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B O O K - American College of Rheumatology

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6:45 PM<br />

Macrophage Activation Syndrome in the Adult ICU<br />

Bita Shakoory, MD; University <strong>of</strong> Alabama-Birmingham;<br />

Birmingham, AL<br />

7:10 PM<br />

Distinguishing Sepsis from MAS<br />

Joseph Carcillo, MD; Children’s Hospital <strong>of</strong> Pittsburgh; Pittsburgh,<br />

PA<br />

7:35 PM<br />

Infectious Models <strong>of</strong> MAS<br />

Michael Jordan, MD, PhD; Children’s Hospital Medical Center,<br />

Cincinnati; Cincinnati, OH<br />

Session Overview:<br />

Macrophage activation syndrome is an <strong>of</strong>ten lethal entity<br />

associated with a variety <strong>of</strong> pediatric and adult infectious,<br />

oncologic, rheumatic (lupus, Still disease, vasculitis, etc.),<br />

and primary genetic disorders. Early recognition <strong>of</strong> MAS and<br />

institution <strong>of</strong> aggressive immunosuppressive therapy are keys to<br />

optimizing survival. Experts from different medical subspecialties<br />

have different perspectives <strong>of</strong> this end common pathway <strong>of</strong><br />

MAS. Genetic propensities for developing MAS, and animal<br />

models <strong>of</strong> MAS pathophysiology are being explored. What we<br />

learn about MAS from clinical and scientific experts in nonrheumatic<br />

fields will benefit adult and pediatric rheumatologists<br />

in diagnosing and treating patients who develop MAS.<br />

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

• identify the various infectious triggers <strong>of</strong> macrophage<br />

activation syndrome<br />

• discuss the diagnostic criteria for macrophage activation<br />

syndrome in the setting <strong>of</strong> infection<br />

• distinguish sepsis from macrophage activation syndrome<br />

• articulate the proposed pathophysiologic events leading to<br />

macrophage activation syndrome<br />

B311<br />

MRI<br />

Moderator: Mikkel Østergaard, MD, PhD, DMSc; Hvidovre<br />

University Hospital; Hvidovre, Denmark<br />

6:45 PM<br />

MRI <strong>of</strong> Cartilage in Osteoarthritis and Rheumatoid Arthritis -<br />

Introduction<br />

Mikkel Østergaard, MD, PhD, DMSc; Hvidovre University<br />

Hospital; Hvidovre, Denmark<br />

7:00 PM<br />

Function and Structure <strong>of</strong> Cartilage in Health and Disease: A<br />

MRI Perspective<br />

Deborah Burstein, PhD; Beth Israel Deaconess Medical Center;<br />

Boston, MA<br />

7:20 PM<br />

What Have We Learned about Cartilage from MRI Studies <strong>of</strong><br />

Osteoarthritis and How Can We Get?<br />

To be announced<br />

7:40 PM<br />

Challenges in MRI Assessment <strong>of</strong> Cartilage in RA and What<br />

Lessons to Learn from Studies in Osteoarthritis<br />

Philip G. Conaghan, MD, PhD; Chapel Allerton Hospital; Leeds,<br />

United Kingdom<br />

Session Overview:<br />

Increasing amounts <strong>of</strong> data on MRI in arthritides are emerging,<br />

and the technique is increasingly used in clinical trials and<br />

practice, making a forum for update on and discussion <strong>of</strong> this<br />

topic at ACR very relevant. An ACR study group addressing<br />

different aspects <strong>of</strong> MRI has existed since 2006, with varying<br />

focus and content. This year it is proposed to focus on “MRI <strong>of</strong><br />

cartilage in OA and RA”, and is expected to provide novel insights<br />

on MRI assessment <strong>of</strong> cartilage involvement in osteoarthritis and<br />

rheumatoid arthritis, and provide an option for crossfertilizatioin<br />

between the OA and RA research areas.<br />

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

• identify the current concepts MRI assessment <strong>of</strong> function and<br />

structure <strong>of</strong> cartilage in health and disease<br />

• discuss what has been learnt from MRI studies about cartilage<br />

and non-cartilage structures in osteoarthritis<br />

• describe the challenges <strong>of</strong> MRI assessment <strong>of</strong> cartilage in<br />

rheumatoid arthritis and which lessons can be learnt from<br />

MRI studies in osteoarthritis<br />

B308<br />

Neuro Endocrine Immunology<br />

Moderator: Frank Buttgereit, MD; Charite University Med-Berlin;<br />

Berlin, Germany<br />

6:45 PM<br />

The Immunomodulatory Properties <strong>of</strong> Adipokines and<br />

Adiponectin<br />

Ulf Muller-Ladner, MD; University Giessen/Kerckh<strong>of</strong>f-Clinic; Bad<br />

Nauheim, Germany<br />

7:05 PM<br />

Knowing the Fat for Fighting Diseases - Leptin: At the Crossroad<br />

<strong>of</strong> Energy Homeostasis, Immune Response and Systemic<br />

Inflammation<br />

Oreste Gualillo, PharmD, PhD; Santiago University Clinical<br />

Hospital; Santiago de Compostela, Spain<br />

7:25 PM<br />

The Impact <strong>of</strong> Abnormal Body Composition on Disease Activity<br />

in Rheumatoid Arthritis<br />

Jon T. Giles, MD; Johns Hopkins University; Baltimore, MD<br />

7:45 PM<br />

Panel Discussion<br />

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

• describe how adipokines modulate inflammation in adipose<br />

and mesenchymal tissue<br />

• identify the pathophysiology <strong>of</strong> white adipose tissue<br />

• explain useful concepts in counseling patients about<br />

behavioral changes to fight diseases<br />

• discuss how adiposity and adipokines affect inflammation and<br />

articular damage in rheumatoid arthritis<br />

A404<br />

Polymyalgia Rheumatica<br />

Moderators: Bhaskar Dasgupta, MD; Southend University<br />

Hospital; Essex, United Kingdom<br />

Eric L. Matteson, MD; Mayo Clinic; Rochester, MN<br />

tuesday<br />

2010 Program Book 91

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