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Rheumatology
 
Rheumatology is a subspecialty in Internal Medicine and Paediatrics that deals with diagnosis and management of rheumatic diseases. The rheumatological problems are mainly related to joints, bone, connective tissue and autoimmune diseases. These diseases are usually chronic and can affect any age group and both gender. The person who has been trained in dealing with these disorders is known as Rheumatologist.
 
Diagnosis of rheumatological disorders is mainly clinical. Sophisticated tests (eg. ANA, Anti ds DNA, ENA, ANCA etc.) could support the diagnosis only when the pre-test probability based on history and physical examination is high. Various advancements have been made in laboratory techniques in recent time.
 
With the availability of wide array of biologic agents and biosimilar, treatment of complex rheumatological diseases has drastically improved and we are encouraged to treat patients with the target of achieving complete remission instead of low disease activity.
 
At our hospital, we have started diagnostic as well as clinical services for the patients suffering from autoimmune inflammatory rheumatic diseases.
 
Diseases dealt by a rheumatologist are:
 
  • Various arthritides: Rheumatoid Arthritis (RA), Spondyloarthritis (SpA)- Ankylosing spondylitis (AS), Psoriatic arthritis, Reactive arthritis, IBD associated arthritis, Gout, Pseudogout, Juvenile Idiopathic Arthritis (JIA).
  • SLE (Lupus)
  • Systemic sclerosis (Scleroderma)
  • Sjögren's syndrome
  • Polymyositis
  • Dermatomyositis
  • Mixed connective tissue disease
  • Polymyalgia rheumatica
  • Relapsing polychondritis
  • Adult-onset Still's disease
  • Sarcoidosis
  • Fibromyalgia
  • Vasculitides: Granulomatosis with polyangiitis (Wegener's granulomatosis), Microscopic polyangiitis, Eosinophilic granulomatosis with polyangiitis (Churg–Strauss Syndrome), Polyarteritis nodosa (PAN), Henoch-Schönlein purpura, Giant cell arteritis, Temporal arteritis, Takayasu's arteritis, Behçet's syndrome, Kawasaki's disease.
  • Osteoarthritis
  • Osteoporosis
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