1. Lupus Program

   KASCH's lupus program provides dedicated, team-based pediatric care within the Division of Rheumatology. Through the Lupus Program, specialized professionals at KASCH can help families overcome challenges related to their child's medical care and better navigate the healthcare system. We treat children and teens with:
• Pediatric Lupus
• Mixed connective tissue disease (MCTD)
• Lupus-overlap syndromes
  
2. Uveitis Coordinated Care Clinic

   Uveitis causes inflammation and can be a potential cause of visual loss in not treated well.

   In the Uveitis Coordinated Care Clinic, experts from the Division of Rheumatology and the Department of Ophthalmology collaborate with each other and the family. This has multiple benefits, including:
   • First determine the cause of patient’ eye inflammation, which is often secondary to underlying autoimmune condition such as Juvenile idiopathic arthritis.
     
   • Streamlining treatment decisions between providers.
     
   • The potential to produce better visual outcomes.
     
3. Immune Dysregulation Program

   Inborn errors of immunity are genetic disorders that can appear in various ways in kids, from being more likely to get sick to have a dysfunctional immune system. That can cause hyperinflammation, multiple autoimmune phenomena, lymphoproliferation, and cancer.

   It can be hard to make a correct diagnosis with more than 350 different types of immune disorders. Immune Dysregulation Program at KASCH brings together experts in immunology, rheumatology, hemato-oncology, genetics, and other fields who know how to diagnose and treat rare diseases.
   

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4. Transition care to adult rheumatology

   The health care transition is moving from a child/family-centered to an adult/patient-centered health care model.

   Transition care in rheumatology will support our goal of providing patient-centered care and optimal health care that is medically and developmentally appropriate.

   Project Summary:
1. To provide high quality, coordinated, uninterrupted healthcare.
   
2. It will be patient-centered, age and developmentally appropriate, responsive and comprehensive.
   
3. It will promote adolescent’s skills in communication, decision-making, self-care, self-determination and self-advocacy.
   
4. It will enhance sense of control and interdependence in healthcare.
   
5. Looking To maximize patients’ life-long functioning and disease control.
   
6. To support the parent(s)/guardian of the adolescents during transition and transfer to adult services.
   

   
   

Pediatric Rheumatology Research

• Temporomandibular joint involvement in children with juvenile idiopathic arthritis: A single tertiary-center experience. Jubran T. Alqanatish, Banan S. Alrewaithi, Wafaa M. Alsewairi, Altaf H. Khan, Mohammed J. Alsalman, Abdulrhman A. Alrasheed. Saudi Med J 2021; Vol. 42 (4)
• Down Syndrome from A to Z “Book in Arabic". Dafer Alqahtani,Jubran Alqanatish,Abdulabagi Alsabie.Takween Publisher 2021
• SARS-CoV-2 Infection in Children, Clinical Characteristics, Diagnostic Findings and Therapeutic Interventions at a Tertiary Care Center in Riyadh, Saudi Arabia. Alharbi M, Kazzaz YM, Hameed T, Alqanatish J, Alkhalaf H, Alsadoon A, Alayed M, Hussien SA, Al Shaalan M, Al Johani SM. Journal of Infection and Public Health. 2021 Jan 14.
• Juvenile hemochromatosis: Rheumatic manifestations of 2 sisters responding to deferasirox treatment and literature review. Jubran Alqanatish, Banan Alsowailmi, Haneen Alfarhan, Albandari Alhamzah, Talal Alharbi. Open Access Rheumatology: Research and Reviews. 2021;13:15.
• Pancytopenia, Recurrent Infection, Poor Wound Healing, Heterotopia of the Brain Probably Associated with a Candidate Novel de Novo CDC42 Gene Defect: Expanding the Molecular and Phenotypic Spectrum Abdulaziz Asiri , Deemah Alwadaani , Muhammad Umair , Kheloud M. Alhamoudi , Mohammed H. Almuhanna , Abdul Nasir , Bahauddeen M. Alrfaei , Abeer Al Tuwaijri , Tlili Barhoumi , Yusra Alyafee , Bader Almuzzaini , Mohammed Aldrees , Mariam Ballow , Latifah Alayyar , Abdulkareem Al Abdulrahman , Yazeid Alhaidan , Nahlah Al Ghasham, Sulaiman Al-Ajaji, Mohammad Alsalamah , Wafa Al Suwairi and Majid Alfadhel. Genes 2021, 12, 294.

Pediatric Rheumatology Fellowship Program

Pediatric Rheumatology Fellowship Training Program at King Abdullah Specialized Children Hospital, King Abdulaziz Medical City, Ministry of National Guard will be a two year program planned to start 2017-2018.The program will provide a comprehensive training of clinical and non-clinical aspects of inflammatory, non - inflammatory connective tissue disorders, Auto inflammatory syndromes, Pain disorders, and orphan diseases. The unique part of the fellowship program is that fellows will have an excellent exposure to different autoimmune, autoinflammatory and non-inflammatory cases which range from simple general rheumatology to advanced complex cases. Fellows will have 4 months rotation outside our center to have more exposure to cases and different experts opinion

Team Structure:

1. Medical Expert
2. Communicator
3. Collaborator
4. Leader
5. Health Advocate
6. Scholar

Training Period:

Year 1

Year 2

Program Capacity:

Pediatric Rheumatology Fellowship Program is a 2-year training program with various rotations. Each year there will be 2 new fellows and existing 2 fellows with total of 4 fellows.

Program Schedule/rotations:

During the 1^st year, trainees will undergo:

• Eight months rotation in the ER, inpatient, outpatient and consultation.
• One month in Immunology (2weeks) and Immunopathology (2weeks).
• One month in Radiolology (musculo-skeletal) – reading simple X-rays, ideas about MRI and Ultrasound
• One month elective rotation of their choice
• One month vacation

• Eight months in the ER, inpatient, outpatient and consultataion, 4 months among them will be taken in other tertiary hospitals in Riyadh
• One in the Rehabilitaion (Physiotherapy)
• One month elective rotations
• One month in Adult Rheumatology
• One month vacation
  

Pediatric Rheumatology Clinical Care Outcomes

1. Referral system: 90-100 % success of booking refereed patients to clinic within 4 weeks.
   

2. Successful transition and transfer of patients to adult care service.
   

Pediatric Rheumatology Education and Training

Rheumatology community, Family medicine and Primary health care education

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Pediatric Rheumatology Leadership