Tan Tock Seng Hospital
Tel: 6357 7822
Fax: 6357 7837
Department Head
Dr Thong Yu Hor, Bernard
Rheumatology, Allergy, and
Immunology Centre
Basement 1, Clinic B1B
TTSH Medical Centre
11 Jalan Tan Tock Seng
Singapore 308433
Tel: 6357 8004/6357 8005
Tel (GP Referrals): 6357 8382
Fax: 6357 8673
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Monday to Friday:
Saturday:
Sunday & Public Holiday: |
8am to 5.30pm
8am to 12.30pm
Closed |
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Clinical Immunology Laboratory (link)
Level 2, Tan Tock Seng Hospital
11 Jalan Tan Tock Seng
Singapore 308433
Tel: 6357 8462/ 6357 8464
Fax: 6357 8463
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Monday to Friday:
Saturday:
Sunday & Public Holiday: |
8am to 5.30pm
8am to 12.30pm
Closed |
| |
|
Appointment Lines
Direct Clinic Appointment Lines
Tel: 6357 8004/ 6357 8005
Tel (GP Referrals): 6357 8382
|
The Department of Rheumatology, Allergy & Immunology started as the Department of Medicine IV focusing on respiratory disorders and internal medicine. After Prof Feng Pao Hsii, currently the Department’s Emeritus Consultant, took over headship in 1979, the emphasis on management of rheumatic diseases gradually increased. The Department soon became the main referral centre for rheumatic diseases in Singapore. Thus, in August 1995, it was renamed the Department of Rheumatology & Immunology. A new subsubspecialty service, Clinical Immunology / Allergy (CIA) was added in 1988 upon the return of Prof Chng Hiok Hee from her HMDP training. The growth of this new service led to yet another name change to reflect the clinical services provided by the Department. On 1 January 2001, the Department was renamed Department of Rheumatology, Allergy & Immunology (RAI).
The Department presently has 4 senior consultants, 4 consultants, 1 associate consultant and 3 registrars. They are supported by 2 clinical immunology/allergy and 2 rheumatology nurse clinicians
What We Do
The Department of Rheumatology, Allergy and Immunology is a referral centre for patients with rheumatologic and allergic disorders in Singapore and the region. Our doctors manage over 30,000 outpatient attendances including more than 2,000 new referrals each year. The department is a leader in undergraduate and postgraduate training as well as research in Rheumatology and Clinical Immunology /Allergy.
Rheumatology Services
Rheumatologic disorders affect the muscles, bones and joints. Some of these disorders may affect major organ systems like the kidneys, nerves, heart and lungs.
Arthritis
Arthritis is one of the most common rheumatologic disorders seen at our centre. These include rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, osteoarthritis, gout and infective arthritis.
Connective Tissue Diseases
Systemic lupus erythematosus (SLE) is the most common disorder in this category that we manage. Others include anti-phospholipid syndrome (APS), Sjogren’s syndrome, scleroderma, dermatomyositis/polymyositis and systemic vasculitides.
Myofascial pain/soft tissue rheumatism
These are common problems often related to workplace and home ergonomics.
Osteoporosis and metabolic bone diseases
These may lead to fragility fractures of the hip and spine in postmenopausal women and the elderly.
Rheumatology Clinics
New patients may be referred to:
Consultant’s Personal Clinic - All named or private referrals may be made to any of our consultant rheumatologists.
General New Case Clinic - Referrals for any suspected rheumatic disease.
Urgent New Case Clinic - Referrals that need attention within 1-2 weeks.
Osteoporosis Clinic - Referrals for established osteoporosis as shown on bone mass density imaging (DEXA scan) of the hip and lumbar spine with/without fragility fractures.
Stable patients are internally referred by our rheumatologists for continuing care to the following clinics:
Lupus Clinic
Rheumatoid Arthritis Clinic
Spondyloarthropathy Clinic
Connective Tissue Disease Clinic
Mixed Connective Tissue Disease/Scleroderma Clinic
Gout Clinic
Musculoskeletal Ultrasound Service
This is run by rheumatologists trained in musculoskeletal ultrasonography. It provides state-of-the-art diagnosis and treatment of patients with arthritis and soft tissue rheumatism.
Nailfold Video Capillaroscopy Service
Nailfold Video Capillaroscopy Service provides the assessment of the presence of microvascular alternations in autoimmune connective tissue diseases.
Day Treatment & Diagnostic Centre
This centre provides ancillary outpatient services including:
intravenous cyclophosphamide infusion.
infusion of biologic agents for refractory arthritis.
minor procedures, example: minor salivary gland biopsy, soft tissue and joint aspirations/injections.
Where appropriate, patients are referred to the following services available within TTSH:
Disease-specific education programme/group therapy run by Rheumatology Nurse Clinicians.
Physiotherapy.
Occupational therapy.
Podiatry.
Orthopaedic surgery.
Acupuncture service.
Pain Clinic.
Clinical Immunology/Allergy Services
We evaluate and manage older children and adult patients with the following conditions:
Airway allergy.
Allergic rhinosinusitis/conjunctivitis.
Asthma.
Anaphylaxis.
Atopic dermatitis/eczema syndrome.
Drug allergy.
Food allergy and intolerance.
Insect venom allergy.
Urticaria and angioedema.
Primary immunodeficiency diseases.
Clinical Immunology Allergy(CIA) Clinics
New patients may be referred to:
Consultant’s Personal Clinic.
All named or private referrals may be made to any of our consultant clinical immunologist/allergists.
CIA New Case Clinic.
These are for unnamed referrals.
Drug Allergy Clinic.
Referrals for evaluation and management of drug allergies.
Day Treatment & Diagnostic Centre
The following diagnostic and therapeutic services are available:
Skin tests for allergens (e.g. drug, food, insect, aeroallergens).
Rhinolaryngoscopy.
Provocation/challenge tests (e.g. to food, drug).
Drug desensitisation.
Specific immunotherapy (for insect venom allergy, allergic rhinitis and asthma).
Monthly intravenous immunoglobulin replacement (for antibody deficiency).
Education and counselling is provided by the Clinical Immunology/Allergy Nurse Clinician. These include allergen avoidance, emergency management of anaphylaxis (including epinephrine autoinjector use), use of inhalers and skin care for atopic dermatitis.
Clinical Immunology Laboratory
Our Clinical Immunology Laboratory provides diagnostic tests for rheumatologic, immunologic and allergic diseases. These include autoantibody tests, serological tests for syphilis, HLA-B27, total and specific IgE to various aeroallergens and food allergens. It is accredited by the College of American Pathologists (CAP) and United Kingdom National External Quality Assessment Schemes (UK NEQAS).
Immunology Research Laboratory
This laboratory is funded through research grants from National Medical Research Council (NMRC), Biomedical Research Council (BMRC) and other smaller funding sources. Our main research interests are SLE, rheumatoid arthritis and drug allergy.
 | Name :
Thong Yu Hor, Bernard Designation :
Head & Consultant Credentials :
MBBS, MRCP (UK), FAMS Subspeciality :
Rheumatology, Clinical Immunology & Allergy |
 | Name :
Clin Prof Chng Hiok Hee Designation :
Senior Consultant Credentials :
MBBS, MMed (Int Med), FRCP (Glasg), FAMS Subspeciality :
Rheumatology, Clinical Immunology & Allergy |
| |
 | Name :
Howe Hwee Siew Designation :
Senior Consultant Credentials :
MBBS, MMed (Int Med), FAMS Subspeciality :
Rheumatology |
 | Name :
Koh Ee Tzun Designation :
Senior Consultant Credentials :
MBBS, MMed (Int Med), MRCP (UK), FAMS Subspeciality :
Rheumatology |
| |
 | Name :
Leong Khai Pang Designation :
Senior Consultant Credentials :
MBBS, FRCPE, FAMS Subspeciality :
Rheumatology, Clinical Immunology & Allergy |
 | Name :
Lian Tsui Yee Designation :
Consultant Credentials :
MBBS, MRCP (UK), FAMS Subspeciality :
Rheumatology |
| |
 | Name :
Kong Kok Ooi Designation :
Consultant Credentials :
MBBS, MRCP (UK), FAMS Subspeciality :
Rheumatology |
 | Name :
Law Weng Giap Designation :
Consultant Credentials :
MBBSHons (Sydney), MRCP (UK), FAMS Subspeciality :
Rheumatology |
| |
 | Name :
Yong Wern Hui Designation :
Associate Consultant Credentials :
MBBS, MRCP (UK) Subspeciality :
Rheumatology |
 | Name :
Chia Li Ann, Faith Designation :
Registrar Credentials :
MBBS, MRCP (UK) |
| |
 | Name :
Tan Wei Lyn, Justina Designation :
Registrar Credentials :
MBBS, MRCP (UK) |
 | Name :
Chan Yin Lai, Grace Designation :
Registrar Credentials :
MBBS, MRCP (UK) |
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