Services
Dr. Iulia Circiumaru’s Rheumatology specializes in providing comprehensive care for a range of rheumatic conditions. With a focus on patient-centered treatment and compassionate care, Dr. Circiumaru offers expertise in managing various illnesses and conditions affecting the joints, muscles, and bones.
From the degenerative effects of osteoarthritis to the complexities of autoimmune diseases like rheumatoid arthritis and systemic lupus, we are dedicated to delivering personalized care tailored to each individual’s unique needs. Our services encompass diagnosis, treatment, and ongoing management for conditions such as gout, scleroderma, vasculitis, and more.
Rheumatoid Arthritis
Rheumatoid arthritis (RA), is an autoimmune and inflammatory disease, which means that your immune system attacks healthy cells in your body by mistake, causing inflammation (painful swelling) in the affected parts of the body.
RA mainly attacks the joints, usually many joints at once. RA commonly affects joints in the hands, wrists, and feet. In a joint with RA, the lining of the joint becomes inflamed, causing damage to joint tissue. This tissue damage can cause long-lasting or chronic pain, unsteadiness (lack of balance), and deformity (misshapenness).
RA can also affect other parts of the body and cause problems in organs such as the lungs, heart, and eyes.
Lupus
Lupus is a chronic, autoimmune disease that affects many different parts of the body. An autoimmune disease occurs when the body’s immune system attacks itself because it cannot tell the difference between healthy tissue and foreign invaders, such as bacteria and viruses.
Lupus symptoms can show up in many different ways and are often mistaken for symptoms of other diseases. This is why it can be hard to diagnose and is often called “the great imitator.” Lupus symptoms can range from mild to life threatening, so early diagnosis and treatment by a rheumatologist are important. A rheumatologist is a doctor who has additional training and experience in the diagnosis and treatment of arthritis, lupus, and other diseases of the joints, muscles, and bones.
Psoriatic Arthritis
Psoriatic arthritis is a progressive inflammatory condition of the joints and the places where tendons and ligaments attach to bones (entheses). It happens when the immune system, for unknown reasons, becomes overactive and creates inflammation, leading to pain and swelling. Most people who develop psoriatic arthritis already have psoriasis (a skin disease) when they are diagnosed, but a small fraction have joint pain before the skin rash.
Gout
Gout is a common form of inflammatory arthritis that is very painful. It usually affects one joint at a time (often the big toe joint). There are times when symptoms get worse, known as flares, and times when there are no symptoms, known as remission. Having gout multiple times can lead to gouty arthritis, a form of arthritis which gets progressively worse.
Polymyalgia Rheumatica
Polymyalgia rheumatica and giant cell arteritis are closely linked inflammatory disorders that almost always occur in people older than age 50. Polymyalgia rheumatica causes muscle pain and stiffness in the shoulders, upper arms, hip area, and sometimes the neck. The ache and stiffness are usually worse in the morning or when you have not been moving for a while. It can be very debilitating and tend to improve with activity.
Osteoarthritis
Osteoarthritis (OA) is the most common form of arthritis. Some people call it degenerative joint disease or “wear and tear” arthritis. It occurs most frequently in the hands, hips, and knees.
With OA, the cartilage within a joint begins to break down and the underlying bone begins to change. These changes usually develop slowly and get worse over time. OA can cause pain, stiffness, and swelling. In some cases it also causes reduced function and disability; some people are no longer able to do daily tasks or work.
Dermatomyositis
Dermatomyositis is an autoimmune condition that causes skin changes and muscle weakness. Symptoms can include a red skin rash around the eyelids, red bumps around the joints, and muscle weakness in the arms and legs. Muscle weakness gets worse over time and can lead to stiff joints and muscle wasting. The cause for Dermatomyositis is unknown. Diagnosis is made through a clinical exam and microscopic examination of a piece of skin or muscle.
Temporal Arteritis
Temporal arteritis (TA), also called giant cell arteritis (GCA) or cranial arteritis, is a systemic inflammatory vasculitis of medium and large-sized arteries occurring most frequently in adults. TA leads to ischemic optic neuropathy with potentially irreversible vision loss on the affected side with potential contralateral involvement. Left untreated, it can result in many systemic, neurologic, and ophthalmologic complications.
Scleroderma
Scleroderma is an autoimmune disease that causes inflammation and fibrosis (thickening) in the skin and other areas of the body. When an immune response tricks tissues into thinking they are injured, it causes inflammation, and the body makes too much collagen, leading to scleroderma. Too much collagen in your skin and other tissues causes areas of tight, hard skin. Scleroderma may involve many systems in your body.
Vasculitis
Vasculitis describes a group of rare conditions, also called angiitis, that damage blood vessels by causing inflammation, or swelling. Vasculitis can affect any size and type of blood vessel (arteries and veins), anywhere in the body.
Vasculitis is called primary when the cause cannot be identified. It is called secondary when something else causes it to occur. Potential triggers of this inflammation include infections, trauma, some drugs, and autoimmune disorders (diseases that cause your immune system to abnormally react against normal cells and tissues in your body). The inflamed lining (walls) of blood vessels may restrict or completely block blood flow, or it may cause formation of blood clots. In rare cases an inflamed vessel wall may balloon, forming an aneurysm with thin walls at risk of tearing.
FAQ’s
When is my co-pay, co-insurance, or deductible due?
Patients are expected to pay their co-payments at the time of your appointment.
Do you offer telehealth service?
Yes, Dr. Circiumaru offers telehealth visits and appointments. Please contact our office at (401) 289-0011 to schedule telehealth services.
What do I do in case of a medical emergency?
In case of an emergency, always dial 911 immediately.
How do I cancel or reschedule an appointment?
If you need to cancel or schedule an appointment, please contact our office at (401) 289-0011 and speak with our receptionist.