ACR Meeting Abstracts

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  • Abstract Number: 2711 • 2019 ACR/ARP Annual Meeting

    Utilization of Biologic Treatments in Oligoarticular and Polyarticular Juvenile Idiopathic Arthritis

    Daniah Basodan1, Kathleen M Andersen 2, Xintong Li 3, Jeffrey Curtis 4 and G. Caleb Alexander 5, 1University of Alberta, Edmonton, AB, Canada, 2Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health,, Baltimore, MD, 3Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 4University of Alabama at Birmingham, Birmingham, AL, 5Johns Hopkins Bloomberg School of Public Health. Center for Drug Safety and Effectiveness, Baltimore, MD

    Background/Purpose: In recent years, juvenile idiopathic arthritis (JIA) treatment options have expanded to include biologics such as tumor necrosis factor inhibitors (TNFi) and non-TNF inhibitors…
  • Abstract Number: 2712 • 2019 ACR/ARP Annual Meeting

    Patterns of Etanercept Use in the Childhood Arthritis and Rheumatology Research Alliance Juvenile Idiopathic Arthritis Registry

    Natalie Shiff1, Aimee Lougee 2, Roland Matsouaka 2, David Collier 3, Yukiko Kimura 4, Dax Rumsey 5, Jennifer Schenfeld 6, Scott Stryker 3, Marinka Twilt 7 and Timothy Beukelman 8, 1University of Florida, Gainesville, FL, 2Duke University, Durham, NC, 3Amgen Inc., Thousand Oaks, CA, 4Joseph M Sanzari Children's Hospital, Hackensack University Medical Center, Cincinnati, OH, 5University of Alberta, Edmonton, AB, Canada, 6Amgen, Inc, Thousand Oaks, CA, 7University of Calgary, Calgary, AB, Canada, 8University of Alabama Birmingham, Birmingham, AL

    Background/Purpose: Etanercept (ETN) is an anti-tumor necrosis factor (anti-TNF) therapy that is FDA approved for the treatment of polyarticular juvenile idiopathic arthritis (JIA). This study…
  • Abstract Number: 2713 • 2019 ACR/ARP Annual Meeting

    Juvenile Spondyloarthritis in the Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry: High Biologic Use, Low Prevalence of HLA-B27, and Equal Sex Representation in Those with Sacroiliitis

    Dax Rumsey1, Aimee Lougee 2, Roland Matsouaka 2, David Collier 3, Laura Schanberg 4, Jennifer Schenfeld 5, Natalie Shiff 6, Matthew Stoll 7, Scott Stryker 3, Pamela F. Weiss 8 and Timothy Beukelman 9, 1University of Alberta, Edmonton, AB, Canada, 2Duke University, Durham, NC, 3Amgen Inc., Thousand Oaks, CA, 4Duke University Medical Center, Durham, NC, 5Amgen, Inc, Thousand Oaks, CA, 6University of Florida, Gainesville, FL, 7University of Alabama at Birmingham, Birmingham, AL, 8Children's Hospital of Philadelphia, Philadelphia, PA, 9University of Alabama Birmingham, Birmingham, AL

    Background/Purpose: Herein we describe characteristics of children with juvenile spondyloarthritis (JSpA, i.e. enthesitis-related arthritis [ERA] or juvenile psoriatic arthritis [JPsA]) enrolled in the Childhood Arthritis…
  • Abstract Number: 2714 • 2019 ACR/ARP Annual Meeting

    Investigation of Inactive Disease Activity States Among JIA Patients in the CARRA Registry

    Melissa Mannion1, Fenglong Xie 2 and Timothy Beukelman 3, 1University of Alabama at Birmingham, Alabama, 2University of Alabama at Birmingham, Birmingham, 3University of Alabama Birmingham, Birmingham, AL

    Background/Purpose: Inactive disease is the stated goal of treatment in juvenile idiopathic arthritis (JIA) and is typically measured by a composite score that combines several…
  • Abstract Number: 2715 • 2019 ACR/ARP Annual Meeting

    Incidence of Juvenile Idiopathic Arthritis in the United Kingdom: Estimates from a National Primary Care Dataset

    Ruth Costello1, Janet McDonagh 2, Will Dixon 1, Kimme Hyrich 2 and Jenny Humphreys 1, 1Versus Arthritis Centre for Epidemiology, Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom, Manchester, United Kingdom, 2Versus Arthritis Centre for Epidemiology, Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom / NIHR Manchester Biomedical Research Centre, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom, Manchester, United Kingdom

    Background/Purpose: Juvenile idiopathic arthritis (JIA) is the most common childhood onset inflammatory arthritis.  The last estimates of incidence of this disease in the United Kingdom…
  • Abstract Number: 2716 • 2019 ACR/ARP Annual Meeting

    Long Term Outcomes of Childhood Onset Rheumatoid Arthritis

    Rebecca Overbury1, Aimee Hersh 2, CJ Inman 2, Sara Stern 2, Karen James 2 and John Bohnsack 3, 1Assisstant Professor, University of Utah, Salt Lake City, UT, 2University of Utah, Salt Lake City, UT, 3University of Utah School of Medicine, Salt Lake City, UT

    Background/Purpose: Childhood onset rheumatoid arthritis (CORA) describes patients with juvenile idiopathic arthritis (JIA) who are rheumatoid factor (RF) or anti-cyclic citrullinated antibody (ACPA) positive. Phenotypically,…
  • Abstract Number: 2717 • 2019 ACR/ARP Annual Meeting

    Long-term Outcome of Juvenile-onset Psoriatic Arthritis

    Devy Zisman1, Tal Gazitt 2, Amir Haddad 2, Idit Lavi 2, Snezana Barac 3, Vinod Chandran 4, Jan Dutz 5, Lihi Eder 6, James T Elder 7, Richard Hayday 8, Proton Rahman 9, Christopher Ritchlin 10, Sherry Rohekar 11, Cheryl F. Rosen 12 and Dafna Gladman 13, 1Carmel Hospital and Ruth and Bruce Rappaport Faculty of Medicine, Technion, Israel, Haifa, Israel, 2Carmel Hospital, Haifa, Israel, 3Winnipeg Clinic, Winnipeg, MB, Canada, 4Department of Medicine, University of Toronto,Centre for Prognosis Studies in the Rheumatic Diseases, Toronto Western Hospital, Toronto, ON, Canada, 5University of British Columbia, Vancuver, BC, Canada, 6Women’s College Hospital and the Department of Medicine, University of Toronto, Toronto, Canada, 7University of Michigan Medical School,, Ann Arbor, MI, 8University of Manitoba, Winnipeg, MB, Canada, 9Memorial University, Newfoundland, NL, Canada, 10Division of Allergy, Immunology and Rheumatology, Center for Musculoskeletal Research, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA, Rochester, NY, 11Western University, London, ON, Canada, 12Division of Dermatology, University of Toronto, Toronto Western Hospital, Toronto, ON, Canada, 13Toronto Western Hospital, Toronto, Canada, Toronto, ON, Canada

    Background/Purpose: There is no consensus in the literature with regard to the features and long-term prognosis of psoriatic arthritis (PsA) starting in childhood (jPsA). We…
  • Abstract Number: 2718 • 2019 ACR/ARP Annual Meeting

    A Retrospective Study Comparing Refractoriness to Biologic Disease Modifying Anti-Rheumatic Drugs in Adults with Juvenile Idiopathic Arthritis as Compared to Those with Rheumatoid Arthritis

    Kiana Taba1 and Elizabeth Ortiz 2, 1University of Southern California, LAGUNA HILLS, CA, 2LAC+USC/Keck Medicine of USC, Los Angeles

    Background/Purpose: The use of biologic DMARDs (bDMARDs) has vastly changed the treatment of autoimmune arthritis, both Rheumatoid Arthritis (RA) and polyarticular and oligoarticular Juvenile Idiopathic…
  • Abstract Number: 2719 • 2019 ACR/ARP Annual Meeting

    Predictors of Health Care Transition Practices Among North American Pediatric Rheumatology Providers

    Rebecca Sadun1, Amanda Eudy 1, Peter Chiraseveenuprapund 2, Cuoghi Edens 3, Aimee Hersh 4, Kiana Johnson 5 and Erica Lawson 6, 1Duke University, Durham, 2UCSD, San Diego, CA, 3University of Chicago, Chicago, IN, 4University of Utah, Salt Lake City, UT, 5East Tennessee, Johnson City, TN, 6University of California San Francisco Benioff Children’s Hospital, San Francisco, CA

    Background/Purpose: The transition from pediatric to adult-oriented health care represents a vulnerable period for young adults with chronic rheumatic diseases. In spite of this, a…
  • Abstract Number: 2720 • 2019 ACR/ARP Annual Meeting

    Implementation of an Evidence-based Transition Clinic in a Pediatric Rheumatology Academic Institution

    Rebecca Overbury1, John Bohnsack 2, CJ Inman 3, Sara Stern 3, Karen James 3, Daniel Clegg 3, Tracy Frech 4 and Aimee Hersh 3, 1Assisstant Professor, University of Utah, Salt Lake City, UT, 2University of Utah School of Medicine, Salt Lake City, UT, 3University of Utah, Salt Lake City, UT, 4Division of Rheumatology, University of Utah and Salt Lake VAMC, Salt Lake City, UT

    Background/Purpose: Transition from pediatric to adult rheumatology care is more likely to be successful if a transition program is in place. Previously successful interventions to…
  • Abstract Number: 2721 • 2019 ACR/ARP Annual Meeting

    Subjective and Objective Dyscognition in Adolescents with Juvenile Fibromyalgia Syndrome

    Sabrina Gmuca1, Maitry Sonagra 2, Rui Xiao 2, Elizabeth Mendoza 2, Kimberly S. Miller 3, Nina H. Thomas 1, Pamela F. Weiss 1, David D. Sherry 1 and Jeffrey Gerber 2, 1Children's Hospital of Philadelphia, Philadelphia, PA, 2Children's Hospital of Philadelphia, Philadelphia, 3Children's Hospital fo Philadelphia, Philadelphia, PA

    Background/Purpose: Dyscognition, including loss of mental clarity and problems with attention and memory, often affects adolescents with juvenile fibromyalgia syndrome (JFMS). Our understanding of this…
  • Abstract Number: 2722 • 2019 ACR/ARP Annual Meeting

    The down Syndrome Arthropathy Cohort in the New Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry: Clinical Characteristics, Treatment and Outcomes

    Jordan Jones1, Daniel J. Lovell 2, Chelsey Smith 3 and Mara Becker 4, 1Children's Mercy Kansas City, Kansas City, MO, 2Pediatric Rheumatology Collaborative Study Group (PRCSG), Cincinnati Children’s Hospital Medical Center, Cincinnati, 3Children's Mercy Kansas City, Kansas, MO, 4Duke Children's Hospital, Durham, NC

    Background/Purpose: Down syndrome arthropathy (DA) is under-recognized with a 19-month average delay in diagnosis (1). The majority present with polyarticular, rheumatoid factor (RF) and anti-nuclear…
  • Abstract Number: 2723 • 2019 ACR/ARP Annual Meeting

    Alagille Syndrome and Chronic Arthritis: An International Case Series

    Giovanna Ferrara 1, Teresa Giani1, Scott M Lieberman 2, Sandy Hong 3, Courtney Kremer 3, Giuseppe Indolfi 1, Grant Schulert 4, Randy Cron 5, Melissa Mannion 6, Sivia Lapidus 7, Emmanuel Jacquemin 8, Isabelle Kone-Paut 9 and Rolando Cimaz 10, 1Anna Meyer Children University Hospital, Florence, Italy, 2University of Iowa, Iowa City, Iowa City, 3University of Iowa, Iowa City, Iowa City, IA, 4Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 5University of Alabama at Birmingham, Birmingham, AL, 6University of Alabama at Birmingham, Alabama, 7Joseph M. Sanzari Children’s Hospital, Hackensack Meridian Health, New Jersey, 8Le Kremlin Bicetre, Paris, France, 9Rhumatologie pédiatrique et CEREMAIA,, Université Paris-Sud Saclay, Paris, France, 10Meyer Children's Hospital in Florence, Florence, Italy

    Background/Purpose: Alagille syndrome is a complex multisystem disease characterized by chronic cholestasis due to a paucity of intrahepatic bile ducts, congenital heart disease and ocular…
  • Abstract Number: 2724 • 2019 ACR/ARP Annual Meeting

    Farber Disease (Acid Ceramidase Deficiency): The First Natural History Study of This Rare Disease Involving Symptoms Which Can Mimic JIA

    Alexander Solyom1, Erik Sundberg 2, John Mitchell 3, Christina Grant 4, Carlos Ferreira 5, Paul Harmatz 6, Neslihan Mungan 7, Fatma Bulut 7, Christina Lampe 8, Andreas Hahn 8, Norberto Guelbert 9, Nur Arslan 10, Balahan Makay 10, Ratna Puri 11, Sunita Bijarnia-Mahay 11, Laila Selim 12, Iman Gamal el Din 12, Seema Kapoor 13, Maja DiRocco 14, Seza Ozen 15, Ezgi Batu 15, Gulden Gokcay 16, Marta Torcoletti 17, Alan Kimura 18 and Bo Magnusson 2, 1Enzyvant, Basel, Switzerland, 2Karolinska University Hospital, Stockholm, Sweden, 3Montreal Children's Hospital, Montreal, Canada, 4Children's National Medical Center, Washingotn, DC, 5Children's National Medical Center, Washington, DC, 6UCSF Benioff Children's Hospital Oakland, Oakland, CA, 7Cukurova University Hospital, Adana, Turkey, 8University Hospital Giessen, Giessen, Germany, 9Children's Hospital of Cordoba, Cordoba, Argentina, 10Dokuz Eylul University Hospital, Izmir, Turkey, 11Sir Ganga Ram Hospital, Delhi, India, 12Cairo University Children's Hospital, Cairo, Egypt, 1313Lok Nayak Hospital and Maulana Azad Medical College, Delhi, India, 14Istituto Giannina Gaslini, Genoa, Italy, 15Hacettepe University Hospital, Ankara, Turkey, 16Istanbul University, Istanbul, Turkey, 17University of Milan, Milan, Italy, 18Enzyvant, Cambridge, MA

    Background/Purpose: The cardinal clinical symptoms of Farber disease (arthritis/contractures, subcutaneous granulomatous nodules, dysphonia) may be misdiagnosed as JIA. Mutations in the ASAH1 gene and the…
  • Abstract Number: 2725 • 2019 ACR/ARP Annual Meeting

    Clinical Factors Distinguishing Between Pediatric Tumors with Arthritis at Onset and JIA: Preliminary Analysis of the ONCOREUM Study

    Adele Civino1, Gianni Alighieri 2, Roberto Rondelli 3, Silvia Magni-Manzoni 4, Micol Romano 5, Giovanni Filocamo 6, Francesca Santarelli 7, Francesca Ricci 8, Alma Nunzia Olivieri 9, Serena Pastore 10, Patrizia Barone 11, Romina Gallizzi 12, Angela Miniaci 13, Manuela Marsili 14, Rosanna Podda 15, Bianca Lattanzi 16, Maria Cristina Maggio 17, Rita Consolini 18, Francesco La Torre 19, Maria Antonietta Pelagatti 20, Francesca Soscia 21, Alessandro De Fanti 22, Donato Rigante 23, Eleonora Prete 24, Giulia Stabile 25, Andrea Roncadori 26, Loredana Lepore 27, Valentino Conter 28, Andrea Pession 29 and Angelo Ravelli 30, 1Pediatric Rheumatology “Vito Fazzi” Hospital, Lecce, Lecce, Italy, 2Pediatric Unit “Card. G. Panico” Hospital, Tricase, Tricase, Italy, 3Department of Pediatrics, "Lalla Seragnoli" , Hematology - Oncology Unit , University of Bologna, Bologna, 4Rheumatology, Bambino Gesù Children's Hospital, IRCCS, Rome, Roma, 5Division of Rheumatology, ASST Gaetano Pini, Milan, Milano, 6Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Milano, Italy, 7Pediatric Immunology and Rheumatology, "Regina Margherita" Children Hospital, University of Turin, Torino, Italy, 8Pediatric Clinic, Asst Spedali Civili, University of Brescia, Brescia, Italy, 9Pediatric Rheumatology, Second University of Studies of Naples, Napoli, Italy, 10Pediatric Rheumatology, IRCCS Burlo Garofolo, Trieste, Italy;, Trieste, Italy, 11Department of Pediatrics, University of Catania, Catania, Italy, Catania, Italy, 12Azienda Ospedaliera Universitaria Gaetano Martino, Messina, Messina, Italy, 13Department of Pediatrics, "Lalla Seragnoli" , Rheumatology , University of Bologna, Bologna, Italy, 14Pediatric Rheumatology, University of Chieti, Chieti, Italy, 15Paediatric Rheumatology, Ospedale Pediatrico Microcitemico A. Cao, Cagliari, Cagliari, Italy, 16Pediatric Rheumatology, Ospedali Riuniti di Ancona, Ancona, Italy, 17Department of Health Promotion Sciences Maternal and Infantile Care, “G. D’Alessandro”, University of Palermo, Palermo, Italy, 18Department of clinical and experimental Medicine University of Pisa, Pisa, Italy, 19Rheumatology Section. Pediatric Unit. Giovanni XXIII Pediatric Hospital. Bari, Bari, Italy, 20Paediatric Rheumatology, MBBM Foundation, San Gerardo Hospital Monza, Monza, Italy, 21Pediatric Unit Santa Maria della Stella Hospital, Orvieto, Orvieto, Italy, 22Pediatric and Adolescent Rheumatology Unit Azienda USL-IRCCS, Reggio Emilia, Reggio Emilia, Italy, 23Institute of Pediatrics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy, Roma, Italy, 24Department of Hematology and Bone Marrow Trasplant Card. G. Panico” Hospital, Tricase, Tricase, Italy, 25Inter-University Consortium Cineca, Casalecchio di Reno (BO), Casalecchio di Reno, 26Inter-University Consortium Cineca, Casalecchio di Reno (BO), Casalecchio di Reno, Italy, 27Pediatric Rheumatology, IRCCS Burlo Garofolo, Trieste, Trieste, Italy, 28Paediatric Haemato-Oncology, University of Milano-Bicocca, MBBM Foundation, Monza, Monza, Italy, 29Department of Pediatrics, "Lalla Seragnoli" , Hematology - Oncology Unit , University of Bologna, Bologna, Italy, 30Pediatric Rheumatology, IRCCS Giannina Gaslini Institute Genova, Genova, Italy

    Background/Purpose: Musculoskeletal (MSK) symptoms are a common presenting complaint in pediatric primary care (estimated prevalence 25-50%) and may be the initial manifestation of cancer in…
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