General Rheumatology including Rheumatoid Arthritis, Psoriatic Arthritis, Spondyloarthropathy, Gout/Pseudogout and OsteoarthritisInflammatory muscle diseases including polymyositis and dermatomyositisSystemic sclerosis (scleroderma)Systemic lupus erythematosusSjogren’s syndromeMixed connective tissue diseaseAntiphospholipid syndromeVasculitis including Wegener’s granulomatosis, Churg Strauss, Polyarteritis nodosa, Microscopic polyangiitisInterstitial lung disease associated with connective tissue diseaseImmunology (diagnostic autoantibody testing and interpretation)
Myositis – disease markers and novel therapiesDiffuse cutaneous systemic sclerosis – treatment option and disease severityAutoantibody identification in autoimmune connective tissue disease
Consultant Rheumatologist and Lead Consultant Connective Tissue DiseasesNorth Bristol NHS Trust
UK Myositis Network Steering Committee LeadUK Juvenile Myositis Research Group Scientific AdvisorInternational and European Myositis NetworksUK Myositis Support Group Medical AdvisorUK Scleroderma Study GroupUK Vasculitis Study Group Royal College of Physicians UKBritish Society of RheumatologyPaediatric Rheumatology European Society
I qualified from Bristol University, and then worked in Bristol and Australia. I dual trained in Rheumatology and General Medicine on the Southwest training rotation. With a view to specialise in autoimmune connective tissue disease and vasculitis I undertook a clinical research fellowship under the mentorship of Professor Neil McHugh at the Royal National Hospital of Rheumatic Diseases in Bath. I was subsequently awarded an Arthritis Research UK Research Fellowship in Paediatric Rheumatology to research immunological aspects of juvenile dermatomyositis with the UK Juvenile Myositis Research Group. This combined with collaborative studies with the UK Adult Myositis Research Network led to my PhD thesis “Clinical and serological study of adult and juvenile myositis”.
I continue to have a major academic interest in connective tissue disease and myositis. I am on the UK Myositis Network Steering committee, scientific advisor to the UK Juvenile Myositis Research Group, in addition to other UK connective tissue disease study groups. I am widely published in major international rheumatology journals, and have written several invited myositis review articles. I have spoken at several international meetings including the American College of Rheumatology Annual Congress (2010) and the European Science Foundation Myositis Workshop (2011).
As a NHS Consultant I run both General Rheumatology and Autoimmune Connective Tissue Disease Clinics at North Bristol NHS Trust. I look after patients with all forms of inflammatory arthritis including rheumatoid arthritis. I am the lead Consultant for Connective Tissue Disease and Vasculitis for the Rheumatology Department, and I am fully experienced in using novel immunomodulatory treatments including biologic therapy for these complex conditions.
I am married to Ana and we have 3 little boys who keep us happily very busy. We love travelling to see our respective families in Sri Lanka and Argentina.
You will often find me running around the Downs training for 10K and half-marathons, although my marathon running days are over! I am also a keen road-cyclist, and love cricket and golf with my boys.
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