Rheumatology Department


 

 

Definition:

Rheumatology, a subspecialty of internal medicine, is devoted to the diagnosis and therapy of rheumatic diseases.

Patient Services:

 

• The Rheumatology Clinic focuses on providing quality care and ongoing treatment services to patients with rheumatologic disorders.

• Diagnosing and treating patients with different musculoskeletal complaints. This includes thorough clinical evaluation and laboratory work out.

• Instituting the appropriate treatment as early as possible.

• Monitoring the progression of different rheumatological diseases using appropriate international standards of assessing disease outcomes for different rheumatological disorders, such as (DAS 28, SLEDAI, SLICC, ect).

• Admitting patients for in hospital cytotoxic therapy (cyclophosphamide), prostaglandin E2, and anti-TNF therapy (infliximab).

• Monitoring treatment

- Monitoring the efficacy of treatment.

- Possible side effects of treatment.

• We use internationally recommended tools for assessing disease activity for different rheumatological disorders such as e.g.: DAS 28 in case of RA, SLEDAI in case of SLE.

• We look after patients with metabolic bone disease.

• We also perform several procedures in our unit such as :

1.     Skin biopsy

2.     Liver biopsy

3.     Joint aspiration therapeutic and diagnostic

4.     Intra-articular joint aspiration and injection.

5.     Ascetic fluid aspiration for diagnostic and therapeutic purposes.

6.     Pleural fluid aspiration therapeutic and diagnostic.

7.     Lumbar puncture.

 

Who sees a Rheumatologist?

Diseases diagnosed or managed by the rheumatologist include:
 

Rheumatoid arthritis
Lupus erythematosus
Sjögren's syndrome
scleroderma (systemic sclerosis)
dermatomyositis
polychondritis
polymyositis
polymyalgia rheumatica
osteoarthritis
Septic arthritis

Psoriatic arthropathy

Enteropathic spondylitis
Reactive arthropathy
Vasculitis
Polyarteritis nodosa
Henoch-Schönlein purpura
Serum sickness

fibromyalgia
gout, pseudogout
spondyloarthropathies
ankylosing spondylitis
Reactive arthritis (Reiter's syndrome)


Wegener's granulomatosis
Giant cell arteritis
Temporal arteritis
Takayasu's arteritis
Behçet's syndrome
Kawasaki's disease (mucocutaneous lymph node syndrome)
Buerger's disease (thromboangiitis obliterans)

 

Diagnosis:

Apart from an extensive medical history and physical examination, a rheumatologist may apply the following diagnostic methods:
• Laboratory tests (e.g. erythrocyte sedimentation rate, rheumatoid factor)
• X-rays of affected joints and other imaging methods
• Cytology and chemical pathology of fluid aspirated from affected joints (e.g. to differentiate between septic arthritis and gout)
Treatment:
• The unit is specialized unit in diagnosing and treating rheumatological disorders on highest international standard and utmost care, and we do so through:
• Gathering history data and performing thorough locomotor examination.
• Interpretation of different radiological investigations of musculoskeletal system.
• Perform different serological tests for connective tissue disease when it is indicated.
• We offer our patients symptomatic treatments, as well as immunosuppressive therapy when is indicated.
• We apply Rheumatology Unit guidelines, which are based on the current available evidence in the literature. These guidelines are updated regularly

 

Location of Service:
Ground floor…………

 

Hours of Service:


Rheumatology Clinic:

Monday 03:00 PM - 09:00 PM.
Thursday 07:30 AM - 02:30 PM.

Osteoporosis Clinic:

Wednesday 07:30 AM- 02:30 PM.

Team Rounds:

Sunday, Tuesday, and Wednesday.

 

 


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