Erebouni Medical Center
Medical Journal Erebouni

Rheumatology Department

General characteristics

According to the world statistics, about 5-20% of the world’s population suffers from different pathology of the musculoskeletal system, which significantly reduces the quality of life of those patients and may be the cause of their disability up to the loss of capability of self-service and also to physical, psychic, social maladjustment and decrease of the patient's life-span. The average age of the main contingent with rheumatologic disease is the working age patients over 40 years old.

 

The most common symptoms of rheumatic diseases are a pain in the joints, muscles, appearing suddenly or gradually, pronounced swelling of the joints, stiffness in the movement in the joints, increase in skin temperature over the joints, fever, inflammatory changes in blood tests (high erythrocyte sedimentation rate, leukocytosis), etc.

The most important thing in rheumatology – is the early diagnostics and treatment that allows preserving the function of joints and inner organs and significantly improves the quality of life. That’s why it is extremely important timely to appeal to the specialists for early diagnostics and treatment. Some rheumatologic diseases are impossible to treat completely. However, today there are treatments that can significantly reduce the symptoms of the disease, slowdown its progression and the development of disabling changes in joints, periarticular tissues, internal organs, improve the quality of life of patients. Sometimes the right time and the prescribed treatment can save the patient's life.

 

Erebouni Medical Center.Therapy clinic. Rheumatology Department

 

Department of Rheumatology of Erebouni MC provides diagnosis and treatment of patients with inflammatory and destructive diseases of the musculoskeletal system, as well as patients with other connective tissue diseases, systemic vasculitis and other diseases accompanied by affection of the bones, joints and muscles:

 

  Diffuse connective tissue disease

  • Systemic lupus erythematosus,
  • Scleroderma,
  • Dermatomyositis,
  • Rheumatism
  • Rheumatoid arthritis

 

  Systemic vasculitis

  • Polyarteritis nodosa,
  • Microscopic polyangiitis,
  • Hemorrhagic vasculitis,
  • Churg-strauss syndrome,
  • Takayasu's disease,

 

  Arthritis of various genesis

  • Gout and other microcrystalline arthritis,
  • Bechterew's disease (spondylitis deformans),
  • Strümpell-marie disease (ankylosing spondylitis),
  • Deforming osteoarthritis
  • behcet's disease,

 

Department of Rheumatology

 

Department of Rheumatology serves about 600 patients a year, carries out a comprehensive diagnosis using modern medical equipment, providing consultation of multidisciplinary specialist’s team (orthopedics, traumatology, cardiologists, neurologists, neurosurgeons, immunologists, etc.). It provides also treatment of the patients in accordance with international standards, using the latest effective methods and achievements in the field of rheumatology.


The department is practicing both outpatient and inpatient service of patients, as well as opportunities for the treatment of patients on the day care base.


Department of Rheumatology is one of the major clinical bases of the chair for postgraduate training "Narrow therapeutic specialties" of Yerevan State Medical University (Associate Professor A. Arojan, MD, PhD).


The Department of Rheumatology also performs scientific activity and have presentations on international professional congresses and meetings. The staff of the department has been trained in leading foreign clinics.

Equipping

To set the accurate diagnosis the facilities of diagnostic clinic are used:

 

  • Clinical diagnostic laboratory, where, in addition to commonly used blood tests possible to perform the full range of immunological assays and analyzes of the joints punctates
  • Ultrasound of joints and periarticular tissues
  • Doppler of blood vessels
  • Electromyography
  • Endovascular methods of diagnostics
  • The morphological study (biopsy)
  • X-ray diagnostics
  • Computer tomography

 

In the center there is a possibility for densitometric examination to diagnose the osteoporosis in rheumatic patients (in particular those who receives glucocorticoid therapy).


At the department operates a special room with appropriate facilities to carry out the most modern high-tech treatment, the disease-modifying medicines - Actemra, Remicade, Mabthera. The high efficiency of these medicines is obtained in the treatment of rheumatoid arthritis, Bechterew's disease, systemic lupus erythematosus and other diseases.

Main activities

The main and priority directions of department activity are:

 

  • Diagnostic and therapeutic punctures of joints with corticosteroids, hyaluronic acid.

 

In its activity the Department is guided by the recommendations of international  rheumatologic societies with which has also closely collaborations:

 

 
Staff
Armine Haroyan MD Armine Haroyan MD Write a letter Head of Rheumatology Department rheumatologist PhD Associate Professor
Aida Sargsyan MD Aida Sargsyan MD Write a letter rheumatologist
Srbuhi Gasparyan MD Srbuhi Gasparyan MD Write a letter rheumatologist
Alisa Kirakosyan Alisa Kirakosyan Write a letter rheumatologist
Vahan Mukuchyan Vahan Mukuchyan Write a letter rheumatologist
Education

Chair

Chair of «Narrow therapeutic specialties» for postdiploma education of YSMU


Assistant Professor of the chair- candidate of medical sciences (PhD) – A. Aroyan

 
Price list

 

 

 


 

 

 

Price list of paid services of Rheumatology Department

04.09.2018

 

Service

Price (AMD)

 

Primary examination by head of the Department (head of service)

                                     10,000

 

Repeated examination by head of the Department (head of service) within a month

                                       5,000

 

Primary examination by head of the Department (head of service) including prescription medication (for degenerative joint diseases)

                                    15,000

 

Primary examination by head of the Department (head of service) including prescription medication (for inflammatory and systemic joint diseases)

                                     20,000

 

Primary examination by doctor 

                                       5,000

 

Repeated examination by doctor

                                       3,000

 

Cost for 1-Day treatment (medication and examinations are not included)

20,000

 

Cost for 2-Day treatment (medication and examinations are not included)

40,000

 

Cost for 3-Day treatment (medication and examinations are not included)

60,000

 

Cost for 4-Day treatment (medication and examinations are not included)

80,000

 

Cost for 5-Day treatment (medication and examinations are not included)

100,000

 

Cost for 1-Day treatment (including medication, without examinations)

30,000

 

Cost for 2-Day treatment (including medication, without examinations)

60,000

 

Cost for 3-Day treatment (including medication, without examinations)

90,000

 

Cost for 4-Day treatment (including medication, without examinations)

120,000

 

Cost for 5-Day treatment (including medication, without examinations)

150,000

 

Day-time inpatient treatment (medication and examinations are not included)

115,000

 

Inpatient treatment

175,000

 

Inpatient treatment with concomitant disease

215,000

 

Inpatient treatment with concomitant disease and/or complications                               

265,000

 

Inpatient treatment complicated, with impairment of the function of the vital organs

315,000

 

Intra-articular injections to wrist and feet joints

3,000

 

Intra-articular injections in medium-sized joints

5,000

 

Knee joint puncture

5,000

 

Puncture and Intra-articular injections in large joints

10,000

 

Intra-articular Injection of Chondroprotectors

20,000

 

Skin and muscle biopsy

                                       7,500

 

Treatments for somatic symptom disorder including non-profile examinations

515,000

 

Reimbursement of additional medicine, based on the actual costs incurred

                                       1,000

 

Reimbursement of additional medicine, based on the actual costs incurred 1

                                       5,000

 

Reimbursement of additional medicine, based on the actual costs incurred 2

                                     10,000

 

 

 

Coinsurance approved by Order N 91-A of the RA Minister of Health dated 27.01.2011

 

Sepsis

180,000

 

Acute hemolytic crisis, anemia (Hb-60g/l and less and the number of RBCs =1.7x10դԱ/1 and less) (with complications and/or concomitant diseases)

180,000

 

Sort-term medical care (1-3 days) completed, price per 1 day

7,000

 

 

 

Cost of paid hospital wards

 

Hospital ward

Price (AMD)

 

910

7,000

 

911

7,000

 

909

10,000

 

908

10,000

 

906/1

7,000

 

906/2

7,000

 

907/1

7,000

 

907/2

7,000

 

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