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4. American College of Rheumatology Provisional Criteria for Clinically Relevant Improvement in Children and Adolescents With Childhood-Onset Systemic Lupus Erythematosus

Author

Brunner, Hermine I, Holland, Michael J, Beresford, Michael W, Ardoin, Stacy P, Appenzeller, Simone, Silva, Clovis A, Flores, Francisco, Goilav, Beatrice, Aydin, Pinar Ozge Avar, Wenderfer, Scott E, Levy, Deborah M, Ravelli, Angelo, Khubchandani, Raju, Avcin, Tadej, Klein-Gitelman, Marisa S, Ruperto, Nicolino, Feldman, Brian M, Ying, Jun, Battagliotti, Cristina, Brusco, Maria Isabel, Cuttica, Ruben, De Cunto, Carmen, Espada, Graciela, Farfan, Maximiliano, Garay, Stella, Marcantoni, Maria, Marcela, Alvarez, Meiorin, Silvia, Rama, Maria Elena, Russo, Ricardo, Walsh, Carolina Torre, Zamparo, Celso, Adib, Navid, Akikusa, Jonathan, Boros, Christina, Lee, Senq J, Mckay, Damien, Piper, Susan, Joos, Rik, Bica, Blanca, Campos, Leonardo, Cavalcanti, Andre, do Prado, Rogerio, Donner-Maliki, Amanda, Fernandes, Taciana, Fonseca, Adriana, de Almeida, Rozana Gasparello, Guariento, Andressa, Gusman, Catherine, Fiorot, Fernanda Jusan, Oliveira, Sheila Knupp, Len, Claudio, Campos, Lucia M Arruda, Machado, Sandra, Marques, Luciana, de Carvalho, Luciana Martins, Moulin, Rodrigo, Pedroso, Soraya, Pileggi, Gecilmara, Romanelli, Paulo Roberto S, Saad-Magalhaes, Claudia, Sakamoto, Ana, Santos, Maria Carolina, Silva, Marco Felipe, Spelling, Paulo, Sztajnbok, Flavio, Terreri, Maria, Cabral, David, Chedeville, Gaelle, Ellsworth, Janet, Huber, Adam, Tucker, Lori, Houghton, Kristin, Borzutzky, Arturo, Ladino, Mabel, Norambuena, Ximena, Eraso, Ruth, Mosquera, Angela, Velasquez, Monica, Harjacek, Miroslav, Jelusic, Marija, Hermosilla, Cecilia Coto, Dolezalova, Pavla, Nielsen, Susan, Tineo, Carmen, Alegria, Mauricio, Dressler, Frank, Foell, Dirk, Ganser, Gerd, Hinze, Claas, Hufnagel, Markus, Lutz, Thomas, Trauzeddel, Ralf, Boiu, Sorina, Trachana, Maria, Tsitsami, Elena, Cifuentes, Mayra, Orban, Ilonka, Aggarwal, Amita, Sawhney, Sujata, Aviel, Yonatan Butbul, Cimaz, Rolando, Maggio, Maria Cristina, Rumba-Rozenfelde, Ingrid, Hashad, Soad, Lim, Sern Chin, Abud, Carlos, Burgos-Vargas, Ruben, Carreno-Manjarrez, Roberto, Enciso Pelaez, Sandra, Hernandez-Huirache, Hayde, Maldonado Velazquez, Rocio, Orozco, Javier, Rodriguez-Lozano, Ana Luisa, Rojas Pacheco, Omar Ernesto, Suarez Larios, Luz Maria, Vega, Gabriel, Ramirez Miramontes, Julia Veronica, Ruiz Lopez, Ivon Karina, Kamphuis, Sylvia, Schonenberg-Meinema, Dieneke, Concannon, Anthony, Yan, Jaqueline, Jaime, Martha Jarquin, Al Abrawi, Safiya, Vega, Cynthia, Lopez-Benitez, Jorge, Estrella, Amparo Ibanez, Miraval, Tatiana, Dans, Leonia, Kimseng, Karen Joy, Opoka-Winiarska, Violetta, Rutkowska-Sak, Lidia, Smolewska, Elzbieta, Conde, Marta, Guedes, Margarida, del Valle, Enid, Quintero-Del Rio, Ana, Ailioaie, Constantin, Sparchez, Mihaela, Alekseeva, Ekaterina, Keltsev, Vladimir, Al-Mayouf, Sulaiman, Asiri, Abdurhman, Suwairi, Wafaa, Susic, Gordana, Vijatov-Djuric, Gordana, Ang, Elizabeth, Arkachaisri, Thaschawee, Boteanu, Alina-Lucica, Lopez-Robledillo, Juan Carlos, San Ildefonso, Marta Medrano, Modesto, Consuelo, Calvo, Inmaculada, Sotoca-Fernandez, Jorge, Bolt, Isabel, Vilaiyuk, Soamarat, Al-Abadi, Eslam, Baildam, Eileen, Fotis, Lampros, Pain, Clare, Pilkington, Clarissa, Abulaban, Khalid, Barbar-Smiley, Fatima, Binstadt, Bryce, Bohnsack, John, Boneparth, Alexis, Brown, Diane, Chira, Peter, Cron, Randy, Dedeoglu, Fatma, Eberhard, Anne, Gedalia, Abraham, Grom, Alexei, Henrickson, Michael, Hom, Christine, Huggins, Jennifer, Jerath, Rita, Jones, Jordan, Jung, Lawrence, Kingsbury, Daniel, Lai, Jamie, Lovell, Daniel, Nanda, Kabita, Nocton, James, Olson, Judyann, O'Neil, Kathleen, Onel, Karen, Punaro, Lynn, Reiff, Andreas, Rouster-Stevens, Kelly, Ruth, Natasha, Schikler, Ken, Schmidt, Kara Murphy, Schulert, Grant, Shaham, Bracha, Singer, Nora, Smith, Judith, Sundel, Robert, Syverson, Grant, Vega-Fernandez, Patricia, Vehe, Richard, Wagner-Weiner, Linda, Cameto, Juan, Jurado, Rosario, Maldonado, Irama, Org, Paediat Rheumatology Int Trial, Collaborative, Pediat Rheumatology, AII - Inflammatory diseases, Graduate School, Paediatric Infectious Diseases / Rheumatology / Immunology, Brunner, Hermine I., Holland, Michael J., Beresford, Michael W., Ardoin, Stacy P., Appenzeller, Simone, Silva, Clovis A., Flores, Francisco, Goilav, Beatrice, Avar Aydin, Pinar Ozge, Wenderfer, Scott E., Levy, Deborah M., Ravelli, Angelo, Khubchandani, Raju, Avcin, Tadej, Klein-Gitelman, Marisa S., Ruperto, Nicolino, Feldman, Brian M., Ying, Jun, Battagliotti, Cristina, Brusco, Maria Isabel, Cuttica, Rubén, De Cunto, Carmen, Espada, Graciela, Farfan, Maximiliano, Garay, Stella, Marcantoni, Maria, Marcela, Alvarez, Meiorin, Silvia, Rama, Maria Elena, Russo, Ricardo, Torre Walsh, Carolina, Zamparo, Celso, Adib, Navid, Akikusa, Jonathan, Boros, Christina, Lee, Senq J., Mckay, Damien, Piper, Susan, Joos, Rik, Bica, Blanca, Campos, Leonardo, Cavalcanti, André, do Prado, Rogerio, Donner-Maliki, Amanda, Fernandes, Taciana, Fonseca, Adriana, Gasparello de Almeida, Rozana, Guariento, Andressa, Gusman, Catherine, Jusan Fiorot, Fernanda, Knupp Oliveira, Sheila, Len, Claudio, Arruda Campos, Lucia M., Machado, Sandra, Marques, Luciana, Martins de Carvalho, Luciana, Moulin, Rodrigo, Pedroso, Soraya, Pileggi, Gecilmara, Romanelli, Paulo Roberto S., Saad-Magalhaes, Claudia, Sakamoto, Ana, Santos, Maria Carolina, Silva, Marco Felipe, Spelling, Paulo, Sztajnbok, Slavio, Terreri, Maria, Cabral, David, Chédeville, Gaëlle, Ellsworth, Janet, Huber, Adam, Tucker, Lori, Houghton, Kristin, Borzutzky, Arturo, Ladino, Mabel, Norambuena, Ximena, Eraso, Ruth, Mosquera, Angela, Velasquez, Monica, Harjacek, Miroslav, Jelusic, Marija, Coto Hermosilla, Cecilia, Dolezalova, Pavla, Nielsen, Susan, Tineo, Carmen, Alegria, Mauricio, Dressler, Frank, Foell, Dirk, Ganser, Gerd, Hinze, Claa, Hufnagel, Marku, Lutz, Thoma, Trauzeddel, Ralf, Boiu, Sorina, Trachana, Maria, Tsitsami, Elena, Cifuentes, Mayra, Orbán, Ilonka, Aggarwal, Amita, Sawhney, Sujata, Butbul Aviel, Yonatan, Cimaz, Rolando, Maggio, Maria Cristina, Rumba-Rozenfelde, Ingrid, Hashad, Soad, Lim, Sern Chin, Abud, Carlo, Burgos-Vargas, Ruben, Carreño-Manjarrez, Roberto, Enciso Pelaez, Sandra, Hernandez-Huirache, Hayde, Maldonado Velázquez, Rocio, Orozco, Javier, Rodriguez-Lozano, Ana Luisa, Rojas Pacheco, Omar Ernesto, Suárez Larios, Luz Maria, Vega, Gabriel, Ramírez Miramontes, Julia Verónica, Ruíz Lopez, Ivon Karina, Kamphuis, Sylvia, Schonenberg-Meinema, Dieneke, Concannon, Anthony, Yan, Jaqueline, Jarquin Jaime, Martha, Al Abrawi, Safiya, Vega, Cynthia, Lopez-Benitez, Jorge, Ibáñez Estrella, Amparo, Miraval, Tatiana, Dans, Leonia, Kimseng, Karen Joy, Opoka-Winiarska, Violetta, Rutkowska-Sak, Lidia, Smolewska, Elzbieta, Conde, Marta, Guedes, Margarida, del Valle, Enid, Quintero-Del Rio, Ana, Ailioaie, Constantin, Sparchez, Mihaela, Alekseeva, Ekaterina, Keltsev, Vladimir, Al-Mayouf, Sulaiman, Asiri, Abdurhman, Suwairi, Wafaa, Susic, Gordana, Vijatov-Djuric, Gordana, Ang, Elizabeth, Arkachaisri, Thaschawee, Boteanu, Alina-Lucica, Lopez-Robledillo, Juan Carlo, Medrano San Ildefonso, Marta, Modesto, Consuelo, Calvo, Inmaculada, Sotoca-Fernandez, Jorge, Bolt, Isabel, Vilaiyuk, Soamarat, Al-Abadi, Eslam, Baildam, Eileen, Fotis, Lampro, Pain, Clare, Pilkington, Clarissa, Abulaban, Khalid, Barbar-Smiley, Fatima, Binstadt, Bryce, Bohnsack, John, Boneparth, Alexi, Brown, Diane, Chira, Peter, Cron, Randy, Dedeoglu, Fatma, Eberhard, Anne, Gedalia, Abraham, Grom, Alexei, Henrickson, Michael, Hom, Christine, Huggins, Jennifer, Jerath, Rita, Jones, Jordan, Jung, Lawrence, Kingsbury, Daniel, Lai, Jamie, Lovell, Daniel, Nanda, Kabita, Nocton, Jame, Olson, Judyann, O’Neil, Kathleen, Onel, Karen, Punaro, Lynn, Reiff, Andrea, Rouster-Stevens, Kelly, Ruth, Natasha, Schikler, Ken, Murphy Schmidt, Kara, Schulert, Grant, Shaham, Bracha, Singer, Nora, Smith, Judith, Sundel, Robert, Syverson, Grant, Vega-Fernandez, Patricia, Vehe, Richard, Wagner-Weiner, Linda, Cameto, Juan, Jurado, Rosario, Maldonado, Irama, and Pediatrics

Subjects
medicine.medical_specialty, Outcome Assessment, Health Care/methods, Adolescent, Delphi Technique, Antirheumatic Agents/therapeutic use, Severity of Illness Index, Child health, Article, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, Internal medicine, Severity of illness, Outcome Assessment, Health Care, medicine, Pediatric nephrology, Humans, Lupus Erythematosus, Systemic, skin and connective tissue diseases, Child, 030203 arthritis & rheumatology, Systemic lupus erythematosus, Lupus erythematosus, Lupus Erythematosus, Receiver operating characteristic, business.industry, Consensus conference, childhood-onset systemic lupus erythematosus, Outcome Assessment, Health Care/methods, medicine.disease, Rheumatology,Systemic lupus erythematosus,autoimmune inflammatory disease, Antirheumatic Agents, Lupus Erythematosus, Systemic/drug therapy, Systemic/drug therapy, business, Algorithms
Abstract

OBJECTIVE: To develop a Childhood Lupus Improvement Index (CHILI) as a tool to measure response to therapy in childhood-onset systemic lupus erythematosus (cSLE), with a focus on clinically relevant improvement (CRIc SLE ). METHODS: Pediatric nephrology and rheumatology subspecialists (n = 213) experienced in cSLE management were invited to define CRIc SLE and rate a total of 433 unique patient profiles for the presence/absence of CRIc SLE . Patient profiles included the following cSLE core response variables (CRVs): global assessment of patient well-being (patient-global), physician assessment of cSLE activity (MD-global), disease activity index score (here, we used the Systemic Lupus Erythematosus Disease Activity Index), urine protein-to-creatinine ratio, and Child Health Questionnaire physical summary score. Percentage and absolute changes in these cSLE- CRVs (baseline versus follow-up) were considered in order to develop candidate algorithms and validate their performance (sensitivity, specificity, area under the receiver operating characteristic curve [AUC] ; range 0-1). RESULTS: During an international consensus conference, unanimous agreement on a definition of CRIc SLE was achieved ; cSLE experts (n = 13) concurred (100%) that the preferred CHILI algorithm considers absolute changes in the cSLE- CRVs. After transformation to a range of 0-100, a CHILI score of ≥54 had outstanding accuracy for identifying CRIc SLE (AUC 0.93, sensitivity 81.1%, and specificity 84.2%). CHILI scores also reflect minor, moderate, and major improvement for values exceeding 15, 68, and 92, respectively (all AUC ≥0.92, sensitivity ≥93.1%, and specificity ≥73.4%). CONCLUSION: The CHILI is a new, seemingly highly accurate index for measuring CRI in cSLE over time. This index is useful to categorize the degree of response to therapy in children and adolescents with cSLE.

Published
2019

6. Efficacy and safety of tocilizumab in patients with polyarticular-course juvenile idiopathic arthritis: results from a phase 3, randomised, double-blind withdrawal trial

Author

Brunner, Hermine I, Ruperto, Nicolino, Zuber, Zbigniew, Keane, Caroline, Harari, Olivier, Kenwright, Andrew, Lu, Peng, Cuttica, Ruben, Keltsev, Vladimir, Xavier, Ricardo M, Calvo, Inmaculada, Nikishina, Irina, Rubio-Pérez, Nadina, Alexeeva, Ekaterina, Chasnyk, Vyacheslav, Horneff, Gerd, Opoka-Winiarska, Violetta, Quartier, Pierre, Silva, Clovis A, Silverman, Earl, Spindler, Alberto, Baildam, Eileen, Gámir, M Luz, Martin, Alan, Rietschel, Christoph, Siri, Daniel, Smolewska, Elzbieta, Lovell, Daniel, Martini, Alberto, De Benedetti, Fabrizio, Espada, Graciela, Allen, Roger, Chaitow, Jeffrey, Joos, Rik, Wouters, Carine, Knupp, Sheila, Sztajnbok, Flavio, Cabral, David, Houghton, Kristin, Roth, Johannes, Schmeling, Heinrike, Job-Deslandre, Chantal, Jorgensen, Christian, Paut, Isabelle Kone, Minden, Kirsten, Weller-Heinemann, Frank, Gerloni, Valeria, Zulian, Francesco, Burgos-Vargas, Ruben, Salazar, Carolina Duarte, Solis-Vallejo, Eunice, Calvo, Armando, Chavez, José, Zavaler, Manuel Ferrandiz, Gruenpeter, Anna, Kobusinska, Katarzyna, Sarychev, Alexey, Zholobova, Elena, Ramanan, Athimalaipet, Woo, Patricia, Goodman, Steven, Gedalia, Abraham, Kimura, Yukiko, Onel, Karen, and Schikler, Kenneth

Published
2015
Full Text
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19. Contributors

Author

Abramson, Jon S., primary, Abzug, Mark J., additional, Aiken, John J., additional, A-kader, H. Hesham, additional, Akdis, Cezmi A., additional, Alderman, Harold, additional, Alemzadeh, Ramin, additional, Alessandrini, Evaline A., additional, Ali, Omar, additional, Ambalavanan, Namasivayam, additional, Anderson, Karl E., additional, Anderson, Peter M., additional, Anthony, Kelly K., additional, Antoon, Alia Y., additional, Ardoin, Stacy P., additional, Arndt, Carola A.S., additional, Arnon, Stephen S., additional, Aronoff, Stephen C., additional, Asher, David M., additional, Asselin, Barbara L., additional, Ater, Joann L., additional, Atkins, Dan, additional, Augustine, Erika F., additional, Augustyn, Marilyn, additional, Avner, Ellis D., additional, Azimi, Parvin H., additional, Bacino, Carlos A., additional, Baldassano, Robert N., additional, Bales, Christina, additional, Balistreri, William F., additional, Baltimore, Robert S., additional, Balwani, Manisha, additional, Baqar, Shahida, additional, Barron, Christine E., additional, Bass, Dorsey M., additional, Batshaw, Mark L., additional, Behrman, Richard E., additional, Bell, Michael J., additional, Belmont, John W., additional, Benjamin, Daniel K., additional, Bennett, Michael J., additional, Bernstein, Daniel, additional, Bhatia, Jatinder, additional, Bhutta, Zulfiqar Ahmed, additional, Biesecker, Leslie G., additional, Birmingham, James, additional, Blanchard, Samra S., additional, Blanton, Ronald, additional, Bleyer, Archie, additional, Boamah, C.D.R. Lynelle M., additional, Boas, Steven R., additional, Boat, Thomas F., additional, Bockting, Walter, additional, Boguniewicz, Mark, additional, Bonthius, Daniel J., additional, Boxer, Laurence A., additional, Brandow, Amanda M., additional, Branski, David, additional, Breault, David T., additional, Buckley, Rebecca H., additional, Budek, Cynthia Etzler, additional, Buescher, E. Stephen, additional, Burstein, Gale R., additional, Bustinduy, Amaya Lopez, additional, Cairo, Mitchell S., additional, Camitta, Bruce M., additional, Campbell, Angela Jean Peck, additional, Carey, Rebecca G., additional, Carlo, Waldemar A., additional, Carrigan, Robert B., additional, Caserta, Mary T., additional, Chadwick, Ellen Gould, additional, Chamberlain, Lisa J., additional, Chapman, Jennifer I., additional, Cheifetz, Ira M., additional, Chemaitilly, Wassim, additional, Chen, Sharon F., additional, Chen, Yuan-Tsong, additional, Chesney, Russell W., additional, Chiriboga, Jennifer A., additional, Christensen, Robert D., additional, Chu, Andrew, additional, Chusid, Michael J., additional, Cieslak, Theodore J., additional, Clark, Jeff A., additional, Cleary, Thomas G., additional, Clemens, John David, additional, Cohen, Joanna S., additional, Cohen, Mitchell B., additional, Cohen, Pinchas, additional, Cohen-Wolkowiez, Michael, additional, Colbert, Robert A., additional, Cole, F. Sessions, additional, Cole, Joanna C.M., additional, Colombo, John L., additional, Cooper, Amber R., additional, Covar, Ronina A., additional, Cromer, Barbara, additional, Crowe, James E., additional, Cunningham, Natoshia Raishevich, additional, Czinn, Steven J., additional, Darville, Toni, additional, Daum, Robert S., additional, Davidson, Richard S., additional, Davies, H. Dele, additional, Dayan, Peter S., additional, DeBaun, Michael R., additional, Degaffe, Guenet H., additional, DeMaso, David R., additional, Denison, Mark R., additional, Dent, Arlene E., additional, DeSilva, Nirupama K., additional, Desnick, Robert J., additional, deVeber, Gabrielle, additional, DeWitt, Esi Morgan, additional, Dhamne, Chetan Anil, additional, Dhawan, Anil, additional, Dietz, Harry, additional, Donoghue, Lydia J., additional, Donohoue, Patricia A., additional, Donovan, Mary K., additional, Dormans, John P., additional, Doyle, Daniel A., additional, Doyle, Jefferson, additional, Dreskin, Stephen C., additional, Drummond, Denis S., additional, Dubowitz, Howard, additional, Dumler, J. Stephen, additional, Duncan, Janet, additional, Duncan, Paula M., additional, Dyner, LauraLe, additional, Earing, Michael G., additional, Edgerton, Elizabeth A., additional, Egan, Marie, additional, Elder, Jack S., additional, Eleoff, Sara B., additional, Elfenbein, Dianne S., additional, Eppes, Stephen C., additional, Ewald, Michele Burns, additional, Fairley, Jessica K., additional, Feigelman, Susan, additional, Felice, Marianne E., additional, Felner, Eric I., additional, Fels, Edward, additional, Ferkol, Thomas, additional, Finder, Jonathan D., additional, Fiorino, Kristin N., additional, Fleece, David M., additional, Flynn, Patricia M., additional, Forman, Joel A., additional, Frank, Michael M., additional, Freedman, Melvin H., additional, Frei-Jones, Melissa, additional, Friedman, Jared E., additional, Gahagan, Sheila, additional, Gardiner, Paula, additional, Garibaldi, Luigi, additional, Gauthier, Gregory M., additional, Gedalia, Abraham, additional, Gelmini, Matthew J., additional, Gerber, Michael A., additional, Gibson, K. Michael, additional, Gibson, Mark, additional, Gigliotti, Francis, additional, Gilliam, Walter S., additional, Gilsdorf, Janet R., additional, Ginsburg, Charles M., additional, Glascoe, Frances P., additional, Goldmann, Donald A., additional, Goodman, Denise M., additional, Gorelick, Marc H., additional, Gosselin, Gary J., additional, Gould, Jane M., additional, Goulet, Olivier, additional, Granoff, Dan M., additional, Green, Michael, additional, Green, Thomas P., additional, Greenbaum, Larry A., additional, Grino, Marie Michelle, additional, Grossman, Andrew B., additional, Grossman, David C., additional, Guarino, Alfredo, additional, Hackney, Lisa R., additional, Haddad, Gabriel G., additional, Haddad, Joseph, additional, Hagan, Joseph F., additional, Halstead, Scott B., additional, Hammerschlag, Margaret R., additional, Hamvas, Aaron, additional, Harris, James C., additional, Hartman, Mary E., additional, Haslam, David B., additional, Hauck, Fern R., additional, Hayden, Gregory F., additional, Hecht, Jacqueline T., additional, Heidemann, Sabrina M., additional, Hendley, J. Owen, additional, Henretig, Fred M., additional, Heresi, Gloria P., additional, Hershey, Andrew D., additional, Herzog, Cynthia E., additional, Hochberg, Jessica, additional, Holinger, Lauren D., additional, Hord, Jeffrey D., additional, Horn, B. David, additional, Horton, William A., additional, Hosalkar, Harish S., additional, Hosono, Hidekazu, additional, Hotez, Peter J., additional, Howenstine, Michelle S., additional, Huddleston, Heather G., additional, Huff, Vicki, additional, Hug, Denise, additional, Huh, Winston W., additional, Hunt, Carl E., additional, Hunter, Anna Klaudia, additional, Ibeziako, Patricia, additional, Jacobs, Richard F., additional, Jensen, Peter, additional, Jenson, Hal B., additional, John, Chandy C., additional, Johnston, Michael V., additional, Johnston, Richard B., additional, Jones, Bridgette L., additional, Jones, James F., additional, Joselow, Marsha, additional, Kalaskar, Anupama, additional, Kaljee, Linda, additional, Kamat, Deepak, additional, Kansra, Alvina R., additional, Kaplan, Sheldon L., additional, Katz, Emily R., additional, Kazura, James W., additional, Keane, Virginia, additional, Kearns, Gregory L., additional, Kelly, Desmond P., additional, Kelsen, Judith, additional, Kemper, Kathi J., additional, Kennedy, Melissa, additional, Kerem, Eitan, additional, Kerschner, Joseph E., additional, Khan, Seema, additional, Kim, Young-Jee, additional, King, Charles H., additional, Kinsman, Stephen L., additional, Kirton, Adam, additional, Kishnani, Priya S., additional, Kizer, Nora T., additional, Kleiman, Martin B., additional, Klein, Bruce L., additional, Klein, Bruce S., additional, Klein, Michael D., additional, Kliegman, Robert M., additional, Koch, William C., additional, Kochanek, Patrick M., additional, Kodish, Eric, additional, Kohlhoff, Stephan A., additional, Krane, Elliot J., additional, Krause, Peter J., additional, Kreipe, Richard E., additional, Krug, Steven E., additional, Kuttesch, John F., additional, Kwon, Jennifer M., additional, Lachenauer, Catherine S., additional, Ladisch, Stephan, additional, LaFranchi, Stephen, additional, Lakser, Oren, additional, Lande, Marc B., additional, Landrigan, Philip J., additional, Landry, Gregory L., additional, Lane, Wendy G., additional, LaRussa, Philip S., additional, Lee, Brendan, additional, Lee, Chul, additional, Lee, K. Jane, additional, Leeder, J. Steven, additional, Lehman, Rebecca K., additional, Lentze, Michael J., additional, Lerner, Norma B., additional, Lestrud, Steven, additional, Leung, Donald Y.M., additional, Liacouras, Chris A., additional, Liewer, Susanne, additional, Liu, Andrew H., additional, Lo, Stanley F., additional, Locatelli, Franco, additional, Long, Sarah S., additional, Lopez, Anna Lena, additional, Lossef, Steven V., additional, Lowry, Jennifer A., additional, Lucco, Kerith, additional, Lyon, G. Reid, additional, Mahajan, Prashant V., additional, Maheshwari, Akhil, additional, Majzoub, Joseph A., additional, Maqbool, Asim, additional, Maranich, Ashley M., additional, Marin, Mona, additional, Marini, Joan C., additional, Markowitz, Morri, additional, Marks, Kevin P., additional, Maroushek, Stacene R., additional, Mason, Wilbert H., additional, Mastropietro, Christopher, additional, Matalon, Kimberlee M., additional, Matalon, Reuben K., additional, Mazor, Robert, additional, McColley, Susanna A., additional, McGovern, Margaret M., additional, McLean, Heather S., additional, McLeod, Rima, additional, Melby, Peter C., additional, Melvin, Joseph John, additional, Merritt, Diane F., additional, Mezoff, Ethan A., additional, Michaels, Marian G., additional, Miethke, Alexander G., additional, Mikati, Mohamad A., additional, Milgrom, Henry, additional, Miller, E. Kathryn, additional, Mink, Jonathan W., additional, Mitchell, Grant A., additional, Montgomery, Robert R., additional, Morelli, Joseph G., additional, Moscicki, Anna-Barbara, additional, Moser, Hugo W., additional, Moyer, Kathryn D., additional, Murphy, James R., additional, Murphy, Timothy F., additional, Murray, Thomas S., additional, Natale, Mindo J., additional, Neal, William A., additional, Ness, Jayne, additional, Neville, Kathleen A., additional, Nevin, Mary A., additional, Newburger, Jane W., additional, Newburger, Peter E., additional, Nield, Linda S., additional, Noah, Zehava, additional, Nogee, Lawrence M., additional, Norris, Robert L., additional, Obaro, Stephen K., additional, Obeid, Makram, additional, Ochoa, Theresa J., additional, O'Donnell, Katherine A., additional, Ohls, Robin K., additional, Okwo-Bele, Jean-Marie, additional, Oldham, Keith T., additional, Olitsky, Scott E., additional, Olsson, John, additional, Orenstein, Susan R., additional, Orenstein, Walter A., additional, Owens, Judith A., additional, Packman, Charles H., additional, Painter, Michael J., additional, Pais, Priya, additional, Pan, Cynthia G., additional, Pannikar, Vijay, additional, Pappas, Diane E., additional, Parish, Anjali, additional, Parks, John S., additional, Parks, Laura A., additional, Patterson, Maria Jevitz, additional, Patwari, Pallavi P., additional, Peters, Timothy R., additional, Pickering, Larry K., additional, Pless, Misha L., additional, Plummer, Laura S., additional, Porter, Craig C., additional, Powell, Dwight A., additional, Price, David T., additional, Prober, Charles G., additional, Quan, Linda, additional, Quint, Elisabeth H., additional, Rabinovich, C. Egla, additional, Raffini, Leslie J., additional, Ramirez-Montealegre, Denia, additional, Raviola, Giuseppe, additional, Reed, Ann M., additional, Rekate, Harold L., additional, Reller, Megan E., additional, Remafedi, Gary, additional, Reyes, Jorge D., additional, Rezvani, Geoffrey, additional, Rezvani, Iraj, additional, Ritchey, A. Kim, additional, Rivara, Frederick P., additional, Robinson, Angela Byun, additional, Rogg, Luise E., additional, Roosevelt, Genie E., additional, Rosenberg, David R., additional, Rosenberg, Melissa Beth, additional, Rosenblatt, David S., additional, Roskind, Cindy Ganis, additional, Rotar, Mary M., additional, Rozenfeld, Ranna A., additional, Rush, Sarah Zieber, additional, Ryan, Colleen A., additional, Sachdev, H.P.S., additional, Sachdeva, Ramesh C., additional, Sahin, Mustafa, additional, Salata, Robert A., additional, Salerno, Denise A., additional, Salvana, Edsel Maurice T., additional, Sampson, Hugh A., additional, Sandora, Thomas J., additional, Sandritter, Tracy, additional, Sankar, Wudbhav N., additional, Sarnaik, Ajit Ashok, additional, Sarnaik, Ashok P., additional, Sarnat, Harvey B., additional, Sarwal, Minnie M., additional, Saunders, Mary, additional, Schanberg, Laura E., additional, Schleiss, Mark R., additional, Schor, Nina F., additional, Schroeder, Bill J., additional, Schum, Robert L., additional, Schutze, Gordon E., additional, Scott, Daryl A., additional, Scott, J. Paul, additional, Sectish, Theodore C., additional, Segel, George B., additional, Sehgal, Kriti, additional, Seidman, Ernest G., additional, Serwint, Janet R., additional, Shah, Dheeraj, additional, Shamir, Raanan, additional, Shapiro, Bruce K., additional, Shaw, Richard J., additional, Shaywitz, Bennett A., additional, Shaywitz, Sally E., additional, Shekar, Meera, additional, Shephard, Elena, additional, Sherman, Philip M., additional, Shneider, Benjamin L., additional, Sicherer, Scott H., additional, Sills, Richard, additional, Simms, Mark D., additional, Simões, Eric A.F., additional, Slovis, Thomas L., additional, Smith, P. Brian, additional, Son, Mary Beth F., additional, Sosinsky, Laura Stout, additional, Spahn, Joseph D., additional, Sperling, Mark A., additional, Spicer, Robert, additional, Spiegel, David A., additional, Spoudeas, Helen, additional, Spranger, Jürgen, additional, Sreedharan, Rajasree, additional, Sreedharan, Raman, additional, Stafford, Shawn J., additional, Stager, Margaret M., additional, Stagno, Sergio, additional, Stallings, Virginia A., additional, Stanberry, Lawrence R., additional, Stanley, Charles A., additional, Stanton, Bonita F., additional, Starke, Jeffrey R., additional, Stass-Isern, Merrill, additional, Stechenberg, Barbara W., additional, Stein, Leonard D., additional, Steinbach, William J., additional, Stettler, Nicolas, additional, Stoll, Barbara J., additional, Storch, Gregory A., additional, Strauss, Ronald G., additional, Suchy, Frederick J., additional, Summar, Karen, additional, Szilagyi, Moira, additional, Tinanoff, Norman, additional, Todd, James K., additional, Tompkins, Lucy S., additional, Tower, Richard L., additional, Troncone, Riccardo, additional, Trott, Amanda A., additional, Tubergen, David G., additional, Turner, David A., additional, Turner, Ronald B., additional, Ullrich, Christina, additional, Van Hare, George F., additional, van Ingen, Jakko, additional, Van Mater, Heather A., additional, van Soolingen, Dick, additional, Van Why, Scott K., additional, Vandana, Pankhuree, additional, Vanderbilt, Douglas, additional, Vanderhoof, Jon A., additional, Velardi, Andrea, additional, Vichinsky, Elliott, additional, Waggoner-Fountain, Linda A., additional, Waguespack, Steven G., additional, Walker, David M., additional, Walter, Heather J., additional, Ware, Stephanie, additional, Watts, Kimberly Danieli, additional, Waxman, Ian M., additional, Weese-Mayer, Debra E., additional, Weise, Kathryn, additional, Weisse, Martin E., additional, Wells, Lawrence, additional, Wen, Jessica, additional, Werlin, Steven L., additional, Wessels, Michael R., additional, Wetmore, Ralph F., additional, Wetzel, Randall C., additional, Wexler, Isaiah D., additional, White, Perrin C., additional, Williams, John V., additional, Willoughby, Rodney E., additional, Wilson, Samantha L., additional, Winnie, Glenna B., additional, Wise, Paul H., additional, Woc-Colburn, Laila, additional, Wolfe, Joanne, additional, Wong, Cynthia J., additional, Worth, Laura L., additional, Wright, Joseph L., additional, Wright, Peter F., additional, Wright, Terry W., additional, Wu, Eveline Y., additional, Wynshaw-Boris, Anthony, additional, Yazigi, Nada, additional, Yogev, Ram, additional, Yudkoff, Marc, additional, Zage, Peter E., additional, Zaidi, Anita K.M., additional, Zeltzer, Lonnie K., additional, Zile, Maija H., additional, Zimmer, Peter, additional, and Zuckerman, Barry, additional

Published
2011
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23. Musculoskeletal manifestations of sarcoidosis: A high index of suspicion opens the door to accurate diagnosis

Author

Cuellar, Marta L., Gedalia, Abraham, and Espinoza, Luis R.

Subjects
Physiological aspects, Sarcoidosis -- Physiological aspects, Therapeutics -- Physiological aspects, Bone diseases -- Physiological aspects, Muscular diseases -- Physiological aspects, Muscular therapy -- Physiological aspects, Muscle diseases -- Physiological aspects, Homeopathy -- Materia medica and therapeutics
Abstract

Sarcoidosis is a granulomatous disease of unknown cause that can affect any organ system. Pulmonary involvement is the most important cause of morbidity and mortality. Acute arthritis, alone or as [...]

Published
2001

25. Etanercept in children with polyarticular juvenile rheumatoid arthritis

Author

Lovell, Daniel J., Giannini, Edward H., Reiff, Andreas, Cawkwell, Gail D., Silverman, Earl D., Nocton, James J., Stein, Leonard D., Gedalia, Abraham, Ilowite, Norman T., Wallace, Carol A., Whitmore, James, and Finck, Barbara K.

Subjects
Enbrel (Medication) -- Evaluation, Rheumatoid arthritis in children -- Drug therapy
Abstract

The drug etanercept appears to be beneficial in children with juvenile rheumatoid arthritis. This drug blocks the activity of tumor necrosis factor, which is an inflammatory protein produced in the body. Researchers randomly assigned 51 children with juvenile rheumatoid arthritis to receive subcutaneous injections of etanercept or a placebo twice a week for up to four months. Over 80% of the children receiving etanercept improved, compared to 28% of those receiving a placebo. The drug had minimal side effects. Etanercept is sold under the trade name Enbrel.

Published
2000

31. A child with recurrent episodes of fever and joint pain

Author

Saketkoo, Lesley Ann and Gedalia, Abraham

Subjects
Fever in children -- Diagnosis, Fever in children -- Case studies, Fever in children -- Care and treatment, Arthralgia -- Diagnosis, Arthralgia -- Case studies, Arthralgia -- Care and treatment, Nonsteroidal anti-inflammatory drugs -- Usage, Nonsteroidal anti-inflammatory drugs -- Health aspects, Helicobacter pylori -- Health aspects, Health
Published
2009

33. History of Infection Before the Onset of Juvenile Dermatomyositis: Results From the National Institute of Arthritis and Musculoskeletal and Skin Diseases Research Registry

Author

PACHMAN, LAUREN M., LIPTON, REBECCA, RAMSEY-GOLDMAN, ROSALIND, SHAMIYEH, ELI, ABBOTT, KATHY, MENDEZ, EDUARDO P., DYER, ALAN, CURDY, DEBORAH MC, VOGLER, LARRY, REED, ANN, CAWKWELL, GAIL, ZEMEL, LAWRENCE, SANDBORG, CHRISTY, RIVAS-CHACON, RAFAEL, HOM, CHRISTINE, ILOWITE, NORMAN, GEDALIA, ABRAHAM, GITLIN, JONATHAN, and BORZY, MICHAEL

Published
2005

44. Childhood sarcoidosis: A rare but fascinating disorder

Author

Gedalia Abraham and Shetty Avinash K

Subjects
Pediatrics, RJ1-570, Diseases of the musculoskeletal system, RC925-935
Abstract

Abstract Childhood sarcoidosis is a rare multisystemic granulomatous disorder of unknown etiology. In the pediatric series reported from the southeastern United States, sarcoidosis had a higher incidence among African Americans. Most reported childhood cases have occurred in patients aged 13–15 years. Macrophages bearing an increased expression of major histocompatibility class (MHC) II molecules most likely initiate the inflammatory response of sarcoidosis by presenting an unidentified antigen to CD4+ Th (helper-inducer) lymphocytes. A persistent, poorly degradable antigen driven cell-mediated immune response leads to a cytokine cascade, to granuloma formation, and eventually to fibrosis. Frequently observed immunologic features include depression of cutaneous delayed-type hypersensitivity and a heightened helper T cell type 1 (Th1) immune response at sites of disease. Circulating immune complexes, along with signs of B cell hyperactivity, may also be found. The clinical presentation can vary greatly depending upon the organs involved and age of the patient. Two distinct forms of sarcoidosis exist in children. Older children usually present with a multisystem disease similar to the adult manifestations, with frequent hilar lymphadenopathy and pulmonary infiltrations. Early-onset sarcoidosis is a unique form of the disease characterized by the triad of rash, uveitis, and arthritis in children presenting before four years of age. The diagnosis of sarcoidosis is confirmed by demonstrating a typical noncaseating granuloma on a biopsy specimen. Other granulmatous diseases should be reasonably excluded. The current therapy of choice for sarcoidosis in children with multisystem involvement is oral corticosteroids. Methotrexate given orally in low doses has been effective, safe and steroid sparing in some patients. Alternative immunosuppressive agents, such as azathioprine, cyclophosphamide, chlorambucil, and cyclosporine, have been tried in adult cases of sarcoidosis with questionable efficacy. The high toxicity profile of these agents, including an increased risk of lymphoproliferative disorders and carcinomas, has limited their use to patients with severe disease refractory to other agents. Successful steroid sparing treatment with mycophenolate mofetil was described in an adolescent with renal-limited sarcoidosis complicated by renal failure. Novel treatment strategies for sarcoidosis have been developed including the use of TNF-alpha inhibitors, such as infliximab. The long-term course and prognosis is not well established in childhood sarcoidosis, but it appears to be poorer in early-onset disease.

Published
2008
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50. A 14-year-old boy with back pain

Author

Marzullo, Michael J., Shetty, Avinash K., and Gedalia, Abraham

Subjects
Rheumatic fever -- Care and treatment, Backache -- Causes of, Streptococcal infections -- Complications, Streptococcus pyogenes -- Health aspects, Health
Abstract

Low back pain is an unusual symptom of acute rheumatic fever (ARF) in some patients. A 14-year-old boy was initially treated for back pain with analgesics. A subsequent medical examination revealed swollen and painful finger joints, ankles and knees, a heart murmur, and an elevated serum antistreptolysin-O level, indicating a recent streptococcal infection. A throat infection with group A streptococcus can produce diffuse inflammation, including cardiac inflammation, possibly by autoimmune mechanisms. Corticosteroids, aspirin, and antibiotics are used in the treatment of ARF.

Published
1998

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