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Rheumatologist?<br />
“Rheumatoid arthritis, gout and psoriatic arthritis are destructive diseases that,<br />
left untreated, will eventually lead to some form <strong>of</strong> immobility. “<br />
Aymen A. Kenawy M.D., Board-Certified Rheumatologist<br />
What is a<br />
You may have asked yourself, “What is a<br />
Rheumatologist?” Rheumatologists are internists<br />
who specialize in the treatment <strong>of</strong><br />
arthritis, osteoporosis, musculoskeletal pain<br />
disorders and certain autoimmune diseases.<br />
There are over 100 types <strong>of</strong> these diseases,<br />
which include rheumatoid arthritis, osteoarthritis,<br />
gout, lupus, psoriatic arthritis,<br />
Sjogren’s, osteoporosis, bursitis and tendonitis,<br />
just to name a few.<br />
It’s crucial to make an accurate diagnosis<br />
prior to receiving treatment. So what are the<br />
symptoms to look for? “Rheumatoid arthritis<br />
typically has a symmetrical distribution,<br />
while gout and psoriatic arthritis have an<br />
asymmetrical distribution. All three primarily<br />
involve small-to-intermediate joints, such<br />
as those in the wrists, hands, ankles, and feet.<br />
The three primary signs <strong>of</strong> arthritis are pain,<br />
swelling, and stiffness. Pain is your body’s<br />
natural response to inflammation. If a person<br />
experiences any <strong>of</strong> these three symptoms, he<br />
or she should be evaluated by a rheumatologist,”<br />
states Dr. Kenawy.<br />
Dr. Kenawy brings a wealth <strong>of</strong> clinical experience<br />
and training from the University <strong>of</strong><br />
Florida and Shands Hospital, where he completed<br />
his residency in internal medicine, and<br />
fellowship in rheumatology. He feels that<br />
training in one <strong>of</strong> the nation’s top medical<br />
centers has allowed him to provide his patients<br />
with the most advanced, accurate and<br />
up-to-date treatment available for rheumatic<br />
diseases.<br />
“Treatments for rheumatic diseases have advanced<br />
drastically over the past 10 years,”<br />
explains Dr. Kenawy. “Oral, self-injection,<br />
and intravenous (IV) medications are currently<br />
available. Depending on the aggressiveness<br />
and severity <strong>of</strong> the disease, single<br />
or combination therapy may be used. The<br />
patient’s preference should always be taken<br />
into consideration when it comes to treatment.<br />
When indicated, IV infusion therapy is<br />
typically a more effective treatment and associated<br />
with quicker response rates.”<br />
Rheumatoid arthritis, Gout, and Psoriatic Arthritis<br />
are three <strong>of</strong> the most common inflammatory<br />
arthritides in the United States. It is<br />
estimated that around 6 million people in the<br />
United States report having experienced gout<br />
at some point in their lives. Gout is the most<br />
common form <strong>of</strong> inflammatory arthritis in<br />
men over the age <strong>of</strong> 40.<br />
About 1% <strong>of</strong> the US population (women 3<br />
times more <strong>of</strong>ten than men) is afflicted by<br />
rheumatoid arthritis, a chronic, systemic autoimmune<br />
inflammatory disorder that can affect<br />
many tissues and organs, but principally<br />
attacks joints.<br />
Psoriatic arthritis is a form <strong>of</strong> arthritis that <strong>of</strong>ten<br />
is accompanied by psoriasis. Psoriasis is a<br />
common, chronic skin condition that causes<br />
red, scaly patches on the body. About 1 in 20<br />
people with psoriasis will develop psoriatic<br />
arthritis. In most cases, psoriasis comes before<br />
the arthritis. The arthritis may be mild<br />
and involve only a few joints, especially<br />
those at the end <strong>of</strong> the fingers or toes. In some<br />
people, the disease may be severe and affect<br />
many joints, including the spine. Pitting and<br />
splitting <strong>of</strong> the fingernails are also commonly<br />
found in patients with psoriatic arthritis.<br />
The addition <strong>of</strong> diagnostic and procedural<br />
musculo-skeletal ultrasonagraphy has propelled<br />
the field <strong>of</strong> rheumatology and drastically<br />
advanced the archaic approach to diagnosing,<br />
treating and monitoring rheumatic<br />
diseases.<br />
In addition to Board Certification in Rheumatology<br />
and Internal Medicine, Dr. Aymen A.<br />
Kenawy is also the area’s only Rheumatologist<br />
to be certified by the Ultrasound School<br />
<strong>of</strong> North American Rheumatologist (USO-<br />
NAR) in diagnostic and procedural musculoskeletal<br />
ultrasonagraphy. He has achieved<br />
Fellow status with the American College <strong>of</strong><br />
Rheumatology and Internal Medicine.<br />
If Dr. Kenawy seems right at home in <strong>Panama</strong><br />
<strong>City</strong>, it’s because he grew up here. In<br />
fact, some <strong>of</strong> his patients remember him as<br />
a kid working in the Olive Leaves Nutrition<br />
Center, his father’s business. Dr. Kenawy<br />
believes that his experience working with<br />
his father gives him insight into integrative<br />
medicine.<br />
“Growing up in <strong>Panama</strong> <strong>City</strong> has taught me<br />
the importance <strong>of</strong> giving back to my community.<br />
After completing my training at the<br />
University <strong>of</strong> Florida and Shand’s Hospital,<br />
I decided to move back home to provide<br />
quality care in the field <strong>of</strong> Rheumatology,”<br />
remarks Dr. Kenawy.<br />
“The medications and diagnostic tests available<br />
to rheumatologist have advanced dramatically<br />
over the past decade,” says Dr.<br />
Kenawy. “Accurate diagnosis and early<br />
treatment are important in preventing joint<br />
damage, immobility, and preserving quality<br />
<strong>of</strong> life. Early detection and treatment can halt<br />
disease progression.”<br />
Dr. Kenawy brings the latest technologies<br />
and knowledge for the treatment <strong>of</strong> joint and<br />
muscle disorders to our area including diagnosis<br />
with Ultrasound technology and other<br />
cutting-edge medicinal strategies.<br />
As the area’s only Board-Certified Rheumatologist,<br />
Dr. Kenawy looks forward to helping<br />
his patients live arthritis-free!<br />
v v v<br />
(850) 215-6400 DrKenawy.com<br />
46 THE CIRCUIT September/October 2012