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अखिल भारतीय आयुर्विज्ञान संस्थान, नई दिल्ली
All India Institute Of Medical Sciences, New Delhi

Patient Care

परिचय

परिचय

पूर्व में काय-चिकित्‍सा विभाग के अंतर्गत नैदानिक इम्‍यूनोलॉजी एवं रूमेटोलॉजी प्रभाग के रूप में क्रियाशील रहे रूमेटोलॉजी विभाग की स्‍थापना दिनांक 7 अगस्‍त, 2015 को एक अलग अति विशिष्‍टता विभाग के रूप में की गई थी। इस विभाग की संस्‍थापक अध्‍यक्ष प्रोफेसर (डॉ.) उमा कुमारी हैं। वर्तमान में, विभाग में प्रोफेसर उमा कुमारी सहित पांच संकाय सदस्‍य, छह वरिष्‍ठ रेज़ीडेंट एवं दो कनिष्‍ठ रेज़ीडेंट (गैर-शैक्षिक) हैं। विभाग द्वारा बाह्य रोगी सेवाएं, अंत:शि‍रा आधान (जीवविज्ञान संबंधी कारक, कीमोथेराप्‍यूटिक दवाइयां एवं स्‍टेरॉयड पल्‍स आदि) इंटरवेंशन्‍स (ज्‍वांइट इंजेक्‍शन, विभिन्‍न बायोप्‍सी) और मस्‍कुलोस्‍केलेटल अल्‍ट्रासाउंड हेतु अत्‍याधुनिक रूमेटोलॉजी डे केयर सुविधा प्रदान की जाती है। विभाग में एक पूर्ण रूप से क्रियाशील नैदानिक इम्‍यूनोलॉजी प्रयोगशाला है जिसमें इम्‍यूनोलॉजिकल और रूमेटोलॉजिकल रोगों की जांच की जाती है। प्रति वर्ष लगभग 50000 प्रयोगशाला जांचें की जाती हैं।

विभाग ने अपने आरंभ से ही महत्‍वपूर्ण प्रगति की है। पिछले एक वर्ष में विभाग द्वारा लगभग 40000 रोगियों को उच्‍च गुणवत्ता वाली बाह्य रोगी सेवाएं प्रदान की गई हैं। रूमेटॉयड गठिया, सिस्‍टेमिक ल्‍यूपस एरिथेमाटोसस, स्क्लिरोडर्मा, वेस्‍कुलाइटिस, सूजनयुक्‍त मायोसाइटिस आदि जैसे सूजनयुक्‍त गठिया के विभिन्‍न प्रकारों से लेकर व्‍यापक तरह के रोगों से पीडित रोगियों का बाह्य रोगी क्लिनिक में उपचार किया जाता है।

विभाग रूमेटोलॉजिकल रोगों के बारे में लोगों में जागरूकता लाने में सक्रिय रूप से लगा हुआ  है। प्रत्‍येक वर्ष विभिन्‍न जन-स्‍वास्‍थ्‍य व्‍याख्‍यान एवं ऑडियो/वीडियो कार्यक्रम आयोजित किए जाते हैं जिनके माध्‍यम से रोगियों को रोगों तथा इनके उपचार के बारे में बताया जाता है। इसके अतिरिक्‍त, विभाग द्वारा निरंतर रूप से चिकित्‍सकों के लिए सीएमई एवं अपडेट का आयोजन किया जाता है। समय-समय पर रूमेटिक विकारों पर विभिन्‍न जागरूकता पुस्तिकाओं का वितरण भी किया जाता है।

Dr Ranjan Gupta

Curriculum Vitae

Name: Ranjan Gupta

Designation: Associate Professor

Department and institute: Department of Rheumatology,



A. Professional qualification:

Serial No.

Institution

Field of study

Course

Year of passing

Percentage

1.

JIPMER, Puducherry

Medicine

M.B.B.S.

2006

69.96%

2

JIPMER, Puducherry

Internal Medicine

M.D.

2011

Second rank

3.

SGPGIMS, Lucknow

Clinical Immunology & Rheumatology

D.M.

2014

-



B. Positions held:

Serial

No.

Institution

Position Held

From (Date)

Till (date)

1.

Dept. of Rheumatology,

All India Institute of

Medical Sciences, New Delhi

Associate Professor

03-11-2020

Continuing

2.

Dept. of Rheumatology,

All India Institute of

Medical Sciences, New Delhi

Assistant Professor

03-11-2016

02-11-2020

3.

Dept. of Clinical Immunology,

SGPGIMS, Lucknow

Senior Research

Associate (CSIR)

20-08-2014

02-11-2016





C. Personal Statement:

I am a clinician-scientist working in the field of rheumatology with special interest in Systemic Lupus Erythematosus. I have been working on biomarkers of SLE and Lupus Nephritis for last 10 years. I am one of the principal investigators in the project on establishing the largest inception cohort of SLE patients (INSPIRE) in India. My current areas of work in SLE are Autoantibody profile with ANA patterns heterogeneity and serum metabolomics. I am also an associate member of the Autoantibody Standardization Committee (ASC) in Rheumatic and Related Disorders of the International Union of Immunological Societies (IUIS) and working on ANA patterns in SLE. I have ongoing collaborations with IIT, Delhi, Tripura University and University College, London for my research work related to SLE and other rheumatic diseases.



D. Notable Ongoing Research grants & Projects (All as Principal Investigator):

  1. International

      1. Assessment of the Knowledge Gaps of Primary Care Physicians in the Diagnosis and Management of Rheumatoid Arthritis and Impact of a Short-Term Training Course

      2. Comparison of Metabolomics Profiles Between Patients with Proliferative and Membranous Lupus Nephritis in London and New Delhi



  1. National

  1. Antinuclear Antibody Immunofluorescence Patterns in Systemic Lupus Erythematosus: Diagnostic and Prognostic Evaluation using Artificial Intelligence

  2. Magnitude, characteristics and endurance of Immune Response to COVID-19 Vaccination in patients with Systemic Lupus Erythematosus: A multicentric cohort study

  3. Multi-institutional network program on Systemic Lupus Erythematosus: Understanding the diversity of SLE



  1. Intramural

  1. Macrophage Migration Inhibitory Factor (MIF) and CD74/CD44 system as a biomarker of treatment response in Rheumatoid Arthritis

  2. Foot-pressure distribution method for detection and localization of foot joint arthritis: A comparison with conventional radiographs



  1. Others



  1. Soluble Tumor Necrosis Factor (TNF) Receptors TNFRSF1B and TNFRSF6B in Lupus Nephritis as Biomarkers

  2. Foot Pressure Distribution Assessment Using Wearable Pressure Insole for Foot Arthritis Diagnosis and Treatment Monitoring in Rheumatoid Arthritis



E. Awards and honors:

  1. Young Rheumatologist Oration 2021 awarded by Indian Rheumatology Association

  2. Best Paper Award at the Clinical Rheumatology Conference 2022

  3. EULAR travel bursary 2022 to attend EULAR Congress at Copenhagen, Denmark

  4. ICMR award - Shakuntala Amirchand Prize 2018 given by the ICMR for the best published work in the field of biomedical sciences including clinical research

  5. Best paper award - First Prize for the paper presented at the annual meeting of the Delhi Rheumatology Association 2020

  6. ARA – APLAR scholarship, 2017 to attend the combined Australian and New Zealand Rheumatology Association Meeting at Auckland

  7. International fellow from India for the year 2016 for the fellows exchange program between American College of Rheumatology and Indian Rheumatology Association (did not avail).

  8. International Travel Grant, 2016 given by Japanese College of Rheumatology to attend annual meeting at Yokohama, Japan

  9. Best oral paper in basic sciences at the Annual meeting of Indian Rheumatology Association (IRA), 2013 at Kolkata

  10. Dr. Vithalrao Nathgouda national best annual thesis award, 2012 given by Association of Physicians of India (API) at Kolkata



F. Publications:

  1. Sapra L, Saini C, Garg B, Gupta R, Verma B, Mishra PK, Srivastava RK. Long?term implications of COVID?19 on bone health: pathophysiology and therapeutics. (Accepted for publication in Inflammation Research)

  2. Meena L & Gupta R. Skeletal Fluorosis. N Engl J Med 2021;385:1510

  3. Kar S, Gupta R, Malhotra R, Sharma V, Farooque K, Kumar V, Chakraborty S Mitra DK. Interleukin-9 Facilitates Osteoclastogenesis in Rheumatoid Arthritis. Int. J. Mol. Sci. 2021, 22, 10397. https://doi.org/10.3390/ijms221910397

  4. Gupta R, Yadav A, Aggarwal A. Urinary soluble CD163 is a good biomarker for renal disease activity in lupus nephritis. Clin Rheumatol. 2020 Aug 18. doi: 10.1007/s10067-020-05343-6

  5. Jain S, Dhir V, Aggarwal A, Gupta R, Leishangthem B, Naidu S, Khullar A, Maurya S, Dhawan V, Sharma SK, Sharma A, Jain S. Comparison of two dose escalation strategies of methotrexate in active rheumatoid arthritis: a multicentre, parallel group, randomised controlled trial. Ann Rheum Dis. 2021;80(11):1376-84.

  6. Nanda S, Datta SK, Sagar P, Sharma M, Gupta R, Sodani A, Trikha A. Planning and Setting Up of a Communication Program for Hospitalized COVID-19 Patients: Challenges and Potential Solutions in Resource Constrained Setting. J Lab Physicians 2022; 14(01): 032-036

  7. Sharma R, Kaur R, Sasidharan R, Gupta R, Laythalling RK. IgG4-Related Disease In Intradural Extramedullary Location- Detailed Case Illustration And Literature Review With Special Emphasis On Role Of Surgery In Its Management. 2021 Sep-Oct;69(5):1176-1183

  8. Rathi M, Singh P, Bi HP, Shivanna A, Kavadichanda C, Tripathy SR, Parthasarathy J, Tota S, Maurya S, Vijayalekshmi V, Bhavani D, Jain A, Gupta R, Danda D, Rajasekhar L, Negi VS, Shobha V, Das B, Aggarwal A. Impact of the COVID-19 pandemic on patients with systemic lupus erythematosus: Observations from an Indian inception cohort. Lupus. 2021 Jan;30(1):158-164..

  9. Vineeta Shobha, Amita Aggarwal, Liza Rajasekhar, Avinash Jain, Gupta R, Bidyut Das, Ashish J Mathew, Manish Rathi, Parasar Ghosh, Vir Singh Negi, Abhishek Tripathi, Ramnath Misra. Indian SLE Inception cohort for Research (INSPIRE): The Design of a Multi-institutional cohort. Rheumatol Int. 2021 May;41(5):887-894.

  10. Ganguly S, Majumdar S, Kumar S, Gupta R, Shobha V, Aggarwal A, Misra RN. Urinary C3d as a marker of active lupus nephritis: longitudinal study. Lupus. 2020 Nov;29(13):1800-1806.

  11. Sinha M, Gupta R. Segmental Arterial Mediolysis; Vascular it is, not vasculitis. Indian J Med Res. 2020 Nov; 152(Suppl 1): S119.

  12. Gupta R. Pharmacovigilance of biosimilars - Why is it different from generics and innovator biologics?. J Postgrad Med. 2020;66(2):116. doi:10.4103/jpgm.

  13. Guleria A, Phatak S, Dubey D, Kumar S, Zanwar A, Chaurasia S, Kumar U, Gupta R, Aggarwal A, Kumar D, Misra. NMR-Based Serum Metabolomics Reveals Reprogramming of Lipid Dysregulation Following Cyclophosphamide-Based Induction Therapy in Lupus Nephritis. J Proteome Res. 2018 Jul 6;17(7):2440-2448.

  14. Gupta V, Aggarwal A, Gupta R, Chandra Chowdhury A, Agarwal V, Lawrence A, Misra R. Differences between adult and pediatric onset Henoch-Schonlein purpura from North India. Int J Rheum Dis. 2018 Jan;21(1):292-298

  15. Aggarwal A, Gupta R, Negi VS, Rajasekhar L, Misra R, Singh P, Chaturvedi V and Sinha S. Urinary haptoglobin, alpha-1 anti-chymotrypsin and retinol binding protein identified by proteomics as potential biomarkers for lupus nephritis. Clin Exp Immunol 2017;188(2):254-62

  16. Phatak S, Chaurasia S, Kumar S, Gupta R, Agrawal V, AGgarwal A, Misra R. Urinary B cell Activating Factor (BAFF) and A Proliferation Inducing Ligand (APRIL): Potential biomarkers of Active Lupus Nephritis. Clin Exp Immunol. 2017;187(3):376-82

  17. Gupta R, Yadav A, Aggarwal A. Longitudinal Assessment Of Monocyte Chemoattractant Protein – 1 In Lupus Nephritis As A Biomarker Of Disease Activity. Clin Rheumatol 2016;35(11):2707-14

  18. Gupta R, Misra R. Microbe-triggered arthropathies: reactive arthritis and beyond. Int J Rheum Dis. 2016;19:437-9

  19. Gupta R, Misra R. Measuring Anti-drug antibodies: A step towards optimization of biologic therapy. J Assoc Physicians India 2016;64(9):11-12

  20. Gupta R, Aggarwal A, Sinha S, Rajasekhar L, Yadav A, Gaur P, Misra R, Negi VS. Urinary Osteoprotegerin: A Potential Biomarker of Lupus Nephritis Disease Activity. Lupus 2016;25(11):1230-6

  21. Gupta R, Aggarwal A. Popeye deformity in rheumatoid arthritis. – J Postgrad Med 2016;62(2):33-4

  22. Gupta R, Nath AK, Subbian M, Basu D, Hamide A, D'Souza M. Hemorrhagic skin nodules and plaques: A diagnostic clue to underlying primary plasma cell leukemia. Indian J Dermatol 2016;61(2):203-5

  23. Gupta R, Yadav A, Misra R, Aggarwal A. Urinary sCD25 as a biomarker of lupus nephritis disease activity. Lupus. 2015 Mar;24(3):273-9

  24. Gupta R, Yadav A, Misra R, Aggarwal A. Urinary prostaglandin D synthase as biomarker in lupus nephritis: a longitudinal study. Clin Exp Rheumatol. 2015; 33:694-98

  25. Gupta R, Aggarwal A. Exercise and rheumatoid arthritis: A low cost intervention with major benefits Natl Med J India 2015;28(3):32-3

  26. Misra R, Gupta R. Biomarkers in lupus nephritis. Int J Rheum Dis. 2015 Feb;18(2):219-32

  27. Gupta R, Aggarwal A. High burden of cardiovascular disease in lupus: Is there a way out? Indian Journal of Rheumatology 2015;10:181-82

  28. Gupta R, Aggarwal A. An unusual cause of hip pain – National Medical Journal of India 2014; 27(6): 349

  29. Venkateswaran R, Gupta R, Swaminathan R P. Bruns nystagmus in cerebellopontine angle tumor. JAMA Neurol. 2013;70(5):646

  30. Aggarwal A, Shenoy S, Gupta R. Long term Outcome in Juvenile Idiopathic Arthritis. Indian Journal of Rheumatology 2012;7:22-26

  31. Gupta R, Mohindra N, Agarwal V. A rare cause of focal myositis in diabetes. Indian Journal of Rheumatology 2013; (8): 190 – 19

Book Chapters:

  1. Gupta R, Aggarwal A. Systemic lupus erythematosus (Book Chapter in a book titled ‘Skin in rheumatic diseases’)

  2. Gupta R, Aggarwal A. Case Vignettes (Book Chapter in a book titled ‘Pediatric Rheumatology’

  3. Gupta R. Autoantibodies in Systemic Lupus Erythematosus. (Book Chapter in Manual of Rheumatology, 6th Edition)

  4. Gupta R & Arya S. Rationale and safe use of painkillers/NSAIDs. (Chapter in BMJ course on Rheumatic & Musculoskeletal Diseases)

Day Care centre

Department of Rheumatology

Day Care Centre

The department has a fully functional six bedded day care centre which provides facilities for procedures like infusions of biologics and other affects like cyclophosphamide, intra-articular injections and aspirations and other diagnostic procedures like minor salivary gland biopsy, nerve biopsy, skin biopsy and muscle biopsy. Department also run a musculoskeletal ultrasound service and have been performing 150 to 200 scans and ultrasound guided procedures per month. Rheumatology day care is the best example of providing state of art patient care services in an economical way under resource constraint setting.

Faculty

 

Faculty 

Name

Designation

E-mail ID

Dr. Uma Kumar

Professor & Head

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 Dr Ranjan Gupta Additional Professor This email address is being protected from spambots. You need JavaScript enabled to view it.

Dr. Danveer Bhadu

Additional Professor

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Dr. Rudra Prosad Goswami

Associate Professor

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Ex-faculty members

Name

Designation

Dr. Hira Lal Alawa

Assistant Professor (Adhoc)

Dr. Aarti Sharma

Assistant Professor

Dr. Sajal Ajmani

Assistant Professor (Adhoc)

Dr. Brijnandan Gupta

Assistant Professor (Immunopathology) (Adhoc)

 

Laboratory services

Department of Rheumatology

Laboratory services

The department has a fully functional clinical immunology laboratory catering to the entire AIIMS, New Delhi. Several immunological investigations e.g. RF, ANA (IIF), ENA Profile, C3, C4, ANCA (IIF), ASMA, Anti-LKM, Immunoglobulins, Anti-cardiolipin antibodies, Crystal Studies etc.) are routinely done. Lab is currently equipped with following techniques :- ELISA, IIF, LIA, LATEX agglutination, Nail Fold Capillaroscopy and Polarised Microscopy.

Department is also contributing to human resource in rheumatology by training physicians for various hospitals in India. Also, medical doctors from various countries have been provided training in rheumatology.

 

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