Publications by authors named "Arul R Ponniah Subramanian"

Endometriosis is a prevalent gynecological disorder that often leads to infertility and presents a complex challenge in its diagnosis and management. This report describes a case history of a 38-year-old woman suffering from rheumatoid arthritis and primary infertility who became pregnant after the initiation of tofacitinib treatment for rheumatoid arthritis. Her disease activity was well-controlled, and she became pregnant six months after the initiation of tofacitinib.

View Article and Find Full Text PDF

Introduction: Systemic Lupus Erythematosus (SLE) warrants an early diagnosis and prompt management. Delay in diagnosis can result in repeated flares, permanent damage, and even death. There is a large variability in the time taken to diagnose SLE across the world.

View Article and Find Full Text PDF

Background: Macrophage activation syndrome (MAS) is an acquired form of hemo phagocytic lymphohistiocytosis (HLH) and is usually associated with infections, autoimmune, auto inflammatory syndromes and malignancies.

Case Details: A 14 year old girl presented with sub-acute onset of fever with lymphadenopathy, pancytopenia,high ferritin values and a falling erythrocyte sedimentation rate. She was evaluated with relevant laboratory tests that was suggestive of systemic Lupus erythematosus and associated macrophage activation syndrome She recovered with immunosuppressive therapy and other supportive care.

View Article and Find Full Text PDF

Overlap syndromes are diseases that meet the criteria of two or more rheumatic diseases. In this case report, a woman in her 20s presented with a constellation of symptoms, including skin thickening, Raynaud's phenomenon, hypertension, absent pulse in both lower limbs with bilateral renal artery bruit. The antinuclear antibody profile revealed Scl-70 positivity.

View Article and Find Full Text PDF