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Rheumatology may not seem to be in the frontline with coronavirus, but we do have a key role to play. We have a high percentage of patients who are vulnerable and at increased risk of coronavirusAm I at risk doctor?Generally, all Patients with rheumatic diseases have reduced immunity caused by their underlying disease, drugs and related comorbidities. The patients with a higher risk include the followingPatients with Co-morbidity includes: age >70, Diabetes Mellitus, any pre-existing lung disease, renal impairment, any history of Ischaemic Heart Disease or hypertension, Rheumatoid arthritis or Connective tissue related lung disease Patients on

More than 40 % of Kenyan patients suffer with symptoms of Arthritis before being seen by a rheumatologist 50% of Kenyans take time off from work due to rheumatoid arthritisSource: Genga EK et al. Audit on the management of early rheumatoid arthritis in Nairobi. Afr J Rheumatol 2020; Vol 8(1): 22-25. Majority of the studies in Africa found that it took the patients about 3-4 years before the diagnosis of gout was made Research has found that emergence of gout in Africa is driven byAdoption of Western lifestyle in the African continent rising numbers of obesity, hypertension, diabetes, dyslipidemia

What is Fibromyalgia?Fibromyalgia is one of a group of chronic pain disorders that affect connective tissues, including the muscles, ligaments (the tough bands of tissue that bind together the ends of bones), and tendons (which attach muscles to bones).It is a chronic condition that causes widespread muscle pain (known as "myalgia") and extreme tenderness in many areas of the body. What are the common symptoms?The symptoms vary from person to personThe commonest symptoms include widespread pain and tenderness around the body. The tenderness may be to slight pressure on muscles or around jointsOther symptoms include:fatigue, sleep disturbances,headaches, Migrainesmood disturbances