Nanisha Rheumatology Clinic

07/07/2026

Had a wonderful and interactive session on “ Scleroderma Renal Crisis” , Organised by Sir Ganga Ram Hospital .
Extremely thankful to Dr Ved Chaturvedi , Dr Neeraj Jain , Dr Manjari and Dr Lalit Duggal .
Important points to remember:
1) Prophylactic use of ACE inhibitors is not warranted
2) At the time of crisis : ACE inhibitors, CCB and sometimes plasmapheresis help..
3) Use of Eculizumab may be warranted in some .

22/05/2026

It was an honour and pleasure to be a part of this wonderful colloquium being organised by ARDF .

Extremely thankful to Dr Rohini Handa Sir and Dr SJ Gupta Sir.

Disussed about POTS ( Postural Orthostatic Tachycardia Syndrome) .
# Recent increase post COVID
# Symptoms mimic Various Rheumatological disorders
# esp Raynauds , Rashes, fatigue, myalgia
# Raised autoantibody in low titres though

So think twice before labelling or diagnosing a pt based simply on autoantibodies.

18/03/2026

It was an honour to be part of WRF 2026, World Rheumatology Forum, Raipur.

Extremely thankful to Dr Arun Kedia, Dr Sham and Dr Vinod Ravindran for making me a part of this wonderful meeting .

Got an opportunity to judge unusual cases .

1) Choosing the right biological agent in case of underlying colon inflammation
2) One autoimmune disease can change into other other autoimmune disorder over a period . Always keep reviewing the diagnosis in case of suboptimal response .
3) TB should never be missed
4) Role of Guselkumab - the new biological agent for psoriatic Arthritis

14/03/2026

https://youtu.be/0S3Ib6jlU4I?si=X-QKhCyb9DvjIDgQ

Steroids are powerful anti-inflammatory medications that help reduce swelling, pain, and joint damage in arthritis.They suppress the immune system to reduce ...

01/03/2026

Going back to the place , ( University college of Medical Sciences , GTB, Shahadra, )where once I went as a student to give my final MD Medicine exams in 2011, was pure nostalgia.

Extremely delighted and honoured to be invited as a speaker .

Thanks a lot Dr Anshuman for the kind invitation and mini reunion which I will cherish for long .

Spoke on “ MCTD - Mixed Connective Tissue Disorder - Diagnostic Challenges and Management Principles” .

We had an interactive session where students disussed about
1) ANA
2) U1 RNP
3) Differnces between UCTD , MCTD and overlap CTDs

01/03/2026

https://youtu.be/X8EEknKN4AM?si=0QpdSBMtZEw5RVsJ

बच्चों में गठिया (Juvenile Arthritis) बच्चों में गठिया एक ऐसी बीमारी है जिसमें बच्चों के जोड़ों में सूजन, दर्द और अकड़न हो जाती .....

27/02/2026

27/02/2026

It was an honour and privilege to be on podium
And talk about “ Emerging therapies in GOUT”. In Annual Delhi Rheumatology Association update

Extremely thankful to Dr Sundeep Upadhyaya and Dr Neeraj Jain for this wonderful opportunity where I read and tried my best to convey few useful points .

# Newer Uricosuric drugs like Dotinurad and Verinurad ( URAT1 inhibitor ) seem useful esp in following scenarios
1) In CKD state 3 and 4 , where other drugs are contraindicated.
2) Improve cardio metabolic functions ( by not inhibiting ABCG2 transporter, which is partially inhibited by febuxostat) . ABCG2 has role in excreting Indoxyl compunds which if accumulated in blood leads to risk of cardiovascular events.
3) Anti inflammatory property
4) Approved in Japan in 2020, and China in 2025
5) Available in India only for research

17/02/2026

A pleasant and enriching experience with our fellow orthopedicians .

Honoured to be part of DOACON 2025, Annual Conference of Delhi Orthopaedic Association..

Had an opportunity to discuss “ Early diagnosis of Inflammatory Arthritis “

Had a great Panel discussion on various interesting topics .

Take home :
1) Treatment Is always customised .
2) Never undermine importance of clinical examination and history
3) Skin and eye also give clue to underlying systemic disease

10/02/2026