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.
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.
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
- Osteoporosis Clinic
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
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.
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.
These are common problems often related to workplace and home ergonomics.
These may lead to fragility fractures of the hip and spine in postmenopausal women and the elderly.
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
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
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.
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