Rheumatology

Dr. David Cabral, Clinical Professor and Division Head, Rheumatology

Dr. David Cabral, Division Head

The BC Children’s Hospital (BCCH) Division of Rheumatology provides diagnosis and treatment with a comprehensive and coordinated multidisciplinary team for children and adolescents with rheumatic diseases. These diseases include chronic arthritis (juvenile idiopathic arthritis), systemic lupus erythematosus, dermatomyositis, scleroderma, vasculitis, musculoskeletal pain syndromes, and other less common inflammatory diseases. The Pediatric Rheumatology Program includes pediatric clinics and a transition program for older adolescents and young adults with rheumatic diseases, and is a province-wide resource for patients, families and physicians.  The Pediatric Rheumatology program provides coordinated care for children and youth with rheumatic disease:

1) Diagnostic consultation service.

2) Rheumatology follow-up clinics for patients diagnosed with definite rheumatic diseases; juvenile idiopathic arthritis, systemic lupus erythematosus, dermatomyositis, vasculitis, scleroderma and other rare autoimmune or inflammatory disorders.

3) Consultation and treatment by specialized pediatric rheumatology physiotherapists occupational therapists.

4) A specialized transition program for youth aged 18-23 yrs, called The Young Adults with Rheumatic Diseases (YARD) clinic. This unique program is focused on providing support to youth to become independent in the management of their health care as they move to adult rheumatology services. This clinic is held at the Mary Pack Arthritis Centre, with the help of an adult rheumatologist.

5) Weekly Procedures clinic for joint injections, done under conscious sedation.

6) Telephone consultations to pediatricians and family doctors across the province.

The Pediatric Rheumatology Program is a province-wide resource for patients, families and physicians. Outreach Pediatric Rheumatology Traveling Clinics are done in Prince George, Terrace twice a year. In addition, two ‘graduates’ of the pediatric rheumatology training program have established pediatric rheumatology services in BC: Dr. K Gross in Penticton and Dr. R Bolaria in Victoria. Learn More

The Division of Rheumatology has a strong research program, which includes both clinical and basic research in inflammatory rheumatic diseases of childhood. Through active collaborations with Canadian (Canadian Rheumatology Association- Pediatric Section; Canadian Alliance for Pediatric Rheumatology Investigators, CAPRI; Canadian Network for Improved Outcomes in SLE- CaNIOS), North American (Children’s Arthritis and Rheumatic diseases Research Association- CARRA; Pediatric Rheumatology Collaborative Study Group- PRCSG), and international (Pediatric Rheumatology International Trials Organization- PRINTO) pediatric rheumatology research groups, the members of the Division are at the leading edge of new research initiatives in pediatric rheumatology. Ongoing research into our diseases is routinely integrated into the clinical program to ensure the best care and quality improvement. Division members regularly present research abstracts at all major national and international rheumatology meetings, as well as being invited to speak at the Pediatric Rheumatology European Society meeting, the European League Against Rheumatism (EULAR) Postgraduate Course, and the American College of Rheumatology meeting, as well as local meetings.

The Division of Rheumatology has an outstanding clinical research program which includes research in the areas of juvenile arthritis, lupus, exercise physiology, and vasculitis. Members of the Division are leaders in the development of Canadian and North American pediatric multi-centre clinical research cohorts in juvenile arthritis, lupus, and vasculitis. Drs. Tucker and Cabral, together with colleagues in Pediatric Endocrinology and basic immunology researchers at BCCH and the Child and Family Research Institute have recently been awarded a large grant to do translational research into basic pathophysiology of childhood lupus and diabetes.

Teaching is an important part of the pediatric rheumatology team’s mission. The pediatric rheumatologists, together with their team members, teach medical students, residents, and other health professionals from Canada and around the world. The Division has one of only three Royal College approved training programs for pediatric rheumatology in Canada. Over the past 15 years, the Subspecialty Training Program has trained over 20 pediatric rheumatologists from North America, Europe, the Middle East, Australia and Asia. The Division participates in Department of Pediatrics teaching activities, such as academic half-day for residents, Advances in Pediatrics, and Pediatric Grand Rounds. The members of the Division all have an active schedule of external teaching lectures in Canada and beyond. In addition, we are fortunate to enjoy visits of one week to several months from distinguished colleagues from Europe and around the world.

The Pediatric Rheumatology Team

Clinical care for children and youth with rheumatic diseases is provided by a multidisciplinary care and research team, which includes pediatric rheumatologists, research associates, nurses, pediatric rheumatology physiotherapists and occupational therapists, and a social worker. In addition to the pediatric rheumatology team, care may also be provided in close collaboration with other pediatric subspecialists such as pediatric orthopedic surgeons, pediatric dermatologist, pediatric ophthalmologists, pediatric radiologists and other pediatric specialists. This coordinated team approach is a holistic model of health care deliver that best addresses the broad impact of these chronic diseases.

Programs and Services

The Pediatric Rheumatology program provides coordinated care for children and youth with rheumatic disease through the following services:

  1. Diagnostic consultation service.
  2. Rheumatology follow-up clinics for patients diagnosed with definite rheumatic diseases; juvenile idiopathic arthritis, systemic lupus erythematosus, dermatomyositis, vasculitis, scleroderma and other rare autoimmune or inflammatory disorders.
  3. Consultation and treatment by specialized pediatric rheumatology physiotherapists occupational therapists.
  4. A specialized transition program for youth aged 18-23 yrs, called The Young Adults with Rheumatic Diseases (YARD) clinic. This unique program is focused on providing support to youth to become independent in the management of their health care as they move to adult rheumatology services. This clinic is held at the Mary Pack Arthritis Centre, with the help of an adult rheumatologist.
  5. Weekly Procedures clinic for joint injections, done under conscious sedation.
  6. Telephone consultations to pediatricians and family doctors across the province.

The Pediatric Rheumatology Program is a province-wide resource for patients, families and physicians. Outreach Pediatric Rheumatology Traveling Clinics are done in Prince George, Terrace twice a year. In addition, two ‘graduates’ of the pediatric rheumatology training program have established pediatric rheumatology services in BC: Dr. K Gross in Penticton and Dr. R Bolaria in Victoria.

Pediatric Rheumatologists:

David Cabral, MB BS, FRCPC, Division Head
Jaime Guzman, MD, FRCPC
Kimberly Morishita, MD, FRCPC
Ross Petty, MD, PhD, FRCPC
Lori Tucker, MD
Kristin Houghton, MD, FRCPC
Stuart Turvey, MBBS, DPhil, FRCPC, Professor

Pediatric Rheumatology Nurses:

Jenny Tekano
Jayne Green
Glenda Avery

Pediatric Rheumatology Fellows:

Amieleena Chhabra, MD
Anita Dhanrajani, MD

Pediatric Physiotherapists and Occupational Therapists:

Iris Davidson
Gay Kuchta

Pediatric Social Worker:

Leonie Adler

Research Staff:

America Uribe, Research Coordinator
Tony Hong, Research Assistant
Victor Espinosa, Information Technology Support

Pediatric Rheumatology Research Laboratory:

Kelly Brown, PhD, Principal Investigator
Stephanie Hughes, Laboratory Manager
Kristen Gibson, MSc Student
Mia Olsson, PhD, Postdoctoral Fellow

Administration:

Christine Carriere
Brandy Currie