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B O O K - American College of Rheumatology

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thursday<br />

10:00 AM<br />

Optimal use <strong>of</strong> Bisphosphonates in Clinical Disorders<br />

Felicia Cosman, MD; Helen Hayes Hospital; West Haverstraw, NY<br />

Session Overview:<br />

The mechanism <strong>of</strong> action <strong>of</strong> bisphosphonates has been<br />

elucidated and has led to new insights and potential applications<br />

for treatment <strong>of</strong> skeletal disorders. Optimizing their clinical use<br />

and avoidance <strong>of</strong> potential complications is critically important<br />

in the treatment <strong>of</strong> patients with skeletal disorders.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• describe the mechanism <strong>of</strong> action <strong>of</strong> bisphosphonates<br />

• discuss the optimal therapeutic use in treating skeletal<br />

disorders<br />

• describe potential novel bisphosphonates and their clinical<br />

application<br />

Thomas J. Murphy Ballroom<br />

Immunopathogenesis <strong>of</strong> Systemic Sclerosis R<br />

Moderator: Robert A. Lafyatis, MD; Boston University School <strong>of</strong><br />

Medicine; Arlington, MA<br />

9:00 AM<br />

Gene Expression Analyses - Insights into Immune Dysreguation<br />

in Systemic Sclerosis<br />

Filemon K. Tan, MD, PhD; University <strong>of</strong> Texas - Houston Medical<br />

School; Houston, TX<br />

9:30 AM<br />

Connecting Inflammation and Fibrosis - Innate Immunity in<br />

Systemic Sclerosis<br />

Robert A. Lafyatis, MD; Boston University School <strong>of</strong> Medicine;<br />

Arlington, MA<br />

10:00 AM<br />

The Basic Biology <strong>of</strong> IL-33 and Its Potential Role in<br />

Inflammation and Fibrosis<br />

Foo Y. Liew, BSc, PhD, DSc; University <strong>of</strong> Glasgow, Glasgow<br />

Biomedical Research Centre; Glasgow, Scotland, United Kingdom<br />

Session Overview:<br />

Our understanding <strong>of</strong> immunity and autoimmunity in systemic<br />

sclerosis pathogenesis has made rapid progress in both<br />

innate adaptive immune mechanisms contributing to fibrosis.<br />

Immune regulatory gene associations with scleroderma have<br />

re-emphasized the importance <strong>of</strong> immune pathogenesis in this<br />

disease.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• describe basic immune pathogenesis in systemic sclerosis<br />

• identify how innate immunity might lead to inflammation and<br />

fibrosis in target organs<br />

• interpret key pr<strong>of</strong>ibrotic cytokines, their sources and their<br />

roles in fibrosis<br />

• discuss key alterations in gene regulation seen in patients with<br />

systemic sclerosis<br />

ACR Clinical Symposia<br />

9:00 - 10:30 AM<br />

B406<br />

Pediatric Spondylarthropathies: From Genetics to the<br />

Clinic P<br />

Moderators: Larry B. Vogler, MD; Emory University School <strong>of</strong><br />

Medicine; Atlanta, GA<br />

Carlos D. Rose, MD; duPont Hospital for Children; Wilmington,<br />

DE<br />

9:00 AM<br />

Advances in the Genetics and Pathogenesis <strong>of</strong> the<br />

Spondylarthropathies<br />

Robert A. Colbert, MD, PhD; NIAMS/NIH; Bethesda, MD<br />

9:30 AM<br />

Enthesitis Related Arthritis in the Context <strong>of</strong> Juvenile Idiopathic<br />

Arthritis: Clinical Features<br />

Shirley Tse, MD; Hospital for Sick Children; Toronto, ON, Canada<br />

10:00 AM<br />

Using and Interpreting Imaging in the Diagnosis and Monitoring<br />

<strong>of</strong> the Spondylarthropathies<br />

Thomas J. Learch, MD; Cedar-Sinai Medical Center; Los Angeles,<br />

CA<br />

Session Overview:<br />

There have been new developments in disease mechanism for<br />

the spondylarthropathies resulting mainly form work on the<br />

transgenic rat model and the processing <strong>of</strong> the B27 molecule.<br />

The availability <strong>of</strong> new imaging techniques has certainly shed<br />

light on the nature <strong>of</strong> enthesitis and the new discoveries on<br />

the contribution <strong>of</strong> bone in the pathologic process. Finally, the<br />

pediatric spondylarthropathies have been reclassified and now<br />

constitute a new category <strong>of</strong> juvenile idiopathic arthritis; a<br />

critical review <strong>of</strong> the new classification is worthy <strong>of</strong> re-visiting.<br />

Upon completion <strong>of</strong> this session, participants should be able to:<br />

• discuss the most widely accepted possible mechanisms <strong>of</strong><br />

disease associated with HLA-B27 moiety<br />

• discuss the clinical features <strong>of</strong> enthesitis related arthritis and<br />

the most characteristic radiologic findings that distinguishes<br />

this group from the other forms <strong>of</strong> chronic arthritis<br />

• discuss the pros and cons <strong>of</strong> classifying the<br />

spondylarthropathies with the rest <strong>of</strong> the subsets <strong>of</strong> juvenile<br />

idiopathic arthritis<br />

Hall A3<br />

Remission in Rheumatoid Arthritis c/r PS<br />

Moderators: David T. Felson, MD, MPH; Boston University School<br />

<strong>of</strong> Medicine; Boston, MA<br />

Maarten Boers, MD, PhD, MSc; VU University Medical Center;<br />

Amsterdam, The Netherlands<br />

9:00 AM<br />

Why Do We Need a New Definition <strong>of</strong> Remission in<br />

Rheumatoid Arthritis?<br />

Maarten Boers, MD, PhD, MSc; VU University Medical Center;<br />

Amsterdam, The Netherlands<br />

136<br />

2010 Program Book

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