What is Rheumatology? 

Arthritis, which means inflammation of a joint (where two or more bones meet), actually refers to more than 100 different conditions that all fall into the category of rheumatology. Arthritis and other rheumatic conditions are diagnosed by stiffness, swelling, pain and limited movement in joints and other supporting body structures, such as muscles, tendons, ligaments, connective tissues and bones. 

TSRHC’s pediatric rheumatology clinic treats patients with conditions that can cause inflammation in many different parts of the body.

Rheumatology conditions most commonly treated at TSRHC include:

  • Juvenile arthritis
  • Dermatomyositis
  • Vasculitis
  • Scleroderma

Other reasons for referral may include: 

  • Prolonged joint swelling or pain
  • Non-traumatic musculoskeletal pain
  • Weakness
  • Rash
  • Fever of unknown origin 

Pediatric Rheumatology and TSRHC

TSRHC’s extensive experience and recognized expertise combine with our compassionate care to fulfill the hospital’s mission to improve children’s lives. Our experience and expertise is continually enhanced with advanced research to offer accurate diagnostic services and effective pediatric rheumatoid arthritis treatments that make a difference in our patients’ lives.

In 1956, TSRHC established one of the country’s first pediatric rheumatology clinics. Today the clinic is led by internationally recognized pediatric rheumatologist Marilynn Punaro, M.D., TSRHC Medical Director of Pediatric Rheumatology, whose name appears on distinguished “top doctor” lists across Texas and the U.S. In addition, she serves on numerous boards and was recently selected as one of the 12 international experts by the American College of Rheumatology to establish global guidelines in the treatment of juvenile arthritis. 

TSRHC’s rheumatology clinic is widely recognized as one of the nation’s premier clinical treatment and research centers for rheumatic conditions, including juvenile arthritis, dermatomyositis and scleroderma. 

Our Rheumatology Team 

The rheumatology team at TSRHC includes 6 board certified/board eligible pediatric rheumatologists, making it one of the only clinics of its kind in North Texas. They monitor the progress of approximately 1,500 pediatric rheumatology patients. 


Research and Professional Training

TSRHC's Rheumatology clinic is actively involved in research regarding treatment of a variety different rheumatic conditions. Collaboration with Virginia Pascual, M.D. at Baylor Institute of Immunology Research has led to innovative treatments for children with juvenile idiopathic arthritis. All TSRHC Rheumatology physicians are active members of the Childhood Arthritis and Rheumatology Research Alliance (CARRA) and participate in the National Registry and other research protocols.  

TSRHC is committed to improving health care through its professional training programs. Our teaching program, one of only 30 in the country, allows fellows to train with our Pediatric Rheumatology team and contribute to the department's research efforts.

Becoming a Patient

Texas Scottish Rite Hospital for Children, located in Dallas, uses several criteria to determine a patient's eligibility. For more information on becoming a patient or referring a patient, contact our Patient Access department at 214-559-7477 or 800-421-1121, ext. 7477.

Meet the Prevou family, whose struggle with an advanced form of arthritis led researchers at TSRHC to conduct a genetic study of the disease. The study resulted in better treatment methods for the three Prevou brothers, all now in college, and others suffering from PAPA syndrome.