Common questions patients ask

Lupus (SLE) is a multi-system autoimmune disease that needs specialist rheumatology care. At Srigyan Rheumatology Clinic in Crossings Republik, Ghaziabad, Dr Puneet Srivastava — a UK-trained consultant rheumatologist (MRCP Rheumatology) — diagnoses and manages lupus, including joint, skin and kidney (lupus nephritis) involvement, using hydroxychloroquine, immunosuppressants and biologics such as Belimumab and Rituximab.

Persistent or unexplained joint pain, swelling or morning stiffness should be evaluated rather than ignored. Dr Puneet Srivastava consults in Noida (Yatharth Super-speciality Hospitals) and at the Ghaziabad clinic, offering thorough assessment with blood tests and musculoskeletal ultrasound to find the cause early.

Vasculitis (including GPA, MPA, PAN and giant cell arteritis) is a rare but potentially serious inflammation of blood vessels that requires prompt, expert care. Our clinic serving Delhi NCR manages vasculitis with corticosteroids, immunosuppressants and targeted biologic therapy such as Rituximab, with close monitoring.

Sjögren’s syndrome (dry eyes, dry mouth, fatigue and joint pain) is diagnosed and managed by Dr Puneet Srivastava at Srigyan Rheumatology Clinic, Ghaziabad, with a multidisciplinary approach and long-term follow-up.

Ankylosing spondylitis causes inflammatory back pain and stiffness, often in younger adults and those who are HLA-B27 positive. Dr Puneet Srivastava evaluates it with MRI of the sacroiliac joints and treats it with exercise, anti-inflammatories and modern biologics (TNF and IL-17 inhibitors), with consultations available in Noida.

Inflammatory myopathies — polymyositis, dermatomyositis, anti-synthetase syndrome and autoimmune necrotising myopathy — cause muscle weakness and need specialist care. These are diagnosed and treated at our clinic with corticosteroids, immunosuppressants and, where needed, Rituximab, alongside physiotherapy.

Recurrent or unexplained fevers can be a sign of autoinflammatory or autoimmune conditions such as adult-onset Still’s disease, vasculitis or periodic fever syndromes. A rheumatologist can perform the specialised workup needed to identify the cause — something often missed in general evaluations.

Orthopaedic surgeons treat mechanical and structural problems (fractures, ligament tears, joint replacement). A rheumatologist treats inflammatory and autoimmune joint and systemic diseases medically. See a rheumatologist if your joint pain comes with swelling, prolonged morning stiffness, multiple affected joints, or systemic symptoms like fatigue, fever, rash or a positive autoimmune blood test.

Some patients have overlapping or "undifferentiated" connective tissue disease that does not fit a single label. With UK consultant-level training, Dr Puneet Srivastava specialises in complex and difficult-to-diagnose autoimmune presentations, offering a careful, methodical diagnostic approach.

A positive ANA is interpreted alongside its titre and pattern, your symptoms, and further specific antibodies (anti-dsDNA, anti-Ro/La, anti-Sm, anti-RNP, anti-Scl-70) plus checks for organ involvement. A positive ANA is a clue, not a diagnosis — specialist interpretation is essential.

If you are unsure about a diagnosis or treatment, a specialist second opinion can bring clarity. Our clinic offers a fresh, evidence-based review of your reports and imaging for patients across Delhi NCR — helpful before starting long-term therapy such as steroids or biologics.