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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

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