Rheumatology Symposium

    Reversible Hepatotoxicity to IL-1/IL-6 Blockade in Pediatric Patients with Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome

    Omkar Phadke1, Sampath Prahalad 2 and Kelly Rouster-Stevens 3, 1EMORY, Atlanta, Georgia, 2Emory + Children's Pediatric Institute, Atlanta, 3Emory University/Children's Healthcare of Atlanta, Atlanta, Georgia

    Background/Purpose: Treatment for systemic JIA (sJIA) complicated by macrophage activation syndrome (MAS) may involve blockade of IL-1 and IL-6. There are reports of adults with…
  • Abstract Number: 100 • 2020 Pediatric Rheumatology Symposium

    Does Anakinra Dampen Neuronal Damage in Children with Febrile-Infection Related Epilepsy Syndrome (FIRES): A Single Center Review of Neuroimaging

    Eyal Muscal1, Jill Hunter 2, Yi-Chen Lai 2 and James Riviello 2, 1Section of Rheumatology, Department of Pediatrics, Baylor College of Medicine, houston, 2BCM/TCH, Houston

    Background/Purpose: Febrile-illness related epilepsy syndrome (FIRES), characterized by the emergence of super refractory status epilepticus (SRSE) in previously healthy children following a febrile illness, is…
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