The Rheumatology and Immunology Service offers a comprehensive evaluation and care for children with joint pain, unexplained fever, rash, weakness. The team approach directed by faculty rheumatologist and immunologist experienced in evaluating and managing childhood onset rheumatic and immunologic disorders including but not limited to:

• Juvenile idiopathic arthritis (JIA) and related conditions including a broad range of secondary arthritides
• Connective tissue diseases
  
  • Systemic lupus erythematosus (SLE), Mixed connective tissue disease
  • Scleroderma: localized and systemic form
  • Idiopathic inflammatory myopathies: juvenile dermatomyositis, polymyositis
• Primary and secondary systemic vasculitides: Kawasaki disease, Henoch Schonlein Purpura, Polyarteritis nodosa, Wegener’s granulomatosis, Microscopic polyangiitis, Takayasu arteritis, etc.
• Periodic fever syndrome or autoinflammatory disorder
• Secondary rheumatic disorders: leukemic arthritis, autoimmune hepatitis, etc, in conjunction with related services.
• Primary immunodeficiency (i.e. severe combined immunodeficiency, immunoglobulin deficiency, Wiskott Aldrich syndrome, Ataxia Telangiectasia, DiGeorge Syndrome, etc) and secondary immunodeficiency syndromes
  

The service operates 4 general rheumatology clinics, 2 multidisciplinary lupus clinics and one dedicated immunodeficiency clinic per week.

Rheumatology Service

• Evaluation, diagnosis and management of childhood rheumatologic diseases
• Immunosuppressive/modulator and biologics infusion therapy
• Arthrocenthesis and intra-articular injection
• In collaboration with our physical medicine & Rehabilitation department, the service offers a comprehensive physical and occupational therapy evaluation and management, orthotics and physical medicine therapy, etc
• Provides consultation in co-managing organ specific autoimmune diseases with other departments or subspecialists at KKH
• Works closely and provides educational support for the Juvenile Arthritis Support Group and Juvenile Lupus Support Group

Immunology Service

• Evaluate, diagnosis and management of immunodeficiency syndromes
• Immunoglobulin infusion therapy
• In collaboration with our hematology service – bone marrow transplantation for primary immunodeficiency syndromes