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  • Abstract Number: 146 • 2020 Pediatric Rheumatology Symposium

    Immersive Virtual Reality for Management of Amplified Musculoskeletal Pain Syndrome in Adolescents: A Pilot Randomized Controlled Trial

    Saumya Joshi1, Yujuan Zhang 1, Lori Lyn Price 2, Trevor Davis 3 and Raveendhara Bannuru 1, 1Tufts Medical Center, Boston, Massachusetts, 2Boston, Massachusetts, 3Norwell, Massachusetts

    Background/Purpose: Amplified Musculoskeletal Pain Syndrome (AMPS), a chronic pain syndrome with excessive musculoskeletal pain without a primary organic etiology, has a high prevalence in adolescents.…
  • Abstract Number: 147 • 2020 Pediatric Rheumatology Symposium

    Familial Clustering of Immune-mediated Diseases in Children with Abrupt-onset OCD

    Avis Chan 1, Tiffany Phu 1, Bahare Farhadian 2, Theresa Willett 3, Melissa Silverman 1, Paula Tran 1, Margo Thienemann 3 and Jennifer Frankovich4, 1Stanford University School of Medicine, Palo Alto, 2Stanford Immune Behavioral Health Clinic and PANS Research Program at Lucile Packard Children's Hospital, Palo Alto, 3Stanford University School of Medicine, Palo Alto, California, 4Stanford

    Background/Purpose: Recent epidemiologic studies have reported increased rates of immune-mediated comorbidities among first-degree relatives of patients with OCD and tic disorders.(Mataix-Cols et al., Mol Psychiatry…
  • Abstract Number: 148 • 2020 Pediatric Rheumatology Symposium

    Chronic Fatigue Symptoms in Children with Abrupt Early-onset OCD And/or PANS

    Avis Chan 1, Angeline Truong 2, Bahare Farhadian 3, Theresa Willett 2, Melissa Silverman 1, Paula Tran 1, Margo Thienemann 2 and Jennifer Frankovich4, 1Stanford University School of Medicine, Palo Alto, 2Stanford University School of Medicine, Palo Alto, California, 3Stanford Immune Behavioral Health Clinic and PANS Research Program at Lucile Packard Children's Hospital, Palo Alto, 4Stanford

    Background/Purpose: Chronic Fatigue Syndrome (CFS)/Myalgic encephalomyelitis (ME) affects roughly 2.5 million people in the United States, and is challenging both in diagnosis and treatment. Many…
  • Abstract Number: 149 • 2020 Pediatric Rheumatology Symposium

    Low C4 Copy Number of Total C4 Gene, C4B Gene and C4BL Gene in Children with Pediatric Acute-onset Neuropsychiatric Syndrome (PANS)

    Agnieszka Kalinowski 1, Justin Lee 2, Haley Hedlin 2, Reenal Pattini 2, Hanna Ollila 2, Emmanuel Mignot 1, Douglas Levinson 2, Susan Swedo 3, Tanya Murphy 4, Avis Chan 5, Margo Thienemann 1, Alexander Urban 2 and Jennifer Frankovich6, 1Stanford University School of Medicine, Palo Alto, California, 2Stanford University, Palo Alto, California, 3National Institute of Mental Health, Bethesda, Maryland, 4University of South Florida, Tampa, Florida, 5Stanford University School of Medicine, Palo Alto, 6Stanford

    Background/Purpose: Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) is characterized by sudden-onset OCD and additional neuropsychiatric symptoms. Imaging studies point to inflammation in the basal ganglia as…
  • Abstract Number: 150 • 2020 Pediatric Rheumatology Symposium

    The Killer Immunoglobulin-like Receptor KIR3DL1 in Combination with HLA-Bw4 Is Associated with Pediatric Acute-onset Neuropsychiatric Syndrome (PANS)

    Jennifer Frankovich1, Kirstin Anderson 2, Gonzalo Montero-Martin 3, Avis Chan 4, Margo Thienemann 5, Bahare Farhadian 6, Theresa Willett 5, Elizabeth Mellins 7, Alicia Madden 5, Tanya Murphy 8, Susan Swedo 9, Marcelo Fernandez-Vina 3 and Jill Hollenbach 2, 1Stanford, 2University of California San Francisco, San Francisco, California, 3Stanford University, Palo Alto, California, 4Stanford University School of Medicine, Palo Alto, 5Stanford University School of Medicine, Palo Alto, California, 6Stanford Immune Behavioral Health Clinic and PANS Research Program at Lucile Packard Children's Hospital, Palo Alto, 7Stanford University, Stanford, 8University of South Florida, Tampa, Florida, 9National Institute of Mental Health, Bethesda, Maryland

    Background/Purpose: Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) is characterized by abrupt onset of obsessive-compulsive disorder (OCD) and/or food restriction with other specified neuropsychiatric symptoms. Patients with…
  • Abstract Number: 151 • 2020 Pediatric Rheumatology Symposium

    Differences in Chromatin Architecture Between Treatment-Naïve Pediatric and Adult Lupus Patients

    Joyce Hui-Yuen1, Frank Jenkins 2, Kaiyu Jiang 3, Betty Diamond 2 and James Jarvis 4, 1Cohen Children's Medical Center, New Hyde Park, 2Northwell Health, Manhasset, 3University at Buffalo, Buffalo, 4University at Buffalo Jacobs School of Medicine, Buffalo

    Background/Purpose: Systemic lupus erythematosus (SLE) is possibly triggered by gene-environment interactions. We showed most of the SLE haplotypes contain epigenetic marks associated with enhancer function…
  • Abstract Number: 152 • 2020 Pediatric Rheumatology Symposium

    Hemophagocytic Lymphohistiocytosis (HLH) Genetic Variants in Childhood-onset SLE (cSLE) with Macrophage Activation Syndrome (MAS)

    Piya Lahiry1, Sergey Naumenko 2, Fangming Liao 3, Daniela Dominguez 4, Andrea Knight 5, Deborah Levy 3, Lawrence Ng 4, Earl D. Silverman 6 and Linda Hiraki 7, 1Hospital for Sick Children, Toronto, Canada, 2The Centre for Computational Medicine, Toronto, Canada, 3Division of Rheumatology, The Hospital for Sick Children, Department of Pediatrics, University of Toronto, Toronto, Canada, 4Division of Rheumatology, The Hospital for Sick Children, Toronto, Canada, 5SickKids Research Institute, Toronto, Canada, 6Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Translational Medicine, Research Institute, The Hospital for Sick Children, Toronto, Canada, 7Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, Canada

    Background/Purpose: Hemophagocytic lymphohistocytosis (HLH) is a life-threatening hyper-inflammatory syndrome characterized by excessive activation and proliferation of T-lymphocytes and macrophages. Familial HLH (fHLH), is an autosomal…
  • Abstract Number: 153 • 2020 Pediatric Rheumatology Symposium

    Double Negative T Cells in Juvenile Dermatomyositis

    Amer Khojah1, Gabrielle Morgan 2, Wilfredo Marin 3, Najah Ahsan 4 and Lauren Pachman 5, 1Lurie Children's Hospital, Chicago, 2Ann & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, Illinois, 3Ann & Robert H. Lurie Children's Hospital, Chicago, 4Ann and Robert H. Lurie Children's Hospital, Chicago, 5Northwestern's Feinberg School of Medicine. Ann and Robert H. Lurie Children's Hospital of Chicago; Stanley Manne Children's Research Institute of Chicago, 303 E Superior, Chicago

    Background/Purpose: Double Negative (DN) T cells was initially described in the context of autoimmune lymphoproliferative disease, which is caused by defective T cells apoptosis due…
  • Abstract Number: 154 • 2020 Pediatric Rheumatology Symposium

    T Helper Cell Differentiation in Polyarticular Juvenile Idiopathic Arthritis

    Anna Patrick1, Tashawna Esmond 2, David Flaherty 2, Thomas Brent Graham 2, Susan Thompson 3 and Thomas Aune 1, 1Vanderbilt University Medical Center, Nashville, Tennessee, 2Vanderbilt University Medical Center, Nashville, 3Cincinnati Children's Hospital Medical Center/Univ of Cincinnati College of Medicine, Cincinnati

    Background/Purpose: Juvenile idiopathic arthritis (JIA) is the most common autoimmune arthritis in children.  Polyarticular JIA and extended oligoarticular JIA both have genetic associations near genes…
  • Abstract Number: 155 • 2020 Pediatric Rheumatology Symposium

    Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) Is Characterized by a Novel Subset of Monocytes with Markers Associated with Crossing the Blood Brain Barrier (BBB)

    Shamma Rahman1, Fabian Gaertner 1, Jessica Houghton 1, Claudia Macaubas 1, Avis Chan 2, Laurie Columbo 1, Jennifer Frankovich 3 and Elizabeth Mellins 1, 1Stanford University, Stanford, 2Stanford University School of Medicine, Palo Alto, 3Stanford

    Background/Purpose: Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) is characterized by abrupt onset of obsessive-compulsive disorder (OCD) and/or food restriction with other specified neuropsychiatric symptoms.  65% of…
  • Abstract Number: 156 • 2020 Pediatric Rheumatology Symposium

    Metabolic Profiling in Juvenile Dermatomyositis

    Jeffrey Dvergsten1, Olga Ilkayeva 2, Lawrence Landerman 2, Michael Muehlbauer 3, David Pisetsky 4, Ann Reed 3 and Kim Huffman 5, 1Duke University Hospital, Hillsborough, 2Duke University, Durham, NC, 3Duke University, Durham, 4Duke University Medical Center, Durham, 5Durham

    Background/Purpose: Investigators have made significant progress piecing together pathogenic mechanisms of juvenile dermatomyositis (DM).  However, this remains an incomplete puzzle, and optimal approaches to diagnosing,…
  • Abstract Number: 157 • 2020 Pediatric Rheumatology Symposium

    Chondrocytes Influence Fibroblast-like Synoviocytes from Patients with Juvenile Idiopathic Arthritis, Through the Abrogation of BMP Signaling, to Delay Cell Differentiation and Maturation

    Megan Simonds 1, Amanda Schlefman 2, Kathleen Sullivan 3, Carlos Rose 4 and AnneMarie Brescia5, 1Nemours Biomedical Research, Wilmington, 2Johns Hopkins Rheumatology, ST PETERSBURG, Florida, 3The Children's Hospital of Philadelphia, Philadelphia, 4Thomas Jefferson University/duPont Hospital for Children, Wilmington, 5Nemours/ Alfred I duPont Hospital for Children, Wilmington

    Background/Purpose: Juvenile Idiopathic Arthritis (JIA) progression leads to growth disturbances in affected joints. Fibroblast-like synoviocytes (FLS) play a key role in JIA pathogenesis; however, the…
  • Abstract Number: 158 • 2020 Pediatric Rheumatology Symposium

    Genetics of Age at Diagnosis in Childhood-Onset Systemic Lupus Erythematosus

    Raffaella Carlomagno1, Fangming Liao 1, JingJing Cao 2, Dafna Gladman 3, Marisa Klein-Gitelman 4, Andrea Knight 5, Deborah Levy 1, Andrew Paterson 2, Zahi Touma 3, Murray Urowitz 3, Declan Webber 1, Joan Wither 3, Earl D. Silverman 6 and Linda Hiraki 7, 1Division of Rheumatology, The Hospital for Sick Children, Department of Pediatrics, University of Toronto, Toronto, Canada, 2Genetics & Genome Biology, Research Institute, The Hospital for Sick Children, Toronto, Canada, 3Krembil Research Institute, Toronto Western Hospital, Toronto, Canada, 4Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, 5SickKids Research Institute, Toronto, Canada, 6Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Translational Medicine, Research Institute, The Hospital for Sick Children, Toronto, Canada, 7Division of Rheumatology, The Hospital for Sick Children, Department of Paediatrics, University of Toronto, Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, Canada

    Background/Purpose: The genetic contribution to the development of systemic lupus erythematosus (SLE) is estimated to be 66% in twin studies. Genome wide association studies (GWAS)…
  • Abstract Number: 159 • 2020 Pediatric Rheumatology Symposium

    Interleukin-18 as a Key Cytokine to Understand Pathology and to Decide Appropriate Therapeutic Strategy in Chronic Arthritic Systemic Juvenile Idiopathic Arthritis

    Takako Miyamae1, Yumi Tani 1, Manabu Kawamoto 2, Takayuki Kishi 3 and Masayoshi Harigai 2, 1Pediatric Rheumatology, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 2Institute of Rheumatology, Tokyo Women's Medical University, TOKYO, Japan, 3Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan

    Background/Purpose: Long-term outcomes of systemic JIA are highly variable. approximately half of the patients have chronic persistent arthritis requiring extended anti-inflammatory therapy, sometimes into adulthood.…
  • Abstract Number: 160 • 2020 Pediatric Rheumatology Symposium

    CD3 Downregulation on T-cells Is Concomitant with Arginase Upregulation on Myeloid Cells in Synovial Fluid of Patients with Juvenile Idiopathic Arthritis

    Vincent Giacalone 1, Alexandre Cammarata-Mouchtouris 1, Diego Mauricio Moncada Giraldo 1, Sreekala Shenoy 1, Lori Ponder 1, Talia Gergely 2, Patricia Vega-Fernandez 3, Cynthia Manos 4, Elaine Flanagan 1, Rabindra Tirouvanziam 1 and Sampath Prahalad5, 1emory university, atlanta, 2Emory University School of Medicine, Atlanta, 3Cincinnati Children's Hospital Medical Center, Cincinnati, 4Children's Healthcare of Atlanta, Atlanta, 5Emory + Children's Pediatric Institute, Atlanta

    Background/Purpose: Rationale: Juvenile idiopathic arthritis (JIA) is an inflammatory autoimmune disorder driven by dysfunction of the joint tissue and abnormal immune responses. As deep phenotyping…
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All abstracts accepted to ACR Convergence 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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