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Abstracts tagged "macrophage activation syndrome"

  • Abstract Number: 0363 • ACR Convergence 2023

    Allogenic Hematopoietic Stem Cell Transplant for Children with Refractory Systemic Juvenile Idiopathic Arthritis and sJIA-Associated Lung Disease: 6-month Post-Transplant Outcomes from an International Cohort

    Michael Matt1, Daniel Drozdov1, Rolla Abu-Arja2, Shanmuganathan Chandrakasan3, Kyla Driest2, Elvira Cannizzaro Schneider4, Despina Moshous5, Benedicte Neven5, Karen Onel6, Sampath Prahalad7, Susan Prockop8, Pierre Quartier5, Johannes Roth9, Donna Wall10, Ulrike Zeilhofer11, Scott Canna12, Alexei Grom1, Grant Schulert1 and Rebecca Marsh1, 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Nationwide Children's Hospital, Columbus, OH, 3Emory University School of Medicine, Atlanta, GA, 4Universitaetskinderspital Zurich, Zurich, Switzerland, 5Paris Cité Université and Necker Hospital, Paris, France, 6Hospital for Special Surgery, New York, NY, 7Emory University School of Medicine, Children's Pediatric Institute, Atlanta, GA, 8Division of Hematology-Oncology, Boston Children's Hospital, Boston, MA, 9University of Ottawa, Ottawa, ON, Canada, 10The Hospital for Sick Children, Toronto, ON, Canada, 11Children's Hospital of Zurich, Zurich, Switzerland, 12Children's Hospital of Philadelphia, Philadelphia, PA

    Background/Purpose: Refractory systemic juvenile idiopathic arthritis (sJIA) in children can be complicated by repeated episodes of macrophage activation syndrome (MAS) or sJIA-related lung disease (sJIA-LD).…
  • Abstract Number: 0378 • ACR Convergence 2023

    Characteristics of Macrophage Activation Syndrome in Systemic JIA Patients Receiving Anakinra as First-line Treatment

    Remco Erkens1, Laura Huber1, Anouk Verwoerd1, Greta Rogani1, Dieneke Schonenberg-Meinema2, Merlijn van den Berg2, Wineke Armbrust3, Elizabeth Legger4, Sylvia Kamphuis5, Ellen Schatorjé6, Esther Hoppenreijs7, Joost Swart8, Marc Jansen1, Jorg van Loosdregt1 and Sebastiaan Vastert1, 1University Medical Center Utrecht, Utrecht, Netherlands, 2Emma Children's Hospital, Amsterdam University Medical Centers, Amsterdam, Netherlands, 3University Medical Hospital Groningen, Groningen, Netherlands, 4University Medical Center Groningen, Groningen, Netherlands, 5Erasmus University Medical Center, Department of Pediatric Rheumatology, Rotterdam, Netherlands, 6University Medical Center Radboud, Nijmegen, Netherlands, 7Radboud University Medical Center, Nijmegen, Netherlands, 8Wilhelmina Children's Hospital / UMC Utrecht, Utrecht, Netherlands

    Background/Purpose: Systemic Juvenile Idiopathic Arthritis (sJIA) is a severe inflammatory disease with auto-inflammatory characteristics. The introduction of targeted biologic therapies has revolutionized the treatment and…
  • Abstract Number: 0758 • ACR Convergence 2023

    Clinical and Biological Characteristics of Children and Adults Affected with Still’s Disease: A Systematic Review and Meta-analysis Informing the 2023 EULAR/PReS Recommendations for the Diagnosis and Management of Systemic Juvenile Idiopathic Arthritis and Adult-onset Still’s Disease

    STEPHANE MITROVIC1, Arianna De Matteis2, Sara Bindoli3, Fabrizio De Benedetti4, Bruno Fautrel5, Loreto Carmona6 and On Behalf Of The Eular/PreS QoC011 Task Force Member7, 1Pitie Salpetriere Hospital, Sorbonne University, APHP, Paris, France, 2IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy, 3Rheumatology Unit, Dept of Medicine, University of Padova, Padova, Italy, 4Bambino Gesu Children's Hospital, Division of Rheumatology, Rome, Italy, 5Sorbonne Université APHP, Paris, France, 6Instituto de Salud Musculoesquelética (InMusc), Madrid, Spain, 7EULAR/PReS QoC011 Task Force members are: Jordi Anton, Alexandre Belot, Claudia Bracaglia, Tamas Constantin, Lorenzo Dagna, Alessandro De Bartolo, Eugen Feist, Dirk Foell, Marco Gattorno, Sophie Georgin-Lavialle, Roberto Giacomelli, Alexei Grom, Yvan Jamilloux, Katarina Laskari, Calin Lazar, Francesca Minoia, Peter Nigrovic, Filipa Oliveira Ramos, Seza Ozen, Pierre Quartier-dit-Maire, Piero Ruscitti, Erdal Sag, Sinisa Savic, Marie-Elise Truchetet, Bas Vastert, Tanita Wilhelmer, Carine Wouters., Paris, France

    Background/Purpose: Systemic juvenile idiopathic arthritis (sJIA) and adult-onset Still’s disease (AOSD) are part of the non-familial (sporadic) systemic inflammatory disorders and are frequently mentioned as…
  • Abstract Number: 0759 • ACR Convergence 2023

    Derivation and Validation of Four Patient Clusters in Still’s Disease, Results from GIRRCS AOSD-study Group and AIDA Network Still Disease Registry

    Piero Ruscitti1, Antonio Vitale2, Ilenia Di Cola1, Roberto giacomelli3 and Luca Cantarini4, 1University of L'Aquila, L'Aquila, Italy, 2University of Siena, Siena, Italy, 3University of Rome Campus Biomedico, Rome, Italy, 4Department of Medical Sciences, Surgery and Neurosciences, Rheumatology Unit, University of Siena and Azienda Ospedaliero-Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory and Autoimmune Diseases (RITA) Center], Siena, Italy

    Background/Purpose: Still's disease is a rare inflammatory disorder, these patients have a highly heterogeneous disease according to age of onset, clinical presentation, presence of life-threatening…
  • Abstract Number: 0760 • ACR Convergence 2023

    Treatment Patterns and Outcomes in Patients with Macrophage Activation Syndrome Secondary to Still’s Disease Treated with Emapalumab: The REAL-HLH Study

    Carl Allen1, Shanmuganathan Chandrakasan2, Michael Jordan3, Jennifer Leiding4, Abiola Oladapo5, Priti Pednekar6, Kelly Walkovich7 and John Yee5, 1Baylor College of Medicine, Houston, TX, 2Emory University School of Medicine, Atlanta, GA, 3Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, 4Division of Allergy and Immunology, Department of Pediatrics, Johns Hopkins University; bluebird bio, Cambridge, MA, 5Sobi, Inc., Waltham, MA, 6PRECISIONheor, Bethesda, MD, 7Division of Pediatric Hematology Oncology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI

    Background/Purpose: Macrophage activating syndrome (MAS) is a rare, potentially fatal complication of systemic juvenile idiopathic arthritis (sJIA) and adult-onset Still's disease (AOSD). MAS (a form…
  • Abstract Number: 0803 • ACR Convergence 2023

    IL10 Inhibits Toll-like Receptor-9-induced T Cell Receptor-mediated T Cell Activation in Macrophage Activation Syndrome

    Matthew Eremita1, Omar Geier2, Joyce Hui-Yuen1 and Matthew Taylor3, 1Division of Pediatric Rheumatology, Cohen Children's Medical Center, Lake Success, NY, 2Sepsis Research Laboratory, Feinstein Institutes for Medical Research, Manhasset, NY, 3Division of Pediatric Critical Care, Cohen Children's Medical Center, Manhasset, NY

    Background/Purpose: Macrophage activation syndrome (MAS) is a potentially fatal complication of systemic juvenile idiopathic arthritis (sJIA). Gene expression pathway analyses have identified altered Toll-like receptor…
  • Abstract Number: 0865 • ACR Convergence 2023

    Reactive Oxygen Species-scavenging Nanoparticles Target Macrophage Polarization for Osteoarthritis Therapy

    Caifeng Deng1, Yongbing Xiao2, Xuan Zhao1, Hui Li2, Yuxiao Chen1, Chao Zeng2 and Guanghua Lei2, 1Xiangya Hospital, Changsha, China, 2Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, China

    Background/Purpose: Unbalanced M1/M2 polarization of synovial macrophages plays vital roles in the symptomatic and structural progression of osteoarthritis (OA). The accumulation of intracellular reactive oxygen…
  • Abstract Number: 1662 • ACR Convergence 2023

    Chronic Excess IL-18 Induces NK Deficiency, but Drives Hyperinflammation via CD8 T-cell Cytokine Overproduction and Selective Immunodeficiency

    Jemy Varghese1, Scott Canna1, Emily Landy2, Laurence Eisenlohr1, Elise Peauroi3, Vinh Dang1, Anastasia Frank-Kamenetskii4 and Jeremy Morrissette5, 1Children's Hospital of Philadelphia, Philadelphia, PA, 2University of Pittsburgh, Pittsburgh, PA, 3University of Pennsylvania, Philadelphia, PA, 4CHOP/UPENN, Philadelphia, PA, 5University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA

    Background/Purpose: Systemic Juvenile Idiopathic Arthritis (SJIA) and Macrophage Activation Syndrome (MAS) are associated with highly elevated peripheral blood levels of the inflammasome-activated cytokine IL-18 and…
  • Abstract Number: 1711 • ACR Convergence 2023

    CD14+ Monocytes Demonstrate a Unique Transcriptional Signature in Macrophage Activation Syndrome, Highlighting a Role for Interferons and Identifying Putative Hemophagocytes in Circulation

    Susan Canny1, Hannah DeBerg2, Griffin Gessay2, Ailing Lu3, Mary Eckert4, Andrea La Bella5, Susan Shenoi6, Joyce Hui-Yuen7, Betsy Barnes8 and Jessica Hamerman2, 1Seattle Children's Hospital/University of Washington, Seattle, WA, 2Benaroya Research Institute, Seattle, WA, 3Feinstein Institutes for Medical Research, Manhasset, NY, 4Seattle Children's Hospital, Seattle, WA, 5Cohen Children's Medical Center, Queens, NY, 6Seattle Childrens Hospital, Mercer Island, WA, 7Division of Pediatric Rheumatology, Cohen Children's Medical Center, Lake Success, NY, 8Northwell Health, Manhasset, NY

    Background/Purpose: Macrophage activation syndrome (MAS) is a potentially fatal complication of rheumatic diseases. MAS is characterized by a dysfunctional hyperinflammatory response in which there is…
  • Abstract Number: 2473 • ACR Convergence 2023

    A Consensus Based Algorithm to Screen for Lung Disease in Children with Systemic Juvenile Idiopathic Arthritis

    Holly Wobma1, Ronny Bachrach2, Joseph Farrell2, Margaret Chang3, Megan Day-Lewis1, Fatma Dedeoglu1, Martha Fishman4, Olha Halyabar1, Claudia Harris1, Daniel Ibanez1, Liyoung Kim1, Timothy Klouda4, Katie Krone4, Pui Lee1, Mindy Lo1, Kyle McBrearty1, Esra Meidan1, Susan Prockop5, Aaida Samad4, Mary Beth Son1, Peter Nigrovic3, Alicia Casey4, Joyce Chang3 and Lauren Henderson3, 1Division of Immunology, Boston Children's Hospital, Boston, MA, 2Community Member, Boston, MA, 3Boston Children's Hospital, Boston, MA, 4Division of Pulmonary Medicine, Boston Children’s Hospital, Boston, MA, 5Division of Hematology-Oncology, Boston Children's Hospital, Boston, MA

    Background/Purpose: Over the last decade, lung disease (LD) has become an increasingly recognized complication of systemic juvenile idiopathic arthritis (sJIA). Children with sJIA-LD may be…
  • Abstract Number: 0039 • ACR Convergence 2023

    Enrichment of Rare Variants of Hemophagocytic Lymphohistiocytosis Genes in Systemic Juvenile Idiopathic Arthritis

    Mariana Correia Marques1, Danielle Rubin1, Emily Shuldiner2, Mallika Datta1, Elizabeth Schmitz1, Alexei Grom3, Dirk Foell4, Marco Gattorno5, John Bohnsack6, Rae Yeung7, Sampath Prahalad8, Elizabeth Mellins9, Jordi Anton Lopez10, Claudio Len11, Sheila Oliveira12, Patricia Woo13, Seza Ozen14, INCHARGE Consortium1, Zuoming Deng15 and Michael Ombrello1, 1National Institute of Arthritis & Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD, 2Department of Biology, Stanford University, Stanford, CA, 3Division of Rheumatology, Cincinnati Children`s Hospital, Cincinnati, OH, 4University Hospital Münster, Münster, Germany, 5UOC Reumatologia e Malattie Autoinfiammatorie, Genoa, Italy, 6University of Utah, Salt Lake City, UT, 7The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, 8Emory University School of Medicine, Children's Pediatric Institute, Atlanta, GA, 9Stanford University, Stanford, CA, 10Pediatric Rheumatology Department, Hospital Sant Joan e Deu, Barcelona University, Barcelona, Spain, 11São Paulo Federal University, São Paulo, Brazil, 12Universidade Federal do Rio de Janeiro, Rio De Janeiro, Brazil, 13University College London, London, United Kingdom, 14Hacettepe University Medical Faculty, Ankara, Turkey, 15National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD

    Background/Purpose: Systemic juvenile idiopathic arthritis (sJIA) is a complex inflammatory condition of childhood. It can be complicated by macrophage activation syndrome (MAS), a secondary form…
  • Abstract Number: 0348 • ACR Convergence 2023

    The Use of Ruxolitinib for Improved Disease Control in Systemic Juvenile Idiopathic Arthritis (sJIA) and Recurrent Macrophage Activation Syndrome (MAS)

    Kathleen Collins1, Iman Abutineh1, Trisha Paul2, Parul Rai3, Grant Schulert4 and Melissa Hines2, 1University of Tennessee Health Science Center, Memphis, TN, 2St Jude Children's Research Hospital, Memphis, TN, 3St Jude Children's Reseaerch Hospital, Memphis, TN, 4Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: The advent of biologics such as IL-1 receptor antagonists has dramatically improved outcomes for children with pediatric rheumatic diseases and hyperinflammation. However, there remains…
  • Abstract Number: 031 • 2023 Pediatric Rheumatology Symposium

    Multisystem Inflammatory Syndrome in Children Phenotypes Vary Between SARS-CoV-2 Variants

    Greta Mastrangelo1, Ellen Go2, Paul Tsoukas2, Hua Lu3, Amy Xu2, Arthur Hoi Hin Cheng2 and Rae Yeung4, 1The Hospital of Sick Children,Department of Paediatrics, University of Toronto, Division of Rheumatology, Toronto, ON, Canada, 2The Hospital of Sick Children, Department of Paediatrics, University of Toronto, Division of Rheumatology; Cell Biology Program, The Hospital for Sick Children Research Institute, Toronto, ON, Canada, 3The Hospital for Sick Children, Toronto, ON, Canada, 4The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada

    Background/Purpose: Multisystem Inflammatory Syndrome in Children (MIS-C) is a serious complication associated with COVID-19, presenting as a hyperinflammatory disorder characterized by fever and multiorgan dysfunction.…
  • Abstract Number: 037 • 2023 Pediatric Rheumatology Symposium

    Transcriptional Analysis of CD14+ Monocytes During Macrophage Activation Syndrome Highlights Role for Interferons and RNA Sensing in Monocytes

    Susan Canny1, Hannah DeBerg2, Griffin Gessay2, Ailing Lu3, Mary Eckert1, Andrea La Bella4, Susan Shenoi5, Joyce Hui-Yuen6, Betsy Barnes7 and Jessica Hamerman2, 1Seattle Children's Hospital, Seattle, WA, 2Benaroya Research Institute, Seattle, WA, 3Feinstein Institutes for Medical Research, Manhasset, NY, 4Northwell Health, Cohen Children's Medical Center, New Hyde Park, NY, 5Seattle Children's Hospital, Seattle, WA, 6Cohen Children's Medical Center, Northwell Health, Lake Success, New York; Center for Autoimmune, Musculoskeletal, and Hematopoietic Diseases Research, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, 7Center for Autoimmune, Musculoskeletal, and Hematopoietic Diseases Research, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY

    Background/Purpose: Macrophage activation syndrome (MAS), a form of secondary hemophagocytic lymphohistiocytosis (HLH), is a potentially fatal complication of rheumatic diseases. MAS is a dysfunctional hyperinflammatory…
  • Abstract Number: 038 • 2023 Pediatric Rheumatology Symposium

    HLA-DRB1*15 Alleles in Systemic Juvenile Idiopathic Arthritis with Lung Disease and Macrophage Activation Syndrome in Italy

    Claudia Bracaglia1, Manuela Pardeo1, Maria Troiano2, Giuseppe Testa2, Ivan Caiello1, Arianna De Matteis3, Matteo Trevisan1, Franco Locatelli4, Marco Andreani2 and Fabrizio De Benedetti1, 1Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy, 2Laboratory of Transplant Immunogenetics, Department of Haematology/Oncology, Cell and Gene, IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Lazio, Italy, 3Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Roma, Italy, 4Ospedale Pediatrico Bambino Gesù, Department of Hematology/Oncology, Cell and Gene Therapy, Roma, Italy

    Background/Purpose: Systemic juvenile idiopathic arthritis (sJIA) is characterized by unique clinical features and it is considered as a polygenic autoinflammatory disease. Macrophage activation syndrome (MAS)…
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