Home Department Rheumatology
KG Hospital's Rheumatology department offers expert diagnosis, biologic and JAK inhibitor therapies, joint injections, and long-term disease management for the full spectrum of inflammatory arthritis and autoimmune disease — helping you achieve and sustain remission.
Rheumatic diseases involve joints, skin, kidneys, lungs, eyes, and the nervous system simultaneously. A rheumatologist holds the DM Rheumatology degree — super-specialist training enabling accurate diagnosis and access to advanced therapies including biologics that GPs and orthopaedic surgeons do not prescribe.
At KG Hospital Coimbatore our Rheumatology team works within a multidisciplinary framework — with Nephrology for lupus nephritis, Dermatology for psoriatic arthritis, and Ophthalmology for uveitis.
Seek a review if you have persistent joint pain or swelling for >6 weeks, morning stiffness >30 minutes, positive ANA/RF/anti-CCP, a rash with joint pain, recurrent mouth ulcers, or unexplained fatigue with musculoskeletal symptoms.
Autoimmune joint disease causing synovial inflammation, erosion, and disability. Early DMARDs and biologics achieve remission in most patients.
Multi-organ autoimmune disease affecting skin, kidneys, joints, and brain. Careful monitoring and organ-specific immunosuppression are essential.
Inflammatory spinal disease causing progressive stiffness. Early biologic therapy prevents fusion and preserves full mobility.
Affects peripheral joints, entheses, and spine in up to 30% of psoriasis patients. Requires combined Rheumatology–Dermatology management.
Uric acid crystal deposition causing severe acute attacks. Managed with urate-lowering therapy and dietary modification after the acute phase.
Autoimmune exocrine gland disease causing dry eyes and mouth. Can involve kidneys, lungs, and nerves in systemic forms.
Inflammation of blood vessels — ANCA-associated vasculitis, giant cell arteritis. Managed with high-dose steroids, cyclophosphamide, or rituximab.
Autoimmune muscle inflammation — polymyositis, dermatomyositis. Treated with steroids, methotrexate, and IVIG where required.
Dedicated weekly clinic for complex multi-organ disease — lupus, vasculitis, antiphospholipid syndrome, and undifferentiated connective tissue disease.
Dedicated infusion suite for IV biologics — rituximab, tocilizumab, abatacept, cyclophosphamide, and IVIG with nursing supervision.
Fast-track assessment within 2 weeks. Early treatment of inflammatory arthritis prevents joint damage, disability, and systemic complications.
Real-time assessment of synovitis, effusions, and erosions. US-guided joint injections for precise needle placement.
Coordinated nephrology–rheumatology review — monthly urinalysis, creatinine, complement, anti-dsDNA, and renal biopsy when indicated.
Structured urate-lowering therapy, dietary counselling, serum uric acid monitoring, and aspiration of tophaceous deposits.
Biologic DMARDs (bDMARDs) and targeted synthetic DMARDs (tsDMARDs) have transformed rheumatology — enabling remission in conditions that previously caused relentless disability. KG Hospital provides a full biologic formulary supervised by our DM Rheumatologist.
TNF inhibitors block a key pro-inflammatory cytokine with 20+ years of safety data. Used for RA, ankylosing spondylitis, psoriatic arthritis, and uveitis when conventional DMARDs (methotrexate) are insufficient. Biosimilars are available reducing cost significantly.
Tocilizumab blocks the IL-6 receptor, a key driver of systemic inflammation and acute-phase response. Highly effective for RA when TNF inhibitors fail, giant cell arteritis (steroid-sparing), and adult-onset Still's disease.
JAK inhibitors are oral small molecules blocking intracellular JAK/STAT pathways driving autoimmune inflammation. Approved for RA, PsA, AS, and alopecia areata. Once- or twice-daily tablets — preferred when injections are not feasible or biologic therapy has failed.
Rituximab (anti-CD20 B-cell depletion) is used for ANCA-associated vasculitis, refractory RA, and severe lupus nephritis. Belimumab (anti-BLYS) is the only lupus-specific biologic — reducing disease activity, flares, and nephritis relapses. Both available at KG Hospital's infusion suite.
KG Hospital's rheumatology team performs diagnostic and therapeutic joint procedures using ultrasound guidance for precision and patient safety.
KG Hospital's NABL-accredited laboratory processes all rheumatology autoimmune panels in-house with same-day reporting for urgent cases and specialist interpretation by our rheumatologist.
| Test | What It Detects | Used For |
|---|---|---|
| ANA (Antinuclear Antibody) | Autoimmune disease screen | Lupus, Sjögren's, scleroderma, myositis |
| Anti-dsDNA | Lupus-specific antibody | SLE diagnosis & disease activity monitoring |
| RF + Anti-CCP | RA-specific markers | RA diagnosis, prognosis, treatment decisions |
| ANCA (PR3 / MPO) | Vasculitis markers | GPA, microscopic polyangiitis |
| Complement C3, C4 | Immune complex consumption | Lupus activity monitoring |
| Serum Uric Acid | Hyperuricaemia | Gout diagnosis & treatment monitoring |
| HLA-B27 | Genetic SpA marker | Ankylosing spondylitis, reactive arthritis |
| MRI Sacroiliac Joints | Bone marrow oedema | Early axial SpA before X-ray changes |
Don't wait for joints to be damaged. Early rheumatology review leads to better outcomes. No GP referral required.