RHEUMATOLOGY
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PEDIATARIC RHEUMATOLOGY
At the department of Pediatric Rheumatology, we provide comprehensive care for children experiencing joint pains, juvenile arthritis, autoimmune diseases (such as HSP, Kawasaki Disease, SLE, Juvenile Dermatomyositis), as well as recurrent or prolonged fevers. Our specialized services indude intra-articular steroid injections, MSK ultrasound of the joints, and the routine use of steroid-sparing biologic medications.We understand the critical role of early intervention in achieving the best possible outcomes for our young patients. Therefore, we emphasize the importance of early referral, enabling us to promptly assess and initiate targeted treatment plans tailored to each child’s specific needs. To ensure optimal care, regular follow-ups are strongly advised. Our goal is to achieve long-term remission or control of symptoms while minimizing potential side effects. Our focus is on delivering compassionate and personalized care to each child. We are committed to working closely with referring physicians and families to provide the best possible outcomes for our young patients.
EXPERTISE IN :-
- CHILDREN WITH JOINT PAINS AND SWELLINGS
all types of Juvenile arthritis, Post infectious reactive arthritis or Arthralgias, Biomechanical joint pains, growing pains - PEDIATRIC VASCULITIS
HSP, Kawasaki disease, Takayasu arteritis, Polyarteritis nodosa, Wegener’s granulomatosis and other ANCA vasculitis - CONNECTIVE TISSUE DISEASES
SLE, Juvenile Dermatomyositis (JDM), Scleroderma and overlap syndromes and MCTD (Mixed connective tissue diseases - OTHERS
Pediatric Uveitis, hypermobility and pain amplification syndromes, Pyrexia of unknown origin (PUO), MIS-C inflammatory syndrome post COVID-19
COMMON CONDITIONS WE TREAT
Its very common for children to get joint pains which maybe due to growing pains, sedentary lifestyle, obesity or hypermobility. These are known as biomechanical pains which usually needs symptomatic treatment and muscle strengthening. The other causes of joint pains are childhood arthritis also known as Juvenile Idiopathic Arthritis (JIA) which can be of many types and needs timely referral for diagnosis and proper management.
The rheumatologist may also first want to rule out other causes of joint swellings such as infections (septic arthritis or TB) or reactive arthritis.
Common symptoms are fevers, rashes, joint swellings, early morning stiffness, raised inflammatory markers on blood tests.
These can be broadly divided into connective tissue diseases (CTD) or childhood vasculitis. The common CTDs are – SLE (Lupus), Juvenile Dermatomyositis (JDM), Scleroderma, Mixed connective tissue disease (MCTD) or Overlap syndromes and Sarcoidosis. Vasculitis on the other hand can be broadly divided into small, medium and large vessel and the common ones include Kawasaki disease, IgA vasculitis (HSP), Polyarteritis nodosa (PAN), Takayasu arteritis or ANCA associated vasculitis.
Other causes are inflammatory bowel disease associated arthritis and inflammation in the eye (Uveitis)
Common symptoms are frequent mouth or genital ulcers, excessive hairfall, rashes on the face and body, fingers or toes turning blue in cold, muscle weakness, joint swellings, tight shiny areas of skin, abdominal pains, blood in stools or red eyes.
inputs from the rheumatologist to look for inflammatory causes of fevers. Other causes such as genetic Systemic Autoinflammatory Diseases (SAID) for recurrent fevers and Primary immunodeficiency (PID) also needs to be kept in the differential diagnosis of a child with multiple fever episodes with infections since an early age
• Multiple international presentations in Rheumatology conferences and publications in international indexed journals.
• Wide range of Pediatric Rheumatology experience from PGIMER Chandigarh, Sir Ganga Ram Hospital New Delhi, Great Ormond Street Hospital London UK and as Ex-consultant in Sheffield Children’s
hospital UK.
