::Departments : Super Specialities : Rheumatology
Medical
History of the department
 
The Rheumatology services of Govt General Hospital and Madras Medical College were started under the aegis of Dept of Medicine. The wards of General medicine were utilized to treat rheumatological patients. Initially the department was functioning during 1972, under the Chief ship of Prof. K. Ramachandra, the then Professor of Medicine. A full fledged department with 2 Assistant Professors, 2 Staff nurses and 1 technician was established during the tenure of Prof A. L. Annamalai and latter functioned under  Prof .K V Thiruvenkadam .A separate department of Rheumatology was created by the Government of Tamilnadu with the sanctioning of a post of reader. Subsequently the department was upgraded into full fledged centre of excellence with all teaching, research, and patient care facilities with 30 beds. The department was first of its kind in the entire nation to function under an independent Professor of Rheumatology under Professor A.N.Chandrasekaran, while in the rest of the country the rheumatology services were under the control of Professor of Medicine.
 
This is the only department offering   D.M. post   Doctoral Degree course in Rheumatology in the entire nation since 1991. Four D. M seats are available since 2010 and are approved by the Medical Council of India. This super speciality course proved to be pioneer in rheumatological training in the entire country. D.M course is affiliated to Dr. M.G.R. Medical University. Every year 4 qualified rheumatologists are going out to meet the ever growing demands of the vast populace of this glorious state of Tamilnadu. It is of great pride that PhD in rheumatology affliated to Dr. M. G.R. Medical University was initially started only in the department in the year 1992. Since then four PhD students have received their degree.
The department was functioning until 2004 in the library block. After the blocks, the department is functioning in the 6th floor of the Tower Block I. Independent  male and female wards are   functioning in wards 166 and 161 respectively catering to the needs of patients from all over the state as a tertiary referral care centre for rheumatology. The department at present is equipped with a Professor and HOD and 3 Assistant Professors, one additional professor of immunology, an assistant professor of immunology, nursing staffs, laboratory staffs, paramedical personnel, social worker, record clerk, artist cum photographer, nursing assistants and ward attendants in both regular and contract basis.
The immunology lab is offering tissue typing and facilities to the needy patients enabling the cadaveric renal and other transplant programs to function smoothly cross match.  A wide range of immunological investigations are being done.
 
 
 
                                                                    
Milestones in the evolution of the Department:
 
 
  • 26.02.1971 – DME Approval for Rheumatic care Unit
                       Prof.K.Ramachandra – In charge
 
  • 10.01.1972 - Out patient Department starts functioning.
  • 1.02.1973 – physiotherapy wing established.
  • 1.12.1974 – Prof.A.L.Annamalai took over as HOD.
  • 1.07.1976 – Prof.K.V.Thiruvenkadam took over as  HOD
  • 22.11.1978 – Prof.A.N.Chandrasekaran appointed as reader.
  • 1.09.1991 – D.M.Rheumatology Post Doctoral Degree course started with sanction of 2 post graduates.
  • August 2010 – No.of D.M.seats increased to 4.
 
 
   
                    
 
 
 
 
 
 
 
 
 
 
 
                                                                                    
 
 
 
 
 
 
 
 
                                 
 
Academic activities
Type of course:   Medical
Name of the Course Offered: DM Rheumatology- Super Speciality
Eligibility: MD (General medicine), MD (Pediatrics)
Course duration: Three years
Sanctioned number of seats:  Four seats from the academic year 2010-2011
Affiliated university:  Tamil nadu Dr MGR Medical University
Selection procedure:  Entrance examination
 
University examination details:
Theory Examination
                DM rheumatology branch IX    - Paper I (at the end of 2 years)
                                                                     - Paper-II, III and IV (at the end of 3 years)
 Dissertation, clinical and viva voice -   at the end of 3 years.         
 
Periodic academic activities held in the department:
  Monday (2 to 3 pm) -       Basic Sciences and Immunology
 Wednesday (2 to 3 pm) - Journal Club
Thursday (12:30 noon to 1 pm) - Quiz programme                            
 Friday (2 to 3 pm)-              clinical case discussion
 
 
 
 
Research
August 2008
1. Epidemiology, Clinical features and Comorbidities in gout- Dr Kirthi
2. A study on neuropsychiatric lupus patients – Dr seeralaboopathy
August 2009
1. Comparative study of imaging of sacroilitis by CT and MRI scan with power Doppler ultrasound in spondyloarthrophies-  Dr Samikrishnan
2. Study of cardiovascular manifestations in lupus patients- Dr Jaganathan
 
August 2010
1. Endothelial dysfunction in SLE – Dr S.Rajesh
2. Ocular manifestations of SLE and SLE with APS Dr.JRS. Vijaybabu
August 2011
1. Evaluation of macrovascular involvement in systemic sclerosis- Dr S.Pandiperumal
2. Outcome of JIA-ERA – Dr. M.Saravanan
August 2012
1. A study on cardiopulmonary manifestation in inflammatory myositis- Dr B.Senthilkumar
2. A study on clinical profile and outcome of undifferentiated spondyloarthropathies-Dr.I.Venkatesh
                  
 
 
 
 
 
 Publications:
  Publications in International Journals
 
 
     1)   Aortic dissection in a case of SLE;  
    Arulrajamurugan P.S. et al Lupus 2007
 
2)  A case of SLE with Thrombotic thrombocytopenic Purpura- A case report:       Arulrajamurugan P.S et al. International Journal of Rheumatology   2008 
 
3)  Churg-Strauss syndrome with peripheral gangrene and severe renal failure:  A case report:
     Seerala Boopathy et al. - International journal of rheumatology August 2008.
 
4)  Polyarticular Osteochondromatosis   
     Jeganathan Kandasamy et al.Journal of Clinical Rheumatology 2009;  Vol 15:3  Page   143-144
 
 
 Publications in national journals
 
 
1.       A case report of Lupoid Sclerosis –
        Rajesh S et al
       Indian Journal of Rheumatology- Vol 4, Number 4, pp174-175, Dec2009.
 
 
 
     2.       .What is your diagnosis?
      Rajesh S, Porkodi R, Sasikala J, Rukmanagtharajan S
      Indian journal of rheumatology 2009; Vol 4, Issue 4: 174-175
 
 
 
     3.      What is your diagnosis? A young woman with SLE presenting with seizures and altered   sensorium.
      Arulrajamurugan PS, Rajendran CP, Rukmangatharajan S, Rajeswari S
      Indian journal of rheumatology 2009; Vol 4, Issue 1:28-30
 
 
    4.        What is your diagnosis? Chronic myeloid leukemia
 
     Rajesh S, Porkodi R, Rukmangatharajan S
     Indian journal of rheumatology 2010; Vol 5, Issue 3: 145-146
 
 
 
 
5.      Chronic Myeloid Leukemia- Paraneoplastic vasculitis
 Rajesh S et al
              Indian Journal of Rheumatology-Vol 5, Number 3, pp145-146, - Sep2010.
 
 
6.       Infections in a rheumatology setting. chennai experience.
Porkodi Ramanathan, Ravichandran Rathinasamy.
Indian journal of rheumatology 2011; vol 6 issue1, supplement: 31-35      
 
 
7.       What is your diagnosis? A case of arthritis with tremors.
Pandiperumal Sankaranarayanan, Rukmangatharajan Sellamuthu, Rajesh Subramania pillai.
Indian journal of rheumatology 2011; vol 6 issue2: 91-92
 
 
Prizes and award constituted by the department
Shri Jaigopal Garodia Agarwal Gold Medal Examination for final MBBS students (City Medical Colleges)
2010- T.C. Vivek Sandeep (Madras medical college)
2011- N.Prem Anand (Madras medical college)
2012- R.Vidyasagar (Madras medical college)        
 
 
Prizes and awards won
 
Prof K.Ramachandra Gold Medal Examination for final MD (General Medicine and Geriatric) students
2010- Dr. Harsha vardhan (Madras medical college)
2011- Dr Patil Devendra (Stanley medical college)
2012- Dr S. Suresh kumar (Madras medical college)
 
CMEs, Workshops conferences conducted by the department
 
 Activities during 2009
 October 12th – world arthritis day observed
October 20th – world osteoporosis day observed
 
 
 
Activities during 2010
 
October 12thworld arthritis day was observed to promote awareness about arthritis among health care personnel and public patient awareness programme conducted. A CME on Crystal arthropathy was organised and Professor Dr.R.Porkodi delivered her oration on that day. The CME was well attended by MBBS, MD, DM students and paramedical students of MMC and RGGGH.
October 20thworld osteoporosis day was observed. Patients and common public were screened for osteoporosis. An osteoporosis camp to increase awareness of osteoporosis was organised and group discussions, visual charts, vegetables and other cereals emphasising their nutritional value and their impact on healing osteoporosis was emphasised. Treatment advice was given for common people with osteoporosis.
                                         
 
 Activities during 2011
 
October 12th – world arthritis day was observed. A campaign was organised to promote awareness about arthritis. Charts, posters, visual displays of the impact of arthritis on the quality of life were displayed in the seminar hall. Group discussion to promote the social, physical and psychological well being of the individual inflicted with arthritis was arranged and the importance of organising patient support groups was emphasised by the Dean and professors on eve of the inaugural ceremony of function. A CME on “what is new in osteoarthritis” was organised and speech on this topic was delivered by Prof. S.K.Das from lucknow.
 
October 20th – world osteoporosis day was observed.  A mass screening for students, medical, paramedical staff and other health care providers was arranged besides a well organised screening camp for osteoporosis for inpatients as well as outpatients of the day. Group discussions, healthy living, nutritive influence on osteoporosis, charts depicting the nutritive value of various commonly used vegetables and cereals were displayed and was well appreciated by all. Free anti osteoporotic drugs were distributed.
Activities during 2012
In commemoration of uninterrupted four decades of service of this department, we organised a special meeting on 9th January. The function was attended by the honourable  minister for health and family welfare Dr V. S. Vijay M.S. ortho, Director of medical education , Dean, Vice principal, professor A.N. Chandrasekaran,  the father of modern rheumatology, eminent retired professors, teachers  and various others staffs of this hospital. A souvenir to mark the glorious occasion was released by the honourable health minister.  A booklet in tamil “some of the joint diseases and their explanation” was released by the director of medical education on behalf of the department. Awards and rewards were distributed to all the members of the department present and past for their meritorious and dedicated yeoman service to the poor and needy.  Cultural programmes were conducted to entertain patient, public and health care providers.
For the first time in the history of rheumatology, lupus day was organised on May 10th to promote public awareness of this society embarrassing health care problem. Patient awareness campaign was conducted and expert interaction with common public providing answers and clearing their doubts. Lupus day celebration was well attended by all. Souvenirs for lupus patients, umbrella, sun screen lotions, anti osteoporosis medications and hand bills containing lupus information were distributed free of cost. The function was attended by Dean, vice principal, professor and nursing personnel. Two sessions of CME were arranged. Prof.G.Narasimalu from Hyderabad spoke on “Approach to SLE and vasculitis” and Prof Joy Philip from Trivandrum spoke on “5 mistakes in dealing with SLE and how to avoid them”.
 
On October 12th world arthritis day was observed, Dr. Binoy Paul, eminent and leading rheumatologist from Calicut delivered a lecture on “Crystal arthritis- past, present and future “for the benefit of post graduates. A programme called “meet the experts” was arranged to address the public.
On October 20th world osteoporosis day is universally celebrated. To mark the occasion, the department organised an osteoporosis screening camp on 22nd October, screening was done for patients with rheumatologic and medical illness. Separate osteoporosis screening camps were conducted for medical, paramedical and staff. Discussion and nutritional advice were rendered. During inaugural ceremony the Dean emphasised the necessity to prevent osteoporosis by adequate sun exposure and physical activity promotion. Media projection for raising awareness levels for anticipating and detecting osteoporosis was addressed by Dean and Vice principal and the head of department. This was well covered by press, television and medical news print. A seminar on “medical management of osteoporosis” was conducted and guest lecture was delivered by eminent city endocrionologist from Chennai-Dr Shriram Mahadevan. The highlight of the speech was that it was delivered in a manner uprising the needs of medical fraternity and common man simultaneously.
 
A Workshop on indirect immunofluorescence and pattern identification was arranged on 26-09-2012 in the department and was attended by 40 participants including the faculty, DM rheumatology postgraduates and MD microbiology post graduates.
 
2010- Annual Indian rheumatology association conference was conducted in Lucknow and was attended by faculty members and post graduates.
2011 – Annual Indian rheumatology association conference was conducted in vellore and was attended by faculty members and postgraduates.
2012- Annual Indian rheumatology association conference was conducted in Ahmedabad and was attended by faculty members and postgraduates.
 
 Department library details
Journals (online and print)
Internet facility available with access to rheumatology journals (all rheumatology journals) through knowledgegenie.com.
Clinics of north America- mayo clinic on major diseases.
Indian journal of rheumatology
Lupus
Arthritis and rheumatism
Annals of rheumatic diseases
Oxford journal of rheumatology
Journal of associations of physicians of India
Current opinion in rheumatology
 
 
 
Books
 
  1. Text book of rheumatology- Kelly old and latest editions
  2. Rheumatology by Hochberg – old and latest editions
  3. Duboi’s text book on SLE
  4. Cassidy’s text book of pediatric rheumatology
  5. Oxford text book of rheumatology – 2nd edition
  6. Atlas of  clinical rheumatology
  7. Immunology – by kuby
  8. Radiology – arthritis in black and white
 
Services offered
No of units in the department: 1
Op days and timings: Monday to Saturday 8 to 10am
IP unit and admission days:  Monday to Saturday
Bed strength: male ward- (166) - 20 beds
                          Female ward – (161) - 16 beds
Average op-   new cases- 6985 cases per annum, old cases- 74,854 cases per annum
Average IP-    male ward- 549 admissions per annum, female ward- 748 admissions per annum
Special clinics conducted by the department
      Lupus clinic: Wednesdays 10 am to 1 pm
List of Laboratory tests performed :
 
 
Average laboratory statistics :
 
 
 
   S.No.              Name  of  the  Test            No.
1. Sugar          2806
2. Urea            703
3. Creatinine          6323
4. SGOT          4986
5. SGPT          5343
6. Alkaline  phosphatase          1428
7. Bilirubin            589
8. Cholesterol          1151
9. Triglycerides            862
10. Uric Acid          1902
11. Protein            237
12. Albumin            213
13. Calcium              44
14. Phosphorous              33
15. LDH            318
16. CPK            131
17. Cryoglobulin            279
18. Urine            975
                                                              Total                                                       28408
 
                                                                                          
 
 
Investigation January February March April May June July August September October November December
RF 196 249 318 222 261 203 166 227 258 220 177 210
CRP 331 471 422 377 394 288 343 438 322 381 281 389
ASO 69 111 99 75 55 46 52 83 32 79 39 94
ANA 42 106 72 45 59 65 64 82 48 76 49 76
ACL 40 120 93 70 60 69 83 75 81 70 18 42
DsDNA 6 10 4 4 23 23 18 14 24 23 19 2
P ANCA - - - - - - - - - - - 3
C ANCA - - - - - - - - - - - 3
ANTI CCP - - - - - - - - 9 22 8 13
C3 - - - - - - - - 1 - - -
C4 - - - - - - - - 1 - - -
ENA profile - - - - - - - - - 1 - 1
HLA B 27 - - - 1 4 5 3 8 3 - - 3
HLATYPING - - - 6 4 1 2 4 2 - - -
ELECTIVE CROSS MATCH - - - 3 2 1 3 2 2 - - -
CADAVER CROSS  MATCH 2 - - 2 - 10 27 10 - 24 - 6
TOTAL 686 1067 1008 805 862 711 761 943 783 896 581 833
 
 
 
 
 
 
INVESTIGATION JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER
SUGAR 185 284 183 200 268 149 188 247 190 144 176 148
UREA 119 139 96 76 105 93 72 127 137 124 84 72
CREATININE 393 489 419 384 471 382 439 450 365 349 311 313
SGOT 390 379 320 269 330 297 358 339 309 273 252 267
SGPT 335 431 316 284 498 360 401 369 313 318 260 265
S.ALKALINE PHOSPHATASE 54 83 57 31 48 60 69 77 115 67 46 25
BILIRUBIN 33 48 40 24 30 52 63 62 73 35 30 16
CHOLESTEROL 71 61 54 55 98 68 108 90 76 54 42 58
TRIGLYCERIDES 72 61 56 55 98 73 108 90 76 52 33 58
URIC ACID 86 154 112 102 135 102 112 89 94 84 74 99
TOTAL PROTEIN 27 42 30 31 28 17 20 8 22 14 24 10
ALBUMIN 28 37 20 25 34 22 26 8 25 17 24 9
LDH 16 21 15 9 21 9 25 25 18 18 8 21
CPK 17 23 14 9 23 11 25 23 18 10 5 21
CRYOGLOBULIN 7 23 12 16 16 12 11 26 7 18 4 26
24 HRS URINE/PCR 69 21 46 34 24 27 26 19 45 26 23 24
URINE  FOR MPS - 1 - - - - - - - - - -
TOTAL 1822 2296 1790 1604 2227 1734 2051 2049 1883 1603 1376 1432
 
 
 
 
INVESTIGATIONS JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER
HAEMOGLOBIN 370 513 445 396 425 374 404 471 340 361 326 350
ESR 423 533 512 440 462 405 462 534 384 401 381 408
TLC 328 401 371 334 363 300 351 433 300 290 281 287
DLC 328 401 371 334 363 300 351 433 300 290 281 287
PLATELET 328 401 371 334 363 300 351 433 300 290 281 287
URINE ANALYSIS
(ALBUMIN,SUGAR, DEPOSITS
124 139 110 121 130 106 127 113 130 125 100 87
TOTAL 1901 2388 2180 1959 2106 1785 2046 2417 1754 1754 1650 1706
 
 
 
 
 
 
MONTH HAEMATOLOGY IMMUNOLOGY BIOCHEMISTRY TOTAL
JANUARY 1901 686 1822 4409
FEBRUARY 2388 1067 2296 5751
MARCH 2180 1008 1790 4978
APRIL 1959 805 1604 4368
MAY 2106 862 2227 5195
JUNE 1785 711 1734 4230
JULY 2046 761 2051 4858
AUGUST 2417 943 2049 5409
SEPTEMBER 1754 783 1883 4420
OCTOBER 1754 896 1603 4253
NOVEMBER 1650 581 1376 3607
DECEMBER 1706 833 1432 3971
 
TOTAL
 
23646
 
9936
 
21867
 
55449
 
 
 

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