A paediatric rheumatologist is a paediatrician specialising in the diagnosis and management of patients with acute and chronic conditions, ranging from mechanical joint pains to complex multisystem inflammatory disorders.

Paediatric rheumatologists lead and coordinate multidisciplinary teams in the investigation, diagnosis, and comprehensive management of rheumatic diseases. Given the multisystem nature of these conditions, they combine their extensive clinical expertise with targeted investigations to achieve accurate diagnoses. They work across various settings, including inpatient, ambulatory, and community, and are skilled in practical procedures such as joint injections. As the field continually evolves, paediatric rheumatologists stay current with the latest treatments and advancements in rheumatic disease management. Paediatric rheumatologists have expertise in:

Rheumatologists have expertise in:

Investigation and diagnosis. Paediatric rheumatologists apply clinical skills and laboratory and medical imaging modalities to assess patients and diagnose rheumatic conditions.

Providing professional advice. Paediatric rheumatologists advise referring clinicians and address disease-specific questions.

The management of rheumatic disease. Paediatric rheumatologists manage a range of conditions, such as juvenile idiopathic arthritis, systemic lupus erythematosus, juvenile dermatomyositis, scleroderma, and vasculitis.

Providing ongoing care for patients. Paediatric rheumatologists provide ongoing follow-up of patients with rheumatic diseases, providing targeted treatment, determining when to escalate therapy, and assessing treatment efficacy and safety.

Paediatric rheumatologists collaborate within a multidisciplinary team to deliver comprehensive care for patients with rheumatic diseases. Due to the often chronic nature of these conditions, they must excel in communication to ensure effective, long-term management and support. They are especially skilled in:

Effective communication. Rheumatic diseases are frequently chronic. Due to the longitudinal nature of care, skilful communication engendering lasting rapport with patients and their families remains an enduring, critical facet of rheumatology practice. Paediatric rheumatologists must be able to explain complex medical concepts in a clear and understandable manner and provide emotional support to patients and their families coping with chronic diseases.

Managing transitional care. Paediatric rheumatologists must expertly manage the evolving health care needs of children and young adults as they transition through adolescence and prepare for the eventual transfer of care to an adult rheumatologist. This involves addressing both the medical and psychosocial aspects of care to ensure a smooth and effective transition for patients and their families.

Interdisciplinary collaboration. Paediatric rheumatologists often work as part of multidisciplinary teams with other healthcare professionals, including occupational therapists, physiotherapists, and psychologists, to provide comprehensive care to patients with rheumatic conditions. They also liaise closely with other medical specialists, such as ophthalmologists, orthopaedic surgeons, and primary care physicians.

High-quality research skills. Many paediatric rheumatologists are involved in research to advance the understanding and treatment of rheumatic diseases. Strong research skills are beneficial for conducting clinical trials, publishing scientific papers, and staying up to date with the latest developments in the field.

Quality improvement and innovation. Paediatric rheumatologists are involved in audit and quality improvement practices to ensure the highest possible quality of care is delivered.

Teaching. Paediatric rheumatologists play a crucial role in advancing the field by educating medical trainees, specialists, and other healthcare professionals. Their efforts are focused on increasing awareness and understanding of rheumatic diseases, thereby enhancing overall knowledge and improving patient care.

Last modified: Thursday, 27 November 2025, 12:20 PM