ACR Meeting Abstracts

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  • Abstract Number: 789 • 2019 ACR/ARP Annual Meeting

    DNASE1L3 Variant in Hypocomplementemic Urticarial Vasculitis Syndrome Identifies a Different Clinical Phenotype

    Marco Ranalli 1, Chiara Passarelli 2, Virginia Messia 3, Manuela Pardeo 3, Emanuela Sacco 4, Antonella Insalaco 3, Marina Vivarelli 5, Fabrizio De Benedetti 6 and Claudia Bracaglia7, 1Pediatric Department, La Sapienza University of Rome, Rome, Italy, Rome, Italy, 2Unit of Laboratory of Medical Genetics, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, Italy, 3Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, Italy, 4Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, 5Division of Nephrology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, Italy, 6Bambino Gesù Children’s Hospital, Rome, Italy, 7Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy

    Background/Purpose: Hypocomplementemic urticarial vasculitis syndrome (HUVS) is a rare disease characterized by persistent urticarial lesions and hypocomplementemia associated with systemic features involving musculoskeletal, pulmonary, renal…
  • Abstract Number: 790 • 2019 ACR/ARP Annual Meeting

    Can High ANA Titre Combined with Clinical Features Predict Developing Autoimmune Conditions in Children?

    Ovgu Kul Cinar1, Charlene Foley 2, Ali Al-Hussain 3, Kimberly Gilmour 4, Matthew Buckland 4 and Muthana Al-Obaidi 5, 1Great Ormond Street Hospital, Lonodn, United Kingdom, 2Great Ormond Street Hospital, London, Ireland, 3Great Ormond Street Hospital, London, United Kingdom, 4Great Ormond Street Hospital NHS Trust, Camelia Botnar Laboratories, London, United Kingdom, 5Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom

    Background/Purpose: Antinuclear antibodies (ANA) are autoantibodies that recognise cellular antigens found predominantly in the cell nucleus. They are associated with numerous autoimmune diseases such as…
  • Abstract Number: 791 • 2019 ACR/ARP Annual Meeting

    Closing the Seronegative Gap in Pediatric Localized Scleroderma and Systemic Sclerosis

    May Choi1, Emily Mirizio 2, Fernanda Quinteros 3, Katherine Buhler 4, Marvin Fritzler 1 and Kathryn Torok 5, 1Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 2University of Pittsburgh, Pittsburgh, 3University of Calgary, Calgary, 4University of Calgary, Calgary, Canada, 5UPMC Children's Hospital of Pittsburgh, Pittsburgh

    Background/Purpose: It has become increasingly recognized that extra-cutaneous manifestations, such as musculoskeletal and neurologic involvement, are common in pediatric patients with localized scleroderma (LS). We…
  • Abstract Number: 792 • 2019 ACR/ARP Annual Meeting

    Speckle Tracking Echocardiography, a Sensitive Tool to Detect Early Cardiac Dysfunctions in Juvenile Systemic Sclerosis

    Giovanni Civieri 1, Biagio Castaldi 1, Giorgia Martini 1, Alessandra Meneghel 1, Ornella Milanesi 1 and Francesco Zulian2, 1Dept. of Woman's and Child's Health, university of Padua, Italy, Padua, Italy, 2Department of Woman and Child Health, University of Padua, Italy, Padova, Italy

    Background/Purpose: Juvenile Systemic Sclerosis (JSSc) is a rare connective tissue disease in which cardiac involvement is burdened by high morbidity and mortality. The traditional cardiac…
  • Abstract Number: 793 • 2019 ACR/ARP Annual Meeting

    Rituximab for Rapidly Progressive Juvenile Systemic Sclerosis: A Proof-of-concept Study in Four Patients

    Roberto Dal Pozzolo 1, Alessandra Meneghel 1, Biagio Castaldi 1, Giorgia Martini 1, Renzo Marcolongo 2 and Francesco Zulian3, 1Dept. of Woman's and Child's Health, University of Padua, Italy, Padua, Italy, 2Clinical Immunology, Dept. of Medicine, University of Padua, Padua, Italy, 3Department of Woman and Child Health, University of Padua, Italy, Padova, Italy

    Background/Purpose: Juvenile Systemic Sclerosis (JSSc) is a rare multi-systemic disease characterized by fibrous changes of the skin and internal organs [1]. Patients with “rapidly progressive”…
  • Abstract Number: 794 • 2019 ACR/ARP Annual Meeting

    Mycophenolate Mofetil for the Treatment of Severe or Methotrexate-refractory Juvenile Localized Scleroderma

    Laura Saggioro 1, Giorgia Martini 1, Roberta Culpo 1, Alessandra Meneghel 1 and Francesco Zulian2, 1Dept. of Woman's and Child's Health, University of Padua, Italy, Padua, Italy, 2Department of Woman and Child Health, University of Padua, Italy, Padova, Italy

    Background/Purpose: Juvenile Localized Scleroderma (JLS), includes a number of conditions characterized by skin thickening with varying degree of severity. Many patients, particularly those with the…
  • Abstract Number: 795 • 2019 ACR/ARP Annual Meeting

    Is the Presentation and Severity Different of the Juvenile Diffuse and Limited Subtype Systemic Sclerosis? Results of Juvenile Scleroderma Inception Cohort

    Ivan Foeldvari1, Jens Klotsche 2, Ozgur Kasapcopur 3, Amra Adrovic 4, Kathryn Torok 5, Valda Stanevicha 6, Maria Teresa Terreri 7, Flavio Sztajnbok 8, Ekaterina Alexeeva 9, Jordi Antón 10, Brian Feldman 11, Maria Katsicas 12, Vanessa Smith 13, Tadej Avcin 14, Rolando Cimaz 15, Mikhail Kostik 16, Thomas Lehman 17, Walter Sifuentes-Giraldo 18, Natalia Vasquez-Canizares 19, Simone Appenzeller 20, Mahesh Janarthanan 21, Monika Moll 22, Dana Nemcova 23, Maria José Santos 24, Dieneke Schonenberg 25, Christina Battagliotti 26, Lillemor Berntson 27, Blanca Bica 28, Juergen Brunner 29, Patricia Costa Reis 30, Despina Eleftheriou 31, Liora Harel 32, Gerd Horneff 33, Tilmann Kallinich 34, Dragana Lazarevic 35, Kirsten Minden 36, Susan Nielsen 37, Farzana Nuruzzaman 38, Anjali Patwardhan 39, Yosef Uziel 40, Daniela Kaiser 41 and Nicola Helmus 1, 1Hamburg Centre for Pediatric and Adolescence Rheumatology, Hamburg, Germany, 2German Rheumatism Research Center, Berlin, Germany, 3Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey, Istanbul, Turkey, 4Cerrahpaşa Tıp Fakültesi, Istanbul, Turkey, 5UPMC Children's Hospital of Pittsburgh, Pittsburgh, 6Riga Stradins University, Riga, Latvia, 7Pediatric Rheumatology Unit, Universidade Federal de São Paulo, São Paulo, Brazil, 8Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 9National Medical Research Center of Children`s Health, Moscow, Russia, 10Hospital Sant Joan de Déu, Barcelona, Spain, 11University of Toronto & The Hospital for Sick Children, Toronto, ON, Canada, 12Hospital de Pediatria, Buenos Aires, Argentina, 13Dept. of Rheumatology, Ghent University Hospital, Ghent, Belgium; Dept. of Internal Medicine, Ghent University, Ghent, Belgium; Unit for Molecular Immunology and Inflammation, VIB Inflammation Research Center (IRC), Ghent, Belgium, Gent, Belgium, 14Ljubljana University Medical Centre, Ljubljana, Slovenia, 15University Hospital Meyer, Florence, Italy, 16Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia, 17Hospital for Special Surgery, New York, 18Hospital Universitario Ramón y Cajal, Madrid, Spain, 19Children’s Hospital at Montefiore, Bronx NY, 20UNICAMP Universidade Estadual de Campinas, Sao Paulo, Brazil, 21Sri Ramachandra University, Chennai, India, 22University of Tuebingen, Tuebingen, Germany, 23General University Hospital, Prague, Czech Republic, 24Rheumatology department, Hospital Garcia de Orta, Almada, Portugal, 25Amsterdam UMC, Amsterdam, Netherlands, 26Children's Hospital Dr. Orlando Alassia, Santa Fee, Argentina, 27Uppsala University Hospital, Uppsala, Sweden, 28Hospital Universitário Clementino Fraga Filho (HUCFF/UFRJ), Rio de Janeiro, Brazil, 29Tirol Kliniken, Innsbruck, Austria, 30Hospital de Santa Maria, Lisbon, Portugal, 31Great Ormond Street Hospital, London, United Kingdom, 32Tel Aviv University, Tel Aviv, Israel, 33Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany, 34Charite, Berlin, Germany, 35KC Niš, Niš, Serbia, 36German Rheumatism Research Center and Charité University Medicine, Berlin, Germany, 37Department of Pediatrics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark., Copenhavn, Denmark, 38Stony Brook Children's Hospital, Stony Brook, NY, 39University of Missouri, Columbia, 40Meir Medical Center, Kfar Saba, Israel, 41Luzerner Kantonsspital | Kinderspital, Luzern, Switzerland

    Background/Purpose: Juvenile systemic scleroderma (jSSc) is an orphan disease with an estimated prevalence of 1 in 1 000 000 children. In the adult systemic scleroderma…
  • Abstract Number: 796 • 2019 ACR/ARP Annual Meeting

    Under Detection of Interstitial Lung Disease in Juvenile Systemic Sclerosis (jSSc) Utilizing Pulmonary Function Tests: Results from the Juvenile Scleroderma Inception Cohort

    Ivan Foeldvari1, Bernd Hinrichs 2, Kathryn Torok 3, Maria José Santos 4, Ozgur Kasapcopur 5, Amra Adrovic 6, Valda Stanevicha 7, Flavio Sztajnbok 8, Maria Teresa Terreri 9, Ekaterina Alexeeva 10, Jordi Antón 11, Maria Katsicas 12, Vanessa Smith 13, Tadej Avcin 14, Rolando Cimaz 15, Mikhail Kostik 16, Thomas Lehman 17, Walter Sifuentes-Giraldo 18, Simone Appenzeller 19, Mahesh Janarthanan 20, Monika Moll 21, Dana Nemcova 22, Dieneke Schonenberg 23, Christina Battagliotti 24, Lillemor Berntson 25, Blanca Bica 26, Juergen Brunner 27, Patricia Costa Reis 28, Despina Eleftheriou 29, Liora Harel 30, Gerd Horneff 31, Tilmann Kallinich 32, Dragana Lazarevic 33, Kirsten Minden 34, Susan Nielsen 35, Farzana Nuruzzaman 36, Anjali Patwardhan 37, Yosef Uziel 38 and Nicola Helmus 1, 1Hamburg Centre for Pediatric and Adolescence Rheumatology, Hamburg, Germany, 2Asklepios Klinik Nord - Heidberg, Hamburg, Germany, 3UPMC Children's Hospital of Pittsburgh, Pittsburgh, 4Rheumatology department, Hospital Garcia de Orta, Almada, Portugal, 5Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey, Istanbul, Turkey, 6Cerrahpaşa Tıp Fakültesi, Istanbul, Turkey, 7Riga Stradins University, Riga, Latvia, 8Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 9Pediatric Rheumatology Unit, Universidade Federal de São Paulo, São Paulo, Brazil, 10National Medical Research Center of Children`s Health, Moscow, Russia, 11Hospital Sant Joan de Déu, Barcelona, Spain, 12Hospital de Pediatria, Buenos Aires, Argentina, 13Dept. of Rheumatology, Ghent University Hospital, Ghent, Belgium; Dept. of Internal Medicine, Ghent University, Ghent, Belgium; Unit for Molecular Immunology and Inflammation, VIB Inflammation Research Center (IRC), Ghent, Belgium, Gent, Belgium, 14Ljubljana University Medical Centre, Ljubljana, Slovenia, 15University Hospital Meyer, Florence, Italy, 16Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia, 17Hospital for Special Surgery, New York, 18Hospital Universitario Ramón y Cajal, Madrid, Spain, 19UNICAMP Universidade Estadual de Campinas, Sao Paulo, Brazil, 20Sri Ramachandra University, Chennai, India, 21University of Tuebingen, Tuebingen, Germany, 22General University Hospital, Prague, Czech Republic, 23Amsterdam UMC, Amsterdam, Netherlands, 24Children's Hospital Dr. Orlando Alassia, Santa Fee, Argentina, 25Uppsala University Hospital, Uppsala, Sweden, 26Hospital Universitário Clementino Fraga Filho (HUCFF/UFRJ), Rio de Janeiro, Brazil, 27Tirol Kliniken, Innsbruck, Austria, 28Hospital de Santa Maria, Lisbon, Portugal, 29Great Ormond Street Hospital, London, United Kingdom, 30Tel Aviv University, Tel Aviv, Israel, 31Asklepios Clinic Sankt Augustin, Sankt Augustin, Germany, 32Charite, Berlin, Germany, 33KC Niš, Niš, Serbia, 34German Rheumatism Research Center and Charité University Medicine, Berlin, Germany, 35Department of Pediatrics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark., Copenhavn, Denmark, 36Stony Brook Children's Hospital, Stony Brook, NY, 37University of Missouri, Columbia, 38Meir Medical Center, Kfar Saba, Israel

    Background/Purpose: Juvenile systemic sclerosis(jSSc) is an orphan disease with a prevalence in around 3 in a million children[1]. Pulmonary involvement in jSSc occurs in approximately 40…
  • Abstract Number: 797 • 2019 ACR/ARP Annual Meeting

    Characteristics of Coexisting Localized Scleroderma and Juvenile Idiopathic Arthritis

    Daniel Reiff1, Courtney Crayne 2, Melissa Mannion 3 and Randy Cron 1, 1University of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, 3University of Alabama at Birmingham, Alabama

    Background/Purpose: Localized scleroderma (LS), including morphea and linear scleroderma, is an autoimmune disease where excessive collagen deposits underneath the skin lead to thickening, scarring, and…
  • Abstract Number: 798 • 2019 ACR/ARP Annual Meeting

    Development of Large Vessel Vasculitis Including Aortitis in a Patient with Deficiency of the IL-1 Receptor Antagonist (DIRA) Points to Converging Roles of IL-1 and TNF in Vascular Pathogenesis Recapitulating Findings from a Murine Model

    Gina Montealegre Sanchez1, Adriana de Jesus 1, Jenna Wade 2, Katherine Townsend 1, Arianne Soldatos 3, Alessandra Brofferio 4, Peter C. Grayson 5, Ginger Janow 6 and Raphaela Goldbach-Mansky 1, 1Translational Autoinflammatory Disease Section/NIAID/NIH, Bethesda, 2Translational Autoinflammatory Diseases Section/NIAID/NIH, Bethesda, 3NIH/NINDS, Bethesda, 4NIH/NHLBI, Bethesda, 5National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) of the National Institutes of Health, Bethesda, MD, Bethesda, MD, 6Joseph M. Sanzari Children's Hospital at Hackensack University Medical Center, NJ

    Background/Purpose: Deficiency of interleukin-1-receptor antagonist (DIRA) is a rare autoinflammatory disease caused by autosomal recessive loss of function mutations in IL1RN and characterized by early-onset generalized pustulosis,…
  • Abstract Number: 799 • 2019 ACR/ARP Annual Meeting

    Application of the Autoinflammatory Disease Activity Index (ADDI) to a Cohort of Patients in a Tertiary Hospital

    Mireia Lopez-corbeto1 and Estefania Moreno Ruzafa 1, 1Hospital Universitari Vall d'Hebron, Barcelona, Spain

    Background/Purpose: Autoinflammatory diseases (AIDs) cause chronic systemic inflammation that can damage multiple organs. Recently, the ADDI index has been developed and validated in the four…
  • Abstract Number: 800 • 2019 ACR/ARP Annual Meeting

    Cryopyrin-Associated Periodic Syndrome in Korea: 19 Years of Experience

    Young Ho Kim1, Bongjik Kim 2, Byung Yoon Choi 2, Haeng Jin Lee 3, Dae-Chul Jeong 4, Jinhee Han 2, Hye-Rim Park 2, Jayoung Oh 2, Seungmin Lee 2, Dooyi Oh 5 and Soyoung Lee 1, 1Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Seoul-t'ukpyolsi, Republic of Korea, 2Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Kyonggi-do, Republic of Korea, 3Department of Ophthalmology, Seoul National University Hospital, Seoul, Republic of Korea, 4Department of Pediatrics, The Catholic University of Korea, Seoul, Seoul-t'ukpyolsi, Republic of Korea, 5Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul, Kyonggi-do, Republic of Korea

    Background/Purpose: Cryopyrin-associated periodic syndrome (CAPS) is rare auto-inflammatory disorder characterized by recurrent episodes fever with variable manifestation of systemic inflammation such as urticarial skin rash,…
  • Abstract Number: 801 • 2019 ACR/ARP Annual Meeting

    Preliminary Analysis of Hearing Loss in a Neonatal-Onset Multisystem Inflammatory Disease (NOMID) Cohort Followed over a Mean of 10 Years: Normal Hearing at Baseline and Early Treatment with Anakinra Area Associated with Maintenance of Normal Hearing

    Sara Alehashemi1, Megha Garg 2, Kelly King 3, Chris Zalewski 3, Adriana de Jesus 4, John Butman 5, Jonah Eisenberg 6, Carmen Brewer 3, Jeffrey KIm 7 and Raphaela Goldbach-Mansky 1, 1Translational Autoinflammatory Diseases Section/NIAID/NIH, Bethesda, MD, 2Rochester Regional Health, Rochester, NY, 3NIDCD/NIH, Bethesda, 4Translation Autoinflammatory Diseases Section/NIAID/NIH, Silver Spring, MD, 5CC/NIH, Bethesda, 6University of Michigan, Ann Arbor, 7NIDCD, Bethesda

    Background/Purpose: Neonatal-onset multisystem inflammatory disease (NOMID), caused by gain-of-function mutation in the NLRP3 inflammasome, presents with systemic inflammation, rash, eye inflammation, aseptic meningitis and sensorineural…
  • Abstract Number: 802 • 2019 ACR/ARP Annual Meeting

    Canakinumab Improves Patient-Reported Outcomes in Patients with Recurrent Fever Syndromes: Results from a Phase 3 Trial

    Helen Lachmann1, Bernard Lauwerys 2, Paivi Miettunen 3, Tilmann Kallinich 4, Annette Jansson 5, Itzhak Rosner 6, Raffaele Manna 7, Saramaria Murias 8, Sinisa Savic 9, Serge Smeets 10, Fabrizio De Benedetti 11 and Anna Simon 12, 1The Royal Free Hospital & University College London, London, United Kingdom, 2Université catholique de Louvain, Brussels, Brussels Hoofdstedelijk Gewest, Belgium, 3Alberta Children's Hospital, Calgary, ON, Canada, 4Charite, Berlin, Germany, 5Dr. von Hauner Children’s Hospital, Ludwig-Maximilians-University, Munich, Germany, 6Bnei Tzion, Haifa, Israel, 7Università Cattolica del Sacro Cuore, Rome, Lazio, Italy, 8University Hospital La Paz, Madrid, Madrid, Spain, 9St James’s University Hospital, Leeds, England, United Kingdom, 10Novartis, Amsterdam, Netherlands, 11Bambino Gesù Children’s Hospital, Rome, Italy, 12Radboud University Medical Centre, Nijmegen, Netherlands

    Background/Purpose: Recurrent fever syndromes have a significant impact on health-related quality of life (HRQoL).1 Canakinumab (CAN) has demonstrated efficacy and safety in patients with colchicine-resistant…
  • Abstract Number: 803 • 2019 ACR/ARP Annual Meeting

    Hepatitis a Virus Vaccination in Autoinflammatory Diseases Under Canakinumab and Tocilizumab Treatment

    Kenan Barut 1, Amra Adrovic 2, Sezgin Sahin 3, Mehmet Yıldız 2, Oya Koker 2, Gamze Yalcin 2, Omer Faruk Beser 4, Bekir Kocazeybek 5, Pelin Yuksel 5 and Ozgur Kasapcopur6, 1Department of Pediatric Rheumatology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey, İstanbul, Istanbul, Turkey, 2Department of Pediatric Rheumatology, Istanbul University Cerrahpasa, Istanbul, Istanbul, Turkey, 3Department of Pediatric Rheumatology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey, Istanbul, Istanbul, Turkey, 4Department of Pediatrics, Okmeydani Education and Training Hospital, Istanbul, Istanbul, Turkey, 5Department of Microbiology, Istanbul University Cerrahpasa, Istanbul, Istanbul, Turkey, 6Department of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey, Istanbul, Turkey

    Background/Purpose: Autoimmune, autoinflammatory mechanism and drugs used in treatment increase the risk of liver disease in patients with chronic rheumatic diseases. Hepatitis A vaccine is…
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