Clinical Programs

Inpatient Care 

The major inpatient activity for the rheumatology team is the provision of a consultation service to the inpatient wards, the intensive care units and the emergency department. Consultation requests vary in number from week to week, totaling approximately 100 per year. Conditions typically include the evaluation of children with fever, polyarthritis, systemic symptoms and vasculitis. Occasionally, the division’s rheumatology patients are admitted to the hospital but this is an infrequent occurrence with usually not more than 50 admissions annually. 

Outpatient Care 

The main component of clinical care occurs in the ambulatory domain with a total of approximately 2,500 patient visits annually, including 350 new consultations. 

Patients are seen predominantly in two different areas: 
  • Ambulatory clinics – new consultations and return visits are seen in 10 weekly, half-day clinics 
  • Medical day unit – patients requiring intravenous infusions of biologic agents or immunosuppressive drugs  

In addition, patients may undergo technical procedures such as musculoskeletal ultrasound or intra-articular injection, usually undertaken in the ambulatory setting but occasionally also in the operating room. 

Clinical Problems and Diseases Evaluated and Followed 

Inflammatory Arthritides
  • Juvenile idiopathic arthritis (JIA)
  • Reactive arthritides including post infectious arthritis
  • Arthritis associated with inflammatory bowel disease (IBD)
  • Other arthritides
Connective tissue diseases
  • Systemic lupus erythematosus
  • Juvenile dermatomyositis (JDMS)
  • Scleroderma – localized and diffused
  • Mixed connective tissue disease and overlap syndromes
  • Raynaud’s phenomenon
  • Neonatal lupus 
Vasculitis
  • Henoch-Schonlein purpura
  • Kawasaki disease
  • Polyarteritis nodosa
  • ANCA-associated vasculitides
  • CNS vasculitis
Periodic Fever Syndromes
Back to top