Areas of expertise
Evaluation and long-term care for children with rheumatic, autoimmune, inflammatory and immune conditions, with treatment explained step by step.
Childhood Arthritis, Lupus & Autoimmune Conditions
Assessment and long-term care of juvenile idiopathic arthritis, childhood lupus (SLE), juvenile dermatomyositis and Kawasaki disease.
- Juvenile idiopathic arthritis (JIA)
- Childhood-onset systemic lupus erythematosus (SLE)
- Juvenile dermatomyositis
- Kawasaki disease, including in infants
- Long-term monitoring of disease activity, growth and medicine side effects
Parent guides: Juvenile Idiopathic Arthritis (JIA) · Childhood Lupus (SLE) · Kawasaki Disease · Juvenile Dermatomyositis (JDM)
Hyperinflammation & Immune Disorders
Evaluation of children with hyperinflammation syndromes (MAS/HLH), including those triggered by infections such as dengue, and of suspected inborn errors of immunity.
- Macrophage activation syndrome (MAS) and HLH
- Infection-associated hyperinflammation, e.g. severe dengue, enteric fever and viral infections
- Evaluation of suspected primary immunodeficiency / inborn errors of immunity
Parent guides: Hyperinflammation Syndromes (MAS / HLH) · Primary Immunodeficiency (Inborn Errors of Immunity)
Biological Therapies
Experience in planning, administering and monitoring biological medicines such as infliximab, adalimumab and rituximab when standard treatment is not enough.
- Infliximab
- Adalimumab
- Rituximab
- Screening before starting therapy and monitoring during treatment
Intra-articular Steroid Injections
Steroid injections directly into an inflamed joint, which can settle swelling and stiffness in children with arthritis.
- Injections for actively inflamed joints in juvenile arthritis
- Careful explanation and preparation for the child and family
Vaccination Planning for Immunocompromised Children
Planning safe and timely vaccinations for children with immunodeficiency or those on medicines that affect the immune system.
- Vaccination review before starting immunosuppressive or biological treatment
- Guidance on which vaccines are suitable during treatment
- Immunisation of children with immunodeficiency
Basic Musculoskeletal Ultrasound
Basic musculoskeletal (MSK) ultrasound, a painless, radiation-free scan that helps look at joints and surrounding tissues.
- Assessment of joint swelling and fluid
- No radiation and no needles
Multidisciplinary care
Many children with rheumatic and immune conditions need more than one specialist. During her fellowship, Dr. Ravali worked closely with Pediatric Nephrology, Haematology and the Pediatric Intensive Care Unit (PICU) for complex cases, coordinating care so that families have one clear plan.
- Pediatric Nephrology
- Pediatric Haematology
- Pediatric Intensive Care (PICU)
Treatment is always individualised. Which medicines or procedures are suitable for your child depends on a full assessment, and every option, including its benefits and possible side effects, is discussed with you before any decision is made.