ACR Meeting Abstracts

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Abstracts tagged "macrophage activation syndrome"

  • Abstract Number: 0473 • ACR Convergence 2020

    Characterization of DOCK8 as a Novel Gene Associated with Cytokine Storm Syndrome

    Mingce Zhang1, Remy Cron2, Devin Absher3, Prescott Atkinson1, Winn Chatham1 and Randy Cron1, 1University of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, 3HudsonAlpha Institute for Biotechnology, Huntsville, AL

    Background/Purpose: Cytokine storm syndrome (CSS), also known as macrophage activation syndrome (MAS) or secondary hemophagocytic lymphohistiocytosis (HLH), is a life threatening condition that commonly presents…
  • Abstract Number: 0592 • ACR Convergence 2020

    A Rheumatology-Driven Protocol and Treatment Algorithm of SARS-CoV-2 Cytokine Release Syndrome and Its Associated Outcomes

    Sandy Lee1, Neha Chiruvolu2, Muntarin Karim3, Patil Injean4, Loomee Doo5, Donna Jose6, Deepa Panikkath1, Micah Yu5, Anna Lafian5, Wendy De La Pena7, Albert Chow8, Karina Torralba9, Vaneet Sandhu10, Mehrnaz Hojjati5, Marven Cabling5 and Christina Downey1, 1Loma Linda University Medical Center, Redlands, CA, 2UC Riverside School of Medicine, Riverside, CA, 3Loma Linda University Health System, Loma Linda, CA, 4LOMA LINDA UNIVERSITY MEDICAL CENTER - RHEUMATOLOGY, Redlands, CA, 5Loma Linda University Medical Center, LOMA LINDA, CA, 6Loma Linda University Medical Center, Ontario, CA, 7PRCSG, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 8Loma Linda University, San Bernardino, CA, 9Loma Linda University School of Medicine, Redlands, CA, 10Loma Linda University, Loma Linda, CA

    Background/Purpose: The newly identified SARS-CoV-2 has brought Cytokine Release Syndrome (CRS) to a level of prominence not often seen in adult medicine. Mortality rates of…
  • Abstract Number: 0623 • ACR Convergence 2020

    Cytokine Storm: Outcomes in SARS-CoV-2 Patients Treated with Biologics in a Rheumatology Cohort

    Neha Chiruvolu1, Muntarin Karim2, Patil Injean3, Sandy Lee3, Karina Torralba4, Christina Downey3, Mehrnaz Hojjati5, Loomee Doo5, Donna Jose6, Deepa Panikkath3, Micah Yu5, Anna Lafian5, Marven Cabling5 and Vaneet Sandhu7, 1UC Riverside School of Medicine, Riverside, CA, 2Loma Linda University Health System, Loma Linda, CA, 3Loma Linda University Medical Center, Redlands, CA, 4Loma Linda University School of Medicine, Redlands, CA, 5Loma Linda University Medical Center, Loma Linda, CA, 6Loma Linda University Medical Center, Ontario, CA, 7Loma Linda University, Loma Linda, CA

    Background/Purpose: Cytokine Release Syndrome (CRS) or Macrophage Activation Syndrome (MAS) is a life threating hyperinflammatory condition that can complicate rheumatic disease as well as infections…
  • Abstract Number: 009 • 2020 Pediatric Rheumatology Symposium

    Emapalumab (Anti-Interferon-Gamma Monoclonal Antibody) in Patients with Macrophage Activation Syndrome (MAS) Complicating Systemic Juvenile Idiopathic Arthritis (sJIA)

    Fabrizio De Benedetti1, Paul Brogan 2, Claudia Bracaglia 1, Manuela Pardeo 1, Giulia Marucci 1, Emanuela Sacco 1, Despina Eleftheriou 3, Charalampia Papadopoulou 3, Alexei Grom 4, Pierre Quartier 5, Rayfel Schneider 6, Philippe Jacqmin 7, Rikke Frederiksen 8, Maria Ballabio 9 and Cristina de Min 8, 1Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy, 2UCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom, 3UCL Institute of Child Health, and Great Ormond Street Hospital NHS Foundation Trust, Section Head Infection, Immunology, and Rheumatology, London, United Kingdom, 4Cincinnati Children's Hospital Medical Center, Cincinnati, 5Paris-Descartes University, IMAGINE Institute, RAISE reference centre, Pediatric Immuno-Hematology and Rheumatology Unit, Necker hospital, Assistance Publique-Hôpitaux de Paris, Paris, France, 6The Hospital for Sick Children, Toronto, Canada, 7MnS Modelling and Simulation, Dinant, Belgium, 8Swedish Orphan Biovitrum AG (Sobi), Basel, Basel-Stadt, Switzerland, 9Swedish Orphan Biovitrum AG (Sobi), Basel, Switzerland

    Background/Purpose: MAS is a severe complication of rheumatic diseases and occurs most frequently in patients with sJIA. Data from animal models and from observational studies…
  • Abstract Number: 019 • 2020 Pediatric Rheumatology Symposium

    Characterization of DOCK8 as a Novel Gene Associated with Cytokine Storm Syndrome

    Mingce Zhang 1, Remy Cron 1, Devin Absher 2, Prescott Atkinson 1, W. Winn Chatham 1 and Randy Cron1, 1University of Alabama at Birmingham, Birmingham, 2HudsonAlpha Institute for Biotechnology, Huntsville

    Background/Purpose: Cytokine storm syndromes (CSS), such as macrophage activation syndrome (MAS) and secondary hemophagocytic lymphohistiocytosis (HLH), are life threatening conditions that commonly present with unremitting…
  • Abstract Number: 079 • 2020 Pediatric Rheumatology Symposium

    Traditional Laboratory Parameters and New Biomarkers in Macrophage Activation Syndrome and Secondary Hemophagocytic Lymphohistiocytosis

    Arianna De Matteis 1, Denise Pires Marafon 2, Ivan Caiello 2, Manuela Pardeo 2, Giulia Marucci 2, Emanuela Sacco 2, Giusi Prencipe 2, Fabrizio De Benedetti 2 and Claudia Bracaglia2, 1Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Lazio, Italy, 2Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy

    Background/Purpose: Macrophage Activation Syndrome (MAS) and Secondary Hemophagocytic Lymphohistiocytosis (sHLH) are hyperinflammatory conditions caused by a cytokine storm. Prompt recognition and early treatment are essential…
  • Abstract Number: 080 • 2020 Pediatric Rheumatology Symposium

    Therapeutic Interferon Gamma Neutralization with Emapalumab in Patients with NRLC4- and CDC42-Associated Diseases Characterized by Recurrent and Severe Hemophagocytic Lymphohistiocytosis

    Claudia Bracaglia1, Antonella Insalaco 1, Giulia Marucci 1, Manuela Pardeo 1, Emanuela Sacco 1, Virginia Messia 1, Giusi Prencipe 1, Ivan Caiello 1, Sarka Fingerhutova 2, Pavla Dolezalova 2, Veronica Asnaghi 3, Maria Ballabio 3, Cristina de Min 3 and Fabrizio De Benedetti 1, 1Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy, 2Paediatric Rheumatology and Autoinflammatory Diseases Unit, General University Hospital, Prague, Czech Republic, 3Swedish Orphan Biovitrum AG (Sobi), Basel, Switzerland

    Background/Purpose: Interferon gamma (IFNγ) is a pivotal mediator of HLH. Emapalumab (a fully human anti-IFNγ monoclonal antibody) is efficacious in patients with primary HLH. In…
  • Abstract Number: 081 • 2020 Pediatric Rheumatology Symposium

    Risk Score of Macrophage Activation Syndrome in Patients with Systemic Juvenile Idiopathic Arthritis

    Simone Carbogno 1, Denise Pires Marafon 2, Giulia Marucci 2, Manuela Pardeo 2, Antonella Insalaco 2, Virginia Messia 2, Emanuela Sacco 2, Ferhat Demir 3, Betul Sozeri 3, Natasia Cekada 4, Marija Jelusic 4, Olga Vougiouka 5, Mikhail Kostik 6, Alenka Gagro 7, Christoph Kessel 8, Francesca Minoia 9, Fabrizio De Benedetti 2 and Claudia Bracaglia2, 1Pediatric Area, University of Milan, Milan, Italy, 2Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy, 3University of Health Sciences, Umraniye Tranining and Research Hospital Division of Pediatric Rheumatology, Istanbul, Turkey, 4Division of Paediatric Rheumatology and Immunology, University of Zagreb, Zagreb, Croatia, 5Second Department of Paediatrics, P. & A. Kyriakou Children’s Hospital, Athens, Greece, 6Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia, 7Children's Hospital Zagreb, Zagreb, Croatia, 8University Hospital Muenster, Muenster, Nordrhein-Westfalen, Germany, 9Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy

    Background/Purpose: Macrophage Activation Syndrome (MAS) is a severe, life-threatening, complication of rheumatic diseases in childhood, particularly of systemic Juvenile Idiopathic Arthritis (sJIA), occurring in approximately…
  • Abstract Number: 108 • 2020 Pediatric Rheumatology Symposium

    A Multinational Study of Thrombotic Microangiopathy in Macrophage Activation Syndrome: A Dreadful Condition Which Is Likely Underrecognized

    Francesca Minoia1, Jessica Tibaldi 2, Valentina Muratore 3, Romina Gallizzi 4, Claudia Bracaglia 5, Alessia Arduini 6, Elif Comak 7, Olga Vougiouka 8, Ralf Trauzeddel 9, Giovanni Filocamo 10, Concetta Micalizzi 2, Ozgur Kasapcopur 11, Erbil Unsal 12, Toshiyuki Kitoh 13, Elena Tsitsamis 14, Mikhail Kostik 15, Randy Cron 16, Jana Pachlopnik 17, Despoina Maritsi 18, Marija Jelusic 19, Susan Shenoi 20 and Angelo Ravelli 2, 1Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy, 2Istituto Giannina Gaslini, Genoa, Italy, 3IRCCS Policlinico San Matteo, Pavia, Italy, 4Università degli Studi di Messina, Messina, Italy, 5Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy, 6IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, 7Akdeniz University, Antalya, Turkey, 8Second Department of Paediatrics, P. & A. Kyriakou Children’s Hospital, Athens, Greece, 9Helios Klinikum, Berlin, Germany, 10Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy, 11Istanbul University-Cerrahpasa, Cerrahpasa Medical School, Cerrahpasa, Turkey, 12Dokuz Eylul University, Izmir, Turkey, 13Aichi Medical University, Nagakute, Japan, 14Children's Hospital Aghia Sophia, Athens, Greece, 15State Pediatric Medical Academy, Saint Petersburg, Russia, 16University of Alabama at Birmingham, Birmingham, 17Universitats-Kinderspital, Zurich, Switzerland, 18National and Kopdistrian University of Athens, Athens, Greece, 19Division of Paediatric Rheumatology and Immunology, University of Zagreb, Zagreb, Croatia, 20Seattle Children's Hospital, Seattle

    Background/Purpose: Macrophage activation syndrome (MAS) is a severe complication of rheumatologic conditions, mainly systemic juvenile idiopathic arthritis (sJIA), and is classified among the secondary forms…
  • Abstract Number: 190 • 2020 Pediatric Rheumatology Symposium

    Outcomes of an Evidence Based Guideline for the Treatment of Hemophagocytic Lymphohistiocytosis and Macrophage Activation Syndrome

    Kacie Hoyt1, Olha Halyabar 2, Joseph Han 3, Siobhan Case 4, Margaret Chang 5, Ezra Cohen 6, Fatma Dedeoglu 5, Mark Gorman 7, Jonathan Hausmann 8, Erin Janssen 2, Pui Lee 9, Jeffrey Lo 5, Mindy Lo 5, Esra Meidan 10, Peter Nigrovic 1, Jordan Roberts 5, Mary Beth Son 1, Robert Sundel 2, Barbara Degar 5, Melissa Hazen 7 and Lauren Henderson 11, 1Boston Children's Hospital, Boston, Massachusetts, 2Children's Hospital/Boston Medical Center, Boston, 3Mount Sinai School of Medicine, New York, 4Brigham and Women's Hospital, Boston, Massachusetts, 5Boston Children's Hospital, Boston, 6, 7Boston, 8Division of Immunology, Boston Children's Hospital; Rheumatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, 9Boston Children's Hospital, Newton, 10Somerville, 11Boston Children's Hospital, Watertown, Massachusetts

    Background/Purpose: Rapid identification of hemophagocytic lymphohistiocytosis (HLH) and macrophage activation syndrome (MAS) coupled with a multidisciplinary approach to management is essential to improve patient outcomes.…
  • Abstract Number: 918 • 2019 ACR/ARP Annual Meeting

    Multiplex Serum Analysis Identifies Potential Biomarkers of Systemic Juvenile Idiopathic Arthritis, Macrophage Activation Syndrome, and Associated Pulmonary Alveolar Proteinosis: Evidence for Independently-regulated Hyperinflammatory and Eosinophilic Inflammation

    Guangbo Chen 1, Grant Schulert 2, Adriana De Jesus 3, Vivian Saper 4, Corinne Schneider 5, Bruce Trapnell 6, Alexei A. Grom 2, Raphaela Goldbach-Mansky 7, Elizabeth Mellins 4, Purvesh Khatri 8 and Scott Canna9, 1Stanford University, Palo Alto, CA, 2Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3NIH/NIAID/TADS, Bethesda, MD, 4Stanford University, Palo Alto, 5University of Pittsburgh, Pittsburgh, 6Cincinnati Children's Hospital, Cincinnati, 7Translational Autoinflammatory Diseases Section/NIAID/NIH, Bethesda, MD, 8Institute for Immunity, Transplantation and Infection, Stanford University, Palo Alto, 9UPMC Children's Hospital of Pittsburgh, Pittsburgh

    Background/Purpose: Recent experiences suggest a disturbing epidemic of digital clubbing and insidious, Pulmonary Alveolar Proteinosis (PAP)-like lung disease occurring in patients with Systemic Juvenile Idiopathic…
  • Abstract Number: 1926 • 2019 ACR/ARP Annual Meeting

    Characterization of DOCK8 as a Novel Gene Associated with Macrophage Activation Syndrome

    Mingce Zhang 1, Remy Cron 2, Devin Absher 3, Courtney Crayne 2, Prescott Atkinson 2, W. Winn Chatham 2 and Randy Cron1, 1University of Alabama at Birmingham, Birmingham, AL, 2University of Alabama at Birmingham, Birmingham, 3HudsonAlpha Institute for Biotechnology, Huntsville, AL

    Background/Purpose: Macrophage activation syndrome (MAS), also known as secondary hemophagocytic lymphohistiocytosis (HLH), is a life threatening condition that commonly presents with unremitting fever and shock…
  • Abstract Number: 2697 • 2019 ACR/ARP Annual Meeting

    Risk Score of Macrophage Activation Syndrome in Patients with Systemic Juvenile Idiopathic Arthritis

    Simone Carbogno 1, Denise Pires Marafon 2, Giulia Marucci 3, Manuela Pardeo 3, Antonella Insalaco 3, Virginia Messia 3, Emanuela Sacco 4, Ferhat Demir 5, Betul Sozeri 5, Natasia Čekada 6, Marija Jelusic 7, Olga Vougiouka 8, Mikhail Kostik 9, Alenka Gagro 10, Christoph Kessel 11, Francesca Minoia 12, Fabrizio De Benedetti 13 and Claudia Bracaglia14, 1Pediatric Area, University of Milan, Milan, Italy, Milan, Italy, 2Fondazione IRCCS Ca' Grande Ospedale Maggiore Policlinico, Milan, Italy, Milan, Italy, 3Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, Italy, 4Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, 5University of Health Sciences , Umraniye Tranining and Research Hospital Division of Pediatric Rheumatology, Istanbul, Turkey, Istanbul, Turkey, 6Division of Paediatric Rheumatology and Immunology, University of Zagreb, Zagreb, Croatia, Zagreb, Croatia, 7University of Zagreb, Zagreb, Croatia, 8P. & A. Kyriakou Children’s Hospital, Athens, Greece, Athens, Greece, 9Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia, Saint Petersburg, Russia, 10Children's Hospital Zagreb, Zagreb, Croatia, Zagreb, Croatia, 11University Hospital Muenster, Muenster, Germany, 12Clinica De Marchi Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy, 13Bambino Gesù Children’s Hospital, Rome, Italy, 14Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy

    Background/Purpose: Macrophage Activation Syndrome (MAS) is a severe, life-threatening, complication of rheumatic diseases in childhood, particularly of systemic Juvenile Idiopathic Arthritis (sJIA), occurring in approximately…
  • Abstract Number: 780 • 2019 ACR/ARP Annual Meeting

    Changes in MiR-17-92 Cluster Expression Link Systemic Juvenile Idiopathic Arthritis, Monocyte-to-Macrophage Differentiation, and Interferon Regulation

    Divya Takellapti1, Xiaoling Niu 2, Thuy Do 3 and Grant Schulert 3, 1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Fudan University, Shanghai, Shanghai, China (People's Republic), 3Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: MicroRNAs (miRNAs) are small noncoding RNAs which post-transcriptionally regulate gene expression. The miR-17-92 cluster is well characterized; its overexpression has been found to serve…
  • Abstract Number: 811 • 2019 ACR/ARP Annual Meeting

    Monomethyl Fumarate as a Novel Therapy for Macrophage Activation Syndrome: Mechanism of Action in an Animal Model

    Chhanda Biswas 1, Thomas Burn 1, Niansheng Chu 1 and Edward Behrens1, 1The Children's Hospital of Philadelphia, Philadelphia

    Background/Purpose: Macrophage activation syndrome (MAS) is a deadly systemic inflammatory condition marked by an increase in enzymes of iron metabolism including ferritin and heme-oxygenase 1…
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