From the Editor
Vinod Ravindran MD, MRCP (UK), MSc-Rheumatology (King’s College, London, UK), CCT-Rheumatology (UK), MRCP-Rheumatology (UK), FRCP (Edin)Director, Centre for Rheumatology,Calicut, Kerala Dear Colleagues, I am delighted to present the third issue of the IRA e-newsletter in 2023. I would like to thank all the members for their appreciation and constructive feedback on the previous two issues. Our […]
Rheumatology in India and beyond (USA)
Chanakya Kodishala DNB (General Medicine), DM (Rheumatology)Resident in Internal Medicine, Canton Medical Education Foundation, Aultman Hospital and Cleveland Clinic Mercy Hospital, Canton, Ohio, USA. What are the main differences and similarities in rheumatology practice between India and the USA, and how do these affect patient care? Differences:US Focus on Inpatient Care: In the US, rheumatology, […]
Mountain Biking
Anshul Goel MBBS, MDConsultant Rheumatologist, Himalaya Arthritis and Rheumatology Centre, Kangra, Himachal Pradesh Riding bikes off-road, often over rough terrain is an adventure. Because riders are often far from civilization, have uncertain availability of food, stay in tents or dormitories away from comfort and luxury, and repair broken bikes and flat tyres, this sport has […]
Long distance running
V P Pandey MD, FRCP (Edin)Professor and Head, Department of Internal Medicine, Mahatma Gandhi Memorial Medical College, Indore It is a unique activity of extreme level of solitude for hours with preparation over months where one goes into a hypnotic crusade with oneself to explore self, rekindle own life events, and wait for the golden […]
Can you get this one?
Rajiv Ranjan Kumar DM Consultant Rheumatologist, CK Birla Hospital Gurugram & Medgram, Gurugram A young hypothyroid male, presented with acute onset pain, redness, and swelling on the left side face. NCCT & MRI of the face was suggestive of cellulitis, soft tissue edema with left masseter muscle edema. Two months later, he developed acute onset, […]
Identify this disease
P Damodaram DM Consultant Rheumatologist, Subodaya Rheumatology Hospital, Tirupati A young female presented with recurrent painful ulcers over the lower leg around the malleolus at the age of 18 years. Antinuclear antibodies, antiphospholipid antibodies, antineutrophilic cytoplasmic antibodies, and complement levels were negative. She has previously received cyclophosphamide, IVIG, mycophenolate mofetil, and cyclosporine for refractory cutaneous […]
Setting up stand-alone rheumatology clinic: What to consider; how to do it?
Suresh Adimulam MRCP, CCT (Rheumatology)Dr. Adims Centre for Rheumatology and Pain ManagementVisakhapatnam, Andhra Pradesh Key considerations for a beginner The name of the clinic is your identity, so spend time deciding on it. Consider the population, other medical facilities, laboratory, Imaging, and competition. The ground floor is the best, otherwise lift is mandatory. Evaluate prominence […]
Quiz: How many did you get?
Somya Jain MD, Fellowship in RheumatologyArthritis Clinic, AKJ Healthcare and Diagnostics, Saharanpur, UPMax Hospital, Dehradun 1. VKH syndrome Is associated with all except: A) HLA DRB1B) HLADR4C) HLA DQA1D) HLA B51 2. TH2 cells secrete all except: A) IL2B) IL4C) IL5D) IL6 3. All immunosuppressants are associated with the risk of malignancy except: A) AzathioprineB) […]
Quarter in review – Pediatric Rheumatology
Sikha Agarwal MDDirector, PREP (Pediatric Rheumatology Expert Practice) Clinic, Vile Parle, Mumbai Consultant, Pediatric Rheumatology, Nanavati Max, Surya, Saifee Hospital, B.J.Wadia Hospital for Children, Mumbai Study in focus 1: Baricitinib in auto-inflammatory type 1 interferonopathies Chronic atypical neutrophilic dermatosis with lipodystrophy and elevated temperature (CANDLE), stimulator of interferon genes (STING)-associated vasculopathy with onset in infancy […]
Quarter in review – Basic science
Vijaya Prasanna Parimi MD, DMConsultant, Department of Clinical Immunology & Rheumatology, ESIC Medical College and Superspeciality Hospital, Hyderabad Study in focus 1: Dendritic cells drive profibrotic inflammation and aberrant T-cell polarization in systemic sclerosis Systemic sclerosis (SSc) is a complex multifaceted autoimmune disease, characterized by obliterative vasculopathy and fibrosis of the skin and internal organs. […]