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B O O K - American College of Rheumatology

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B202<br />

Synovial Fluid Analysis and Crystal Identification<br />

(226)<br />

Speakers: Brian F. Mandell, MD, PhD; The Cleveland Clinic<br />

Foundation; Cleveland, OH<br />

Lan X. Chen, MD, PhD; Pennsylvania Presbyterian Medical<br />

Center; Blue Bell, PA<br />

Gilda M. Clayburne, MLT; Veterans Affairs Medical Center;<br />

Philadelphia, PA<br />

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

• prepare synovial fluid samples for microscopic examination<br />

• identify various components <strong>of</strong> synovial fluid<br />

• identify crystals in synovial fluid<br />

Session Overview:<br />

Citrullination is an important post-translational protein<br />

modification, but citrullinated peptides may be the target <strong>of</strong><br />

autoantibodies in many individuals with rheumatoid arthritis.<br />

The presence <strong>of</strong> anti-cyclic citrullinated peptide antibodies in the<br />

serum is a harbinger <strong>of</strong> likely future development <strong>of</strong> rheumatoid<br />

arthritis, and <strong>of</strong>ten precedes disease onset by years.<br />

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

• describe protein citrullination<br />

• explain the genetic susceptibility loci which may influence<br />

citrullination in rheumatoid arthritis, including the PADI4 locus<br />

• explain how abnormalities in citrullination may trigger an<br />

aberrant immune response in rheumatoid arthritis<br />

tuesday<br />

68<br />

Exhibit Hall Afternoon SnACk<br />

Break<br />

2:00 - 3:00 PM<br />

InnoVAtion Theater<br />

2:00 - 2:45 PM<br />

Halls A1 & A2 (Booth #555)<br />

The following non-CME activity has been planned and will be<br />

implemented in accordance with the requirements <strong>of</strong> the FDA<br />

and applicable standards <strong>of</strong> the PhRMA Code on Interactions<br />

with Healthcare Pr<strong>of</strong>essionals by Actelion Pharmaceuticals US,<br />

Inc. Please visit the Actelion Pharmaceuticals US, Inc. exhibit<br />

booth for more information or see page 292. Seating and light<br />

refreshments are subject to availability.<br />

Clinical Perils in <strong>Rheumatology</strong>: Uncovering<br />

Pulmonary Arterial Hypertension in Your High-Risk<br />

Patient Populations—The Importance <strong>of</strong> Aggressive<br />

Screening and Early Diagnosis<br />

ACR Basic Science Symposium<br />

2:30 - 4:00 PM<br />

B313<br />

The Biology <strong>of</strong> Citrullination R<br />

Moderators: Alisa E. Koch, MD; Unversity <strong>of</strong> Michigan; Ann<br />

Arbor, MI<br />

Thomas W.J. Huizinga, MD; Leiden University Medical Centre;<br />

Leiden, Netherlands<br />

2:30 PM<br />

Biology <strong>of</strong> Protein Citrullination<br />

Ger Pruijn, PhD; Radboud University Nijmegen; Nijmegen,<br />

Netherlands<br />

3:00 PM<br />

Experimental Arthritis and Anti-CCP<br />

V. Michael Holers, MD; University <strong>of</strong> Colorado School <strong>of</strong><br />

Medicine; Aurora, CO<br />

3:30 PM<br />

Peptidylarginine Deiminases and the Relationship to<br />

Citrullination in Rheumatoid Arthritis<br />

Guy B. Serre, MD, PhD; University <strong>of</strong> Toulouse; Toulouse, France<br />

2010 Program Book<br />

ACR Clinical Symposia<br />

2:30 - 4:00 PM<br />

A404<br />

Autologous Stem Cell Transplantation in Pediatric<br />

<strong>Rheumatology</strong>: Indications and Associated Morbidity<br />

P PS<br />

Moderators: Alexei A. Grom, MD; Children’s Hospital Medical<br />

Center; Cincinnati, OH<br />

B. Anne Eberhard, MB; Schneider Children’s Hospital; New Hyde<br />

Park, NY<br />

2:30 PM<br />

Rationale for the Use <strong>of</strong> Autologous Stem Cell Transplantation<br />

in Childhood Rheumatic Diseases<br />

Lucy R. Wedderburn, MD, PhD; University <strong>College</strong> London;<br />

London, United Kingdom<br />

3:00 PM<br />

Review <strong>of</strong> Existing Protocols and Safety Data in Pediatric Stem<br />

Cell Transplantation<br />

Lisa Filipovich, MD; Cincinnati Children’s Medical Center;<br />

Cinncinatti, OH<br />

3:30 PM<br />

Update on the Autologous Stem Cell Transplantation<br />

Experience in Pediatric Rheumatic Diseases<br />

Nico M. Wulffraat, MD; University Medical Center Utrecht;<br />

Utrecht, Netherlands<br />

Session Overview:<br />

In pediatric rheumatology, autologous stem cell transplantation<br />

has been used in patients with systemic rheumatologic<br />

conditions refractory to more conventional treatments. The<br />

outcome studies show variable results that depend on the<br />

conditioning regimens and the specific underlying rheumatic<br />

disease. The identification <strong>of</strong> patients who might benefit from<br />

autologous stem cell transplantation is difficult, in part due<br />

to the fact that many pediatric rheumatologists have limited<br />

understanding <strong>of</strong> the risk/benefit ratio for the procedure.<br />

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

• review the clinical rationale for the use <strong>of</strong> autologous stem<br />

cell transplantation in pediatric rheumatic diseases<br />

• identify patients for whom autologous stem cell<br />

transplantation might be an appropriate therapy<br />

• describe potential morbidity and mortality <strong>of</strong> autologous stem<br />

cell transplantation

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