ACR Meeting Abstracts

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Abstracts tagged "Systemic JIA"

  • Abstract Number: 365 • 2017 ACR/ARHP Annual Meeting

    Canakinumab Treatment in Patients with Still’s Disease: A Pooled Analysis of Systemic Juvenile Idiopathic Arthritis Data By Age Groups

    Eugen Feist1, Pierre Quartier2, Bruno Fautrel3, Rayfel Schneider4, Paolo Sfriso5, Petros Efthimiou6, Luca Cantarini7, Karine Lheritier8, Karolynn Leon9 and Antonio Speziale8, 1Department of Rheumatology and Clinical Immunology, Charité-Universitätsmedizin, Berlin, Germany, 2Necker-Enfants Malades Hospital, Paris, France, 3UPMC University Paris 06, Pitié-Salpétrière Hospital, Paris, France, 4University of Toronto and The Hospital for Sick Children, Toronto, ON, Canada, 5University of Padova, Padova, Italy, 6Medicine/Rheumatology, New York University School of Medicine/NYU Langone Health, New York, NY, 7University of Siena, Siena, Italy, 8Novartis Pharma AG, Basel, Switzerland, 9Novartis Pharmaceuticals Corporation, East Hanover, NJ

    Background/Purpose: Still’s disease presents in pediatric and adult patients as a disease continuum with similar symptoms and pathophysiology.1,2 The objective of this analysis was to…
  • Abstract Number: 366 • 2017 ACR/ARHP Annual Meeting

    Short-Term Outcomes in Patients with Systemic-Onset Juvenile Idiopathic Arthritis Treated with Either Tocilizumab or Anakinra in a Real-World Setting in the United Kingdom

    Lianne Kearsley-Fleet1, Diederik De Cock1, Eileen Baildam2, Michael W. Beresford3, Helen E. Foster4, Taunton R. Southwood5, Wendy Thomson6,7 and Kimme L. Hyrich1,6, 1Arthritis Research UK Centre for Epidemiology, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, 2Clinical Academic Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom, 3Alder Hey Children's NHS Foundation Trust Hospital, Institute of Translational Medicine (Child Health), University of Liverpool, Liverpool, United Kingdom, 4Institute of Cellular Medicine and Paediatric Rheumatology, Newcastle University and Great North Children's Hospital, Newcastle Upon Tyne, United Kingdom, 5Institute of Child Health, University of Birmingham and Birmingham Children's Hospital, Birmingham, United Kingdom, 6National Institute of Health Research Manchester Musculoskeletal Biomedical Research Centre, Central Manchester NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom, 7Arthritis Research UK Centre for Genetics and Genomics, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom

    Background/Purpose: Juvenile idiopathic arthritis (JIA) comprises 7 ILAR categories, but systemic-onset JIA (sJIA) appears to be distinct in genetic background and pathogenesis from the other…
  • Abstract Number: 370 • 2017 ACR/ARHP Annual Meeting

    Validation of 2016 ACR/EULAR Classification Criteria of Macrophage Activation Syndrome Complicating Systemic Juvenile Idiopathic Arthritis in Japanese Patients

    Masaki Shimizu1, Mao Mizuta1, Takahiro Yasumi2, Naomi Iwata3, Yuka Okura4, Noriko Kinjo5, Hiroaki Umebayashi6, Tomohiro Kubota7, Yasuo Nakagishi8, Kenichi Nishimura9, Masato Yashiro10, Junko Yasumura11, Kazuko Yamazaki12, Hiroyuki Wakiguchi13, Nami Okamoto14 and Masaaki Mori15, 1Department of Pediatrics, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan, 2Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan, 3Department of Immunology and Infectious Diseases, Aichi Children’s Health and Medical Center, Obu, Japan, 4Department of Pediatrics, KKR Sapporo Medical Center, Sapporo, Japan, 5Department of Pediatrics, Faculty of medicine, University of the Ryukyus, Nakagami-gun, Japan, 6Department of Rheumatics, Miyagi Children’s Hospital, Sendai, Japan, 7Department of Pediatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan, Kagoshima, Japan, 8Department of Pediatric Rheumatology, Hyogo Prefectural Kobe Children’s Hospital, Kobe, Japan, 9Department of Pediatrics, Yokohama City University Graduate School of Medicine, Yokohama, Japan, 10Department of Pediatrics, Okayama University Hospital, Okayama, Japan, 11Department of Pediatrics, Hiroshima University Graduate School of Biomedical & Health Sciences, Hiroshima, Japan, 12Department of Pediatrics, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan, 13Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Ube, Japan, 14Department of Pediatrics, Osaka Medical College, Takatsuki, Japan, 15Department of Lifetime Clinical Immunology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan

    Background/Purpose: To validate the 2016 ACR/EULAR classification criteria of macrophage activation syndrome (MAS) complicating systemic juvenile idiopathic arthritis (s-JIA) in Japanese patients. Methods: A combination…
  • Abstract Number: 940 • 2017 ACR/ARHP Annual Meeting

    IL1RN Variation Is Associated with Systemic Juvenile Idiopathic Arthritis and Predicts Non-Response to Anakinra Treatment

    Emily Shuldiner1, Victoria Arthur1, Anne Hinks2, Patricia Woo3, Wendy Thomson2, Elaine F. Remmers4 and Michael J. Ombrello1, 1Translational Genetics and Genomics Unit, NIAMS, NIH, Bethesda, MD, 2Arthritis Research UK Centre for Genetics and Genomics, Centre for Musculoskeletal Research, Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, United Kingdom, 3University College London, London, United Kingdom, 4Genetics and Genomics Branch, NIH, NIAMS, Bethesda, MD

    Background/Purpose: Systemic juvenile idiopathic arthritis (sJIA) is a childhood inflammatory disease whose pathophysiology is poorly understood. sJIA is phenotypically heterogeneous with variable manifestations and responses…
  • Abstract Number: 1895 • 2017 ACR/ARHP Annual Meeting

    Serum Interleukin 18 As a Biomarker for Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome and Use of Recombinant Human IL-18 BP in a Patient with Refractory Disease

    Shima Yasin1, Rachel Brown1, Ndate Fall2, Krista Solomon1, Scott Canna3, Charlotte Girard4, Cem Gabay5, Eduardo Schiffrin6, Andrew Sleight6, Alexei A. Grom7 and Grant Schulert8, 1Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Division of Rheumatology, Cincinnati Children's Hospital, Cincinnati, OH, 3NIAMS, National Institutes of Health, Bethesda, MD, 4Division of Rheumatology, Department of Internal Medicine Specialties, University Hospital of Geneva, Geneva, Switzerland, 5SCQM, Geneva, Switzerland, Geneva, Switzerland, 6AB2 Bio, Lausanne, Switzerland, 7Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States Minor Outlying Islands, 8Pediatric Rheumatology, Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

    Background/Purpose: Systemic juvenile idiopathic arthritis is an autoinflammatory childhood arthritis with prominent innate immune activity. Macrophage activation syndrome is a severe and potentially fatal complication…
  • Abstract Number: 1896 • 2017 ACR/ARHP Annual Meeting

    IL-18 As a Diagnostic Biomarker, Differentiating Systemic JIA from Acute Leukaemia, Severe Bacterial Infections and Other Auto-Immune Disorders

    Arjen Leek1, Nienke Ter Haar2, Valerie De Haas3, Ayman El Idrissi1, Judith Wienke1, Sytze de Roock4, Dirk Holzinger5, Wilco de Jager6, Jorg van Loosdregt7 and Sebastiaan Vastert4,8, 1Pediatric Rheumatology and Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Pediatric Rheumatology and immunology, University Medical Center Utrecht, Utrecht, Netherlands, 3DCOG Laboratory, SKION, Den Haag, Netherlands, 4Laboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 5Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 6Dept Immunology, UMC Utrecht, Utrecht, Netherlands, 7Laboratory for Translational immunology, University Medical Center Utrecht, Utrecht, Netherlands, 8Division of Pediatric Rheumatology, University Medical Center Utrecht, Utrecht, Netherlands

    Background/Purpose: Systemic onset Juvenile Idiopathic Arthritis (sJIA) is a disease characterized by systemic inflammation in addition to arthritis and it’s diagnosis currently still depends on…
  • Abstract Number: 2324 • 2017 ACR/ARHP Annual Meeting

    Single Cell RNA-Sequencing of Bone Marrow Macrophages Identifies a Distinct Subpopulation in Systemic JIA with Features of Interferon Response, Endocytic Vesicles and Phagocytosis

    Grant Schulert1, Nathan Salomonis2, Sherry Thornton3 and Alexei A. Grom4, 1Pediatric Rheumatology, Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 2Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 4Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States Minor Outlying Islands

    Background/Purpose: Macrophage activation syndrome (MAS) is a life-threatening complication of systemic juvenile idiopathic arthritis (SJIA), characterized by activation and expansion of cytolytic lymphocytes and macrophages…
  • Abstract Number: 2325 • 2017 ACR/ARHP Annual Meeting

    Extensive Serum Cytokine Analysis in Patients with Macrophage Activation Syndrome Complicating Systemic Juvenile Idiopathic Arthritis

    Mao Mizuta1, Masaki Shimizu1, Natsumi Inoue1, Kazuko Kasai2, Yasuo Nakagishi3 and Akihiro Yachie4, 1Department of Pediatrics, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan, 2Department of Pediatric Rheumatology, Hyogo Prefectural Kobe Children’s Hospital, kobe, Japan, 3Department of Pediatric Rheumatology, Hyogo Prefectural Kobe Children’s Hospital, Kobe, Japan, 4Department of Pediatrics, Graduate School of Medical Sciences, Kanazawa University,, Kanazawa, Japan

    Background/Purpose: The pathogenesis of Macrophage activation syndrome (MAS) complicating systemic juvenile idiopathic arthritis (s-JIA) is still unknown, but overproduction of proinflammatory cytokines from activated T…
  • Abstract Number: 2331 • 2017 ACR/ARHP Annual Meeting

    Next Generation Sequencing Analysis of Familial Haemophagocytic Lymphohistiocytosis (HLH) Related Genes in Macrophage Activation Syndrome (MAS) and Secondary HLH (sHLH)

    Chiara Passarelli1, Manuela Pardeo2, Ivan Caiello3, Elisa Pisaneschi1, Antonio Novelli1, Fabrizio De Benedetti4 and Claudia Bracaglia2, 1Unit of Medical Genetics, Laboratory of Cytogenetics and Molecular Genetics, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, Italy, 2Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, 3Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, Italy, 4Division of Rheumatology, IRCCS Bambino Gesù Children's Hospital, Rome, Rome, Italy

    Background/Purpose: Macrophage activation syndrome (MAS) is a severe complication of rheumatic disease, particularly of systemic JIA (sJIA). It is currently classified among the secondary forms…
  • Abstract Number: 2332 • 2017 ACR/ARHP Annual Meeting

    Biomarkers for the Diagnosis and the Identification of Risk of Macrophage Activation Syndrome (MAS) in Systemic Juvenile Idiopathic Arthritis (sJIA)

    Claudia Bracaglia1, Denise Pires Marafon2, Ivan Caiello3, Kathy de Graaf4, Maria Ballabio4, Walter Ferlin4, Sergio Davì5, Grant Schulert6, Angelo Ravelli7, Alexei A. Grom8, Robert Nelson4, Cristina de Min4 and Fabrizio De Benedetti2, 1Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, 2Division of Rheumatology, IRCCS Bambino Gesù Children's Hospital, Rome, Rome, Italy, 3Division of Rheumatology, IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy, Rome, Italy, 4NovImmune S.A., Geneva, Switzerland, 5University of Genova, IRCCS Istituto Giannina Gaslini, Genoa, Italy, 6Pediatric Rheumatology, Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 7University of Genova, IRCCS Istituto Giannina Gaslini, Genova, Italy, 8Division of Pediatric Rheumatology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States Minor Outlying Islands

    Background/Purpose: We have recently reported high levels of IFNγ and of the IFNγ-related chemokines, (CXCL9 and CXCL10) in patients with MAS (1). Methods: Circulating levels…
  • Abstract Number: 42 • 2017 Pediatric Rheumatology Symposium

    Evaluation of a Dosing Regimen for Tocilizumab in Patients Younger Than Two Years of Age With Systemic Juvenile Idiopathic Arthritis

    Navita L. Mallalieu1, Joy Hsu1, Karen Wang1, Sunethra Wimalasundera2, Chris Wells2, Inmaculada Calvo Penades3, Rubén J. Cuttica4, Hans-Iko Huppertz5, Rik Joos6, Yukiko Kimura7, Diana Milojevic8, Margalit Rosenkranz9, Kenneth Schikler10, Tamas Constantin11 and Carine Wouters12, 1Roche Innovation Center, New York, NY, 2Roche Products Ltd., Welwyn Garden City, United Kingdom, 3Hospital Universitario y Polytécnico La Fe, Valencia, Spain, 4Hospital General de Niños Pedro de Elizalde, Buenes Aires, Argentina, 5Professor Hess Children's Hospital, Bremen, Germany, 6ZNA Jan Palfijn Antwerpen, Antwerp, Belgium, 7Hackensack University Medical Center, Hackensack, NJ, 8Tufts Medical Center, Boston, MA, 9Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, 10University of Louisville Hospital, Louisville, KY, 11Semmelweis University, Budapest, Hungary, 12University Hospital Gasthuisberg, Leuven, Belgium

    Background/Purpose: Tocilizumab (TCZ) is approved for the treatment of systemic juvenile idiopathic arthritis (sJIA) based on clinical trials in patients ≥2 years of age. This…
  • Abstract Number: 130 • 2017 Pediatric Rheumatology Symposium

    Validation of MRP8/14 serum levels as biomarker for the diagnosis of systemic juvenile idiopathic arthritis in fever of unknown origin

    Dirk Holzinger1, Carolin Pretzer2, Maria Miranda-Garcia2,3, Hans Huppertz4, Gerd Horneff5, Johannes Peter Haas6, Gerd Ganser7, Jasmin B. Kuemmerle-Deschner8, Michael Frosch9, Johannes Roth10 and Dirk Foell2, 1Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 2Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 3Federal Institute for Vaccines and Biomedicines, Paul-Ehrlich-Institute, Langen, Germany, 4Prof Hess Children’s Hospital Bremen, Bremen, Germany, 5Department of Pediatrics, Asklepios Clinics St. Augustin, Sankt Augustin, Germany, 6Centre for Pediatric Rheumatology Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany, 7Pediatric Rheumatology, Sankt Josef Stift Sendenhorst, Sendenhorst, Germany, 8Pediatrics, University Hospital Tuebingen, Tuebingen, Germany, 9Pediatric Pain Centre,, Children's and Adolescents' Hospital Datteln, Datteln, Germany, 10Institute of Immunology, University of Muenster, Muenster, Germany

    Background/Purpose: The differential diagnosis of fever of unknown origin (FUO) is a major challenge in pediatrics especially for differentiation of systemic-onset juvenile idiopathic arthritis (SJIA)…
  • Abstract Number: 70 • 2017 Pediatric Rheumatology Symposium

    Impact of Systemic Juvenile Idiopathic Arthritis/Still’s Disease on Adolescents as Evidenced Through Social Media Posting

    Renee F Modica1, Kathleen G Lomax2, Pamela Batzel3, Armelle Cassanas3 and Melissa E Elder1, 1Department of Pediatrics, University of Florida, Gainesville, FL, 2Novartis Pharmaceuticals Corporation, East Hanover, NJ, 3Treato, Princeton, NJ

    Background/Purpose:  Systemic juvenile idiopathic arthritis (SJIA)/Still’s disease is a rare form of chronic arthritis in pediatrics. The patient perspective of living with the disease is…
  • Abstract Number: 76 • 2017 Pediatric Rheumatology Symposium

    Applying 2016 MAS Criteria to Systemic onset Juvenile Idiopathic Arthritis Patients with Diagnosis of Macrophage Activation Syndrome

    Ezgi Baris1,2, Edwin Anderson3 and Fatma Dedeoglu1, 1Division of Immunology, Rheumatology Program, Boston Children's Hospital, Harvard Medical School, Boston, MA, 2Pediatrics, Marmara University, Istanbul, Turkey, 3Division of Immunology, Boston Children's Hospital, Boston, MA

    Background/Purpose: Macrophage activation syndrome (MAS) is the result of uncontrolled systemic inflammation, which can sometimes complicate systemic onset juvenile idiopathic arthritis (SoJIA). MAS classification criteria…
  • Abstract Number: 71 • 2017 Pediatric Rheumatology Symposium

    Consensus-based diagnostic approach to systemic juvenile idiopathic arthritis in Germany

    Claas Hinze1, Dirk Holzinger1, Elke Lainka2, Johannes Peter Haas3, Tilmann Kallinich4, Ulrich Neudorf2, Helmut Wittkowski1, Gerd Horneff5, Dirk Foell6 and PRO-KIND study group on SJIA, 1Department of Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany, 2University of Essen, Essen, Germany, 3Center for Pediatric and Adolescent Rheumatology Garmisch-Partenkirchen, Garmisch-Partenkirchen, Germany, 4Charite, University Medicine Berlin, Berlin, Germany, 5Asklepios Klinik Sankt Augustin GmbH, Sankt Augustin, Germany, 6Pediatric Rheumatology and Immunology, University of Muenster, Muenster, Germany

    Background/Purpose: Systemic juvenile idiopathic arthritis (SJIA) is currently classified by the International League of Associations for Rheumatology (ILAR) classification criteria. It is characterized by severe…
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