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Rheumatology

The Center for Pediatric Rheumatology provides comprehensive diagnosis, treatment, and follow-up care for children and adolescents who are living with arthritis and a wide range of autoimmune and rheumatologic diseases. We see pediatric patients in the Crile building on the 11th floor (A-111) at Cleveland Clinic’s main campus, Avon, and Twinsburg.

Rheumatology Details

Rheumatic and autoimmune diseases are disorders which can affect any part of the body including the joints, muscles, connective tissues, and soft tissues around the joints and bones. We evaluate and treat children with a number of rheumatic and immunological diseases including:

Arthritis
Autoinflammatory Syndromes
Connective Tissue Disease
Vasculitis
Other Conditions

National Management Center

The Center for Pediatric Rheumatology at Cleveland Clinic Children’s is dedicated to providing cutting-edge, patient-centered care to children with a broad range of rheumatologic conditions. Our center is a well recognized for excellence in the diagnosis and management of a variety of inflammatory and autoimmune disorders that affect the joints, muscles, and connective tissue. Our physicians, surgeons and scientists are known nationally and internationally for their leadership, innovation and superior patient care outcomes.

  • We are a regional, national, and international referral center for families seeking second opinion services for pediatric rheumatologic conditions, including juvenile arthritis, vasculitis and childhood autoinflammatory diseases.
  • Our facility offers patients the opportunity to participate in numerous state-of-the-art clinical trials for juvenile arthritis and vasculitis.
  • The members of the Center are dedicated to working closely with patients and coordinating efforts with referring providers to ensure families receive world-class care close to home.

Multidisciplinary Team

Through our multidisciplinary approach and the expertise of our pediatric team members, Cleveland Clinic is able to offer high quality care in a number of specialty areas. Our team of expert doctors coordinates their efforts with a variety of pediatric subspecialist colleagues to provide world-class, comprehensive care to patients and families. The Pediatric Rheumatology team has close collaboration with the following subspecialists at Cleveland Clinic Children’s Hospital:

Working closely with our colleagues in adult orthopaedic and rheumatology programs, we can also provide seamless transition of care for young adults with childhood-onset rheumatic conditions.

International Access

The Center for Pediatric Rheumatology is internationally recognized for its expertise in evaluation of rare or complex rheumatologic conditions. In addition to providing pediatric patients with quality family-centered care we also offer rheumatology care for children and adolescents outside of the country.

Through the Global Patient Services Department, our International Center regularly arranges visas, travel, and accommodations for families who require extensive out-patient evaluations and/or in-patient management. Translators are also available for 28 languages for the convenience of all of our patients. The International Center may be reached at 216.444.8184

Long distance consultations are also available through MyConsult. Our physicians are able to review case histories from other states or overseas at the request of patients or individual physician generalists and specialists.

The Center for Pediatric Rheumatology has established comprehensive programs for the diagnosis and treatment of children and adolescents who are living with a variety of rheumatologic disorders. Learn more about each of these programs and the patients they serve.

Childhood Autoinflammatory Diseases

A collaboration with pediatric physician partners in Infectious Disease, this program is staffed by experts in diagnosing and managing various types of childhood autoinflammatory diseases in children and young adults, including:

  • Blau’s syndrome
  • Cryopyrin-Associated Periodic Syndrome (CAPS)
  • Familial Cold Autoinflammatory Syndrome (FCAS)
  • Familial Mediterranean fever (FMF)
  • Hyperimmunoglobulin D Syndrome (HIDS)
  • Muckle-Wells Syndrome (MWS)
  • Periodic Fever, Aphthous stomatitis, Pharyngitis &Adenopathy syndrome (PFAPA)
  • Periodic or recurrent fever syndromes
  • TNF Receptor Associated Periodic Syndrome (TRAPS)

In addition our collaboration with colleagues in pediatric otolaryngology has received an excellent response when tonsillectomies are performed on patients with autoinflammatory diseases.

Once a visit is completed, our physicians will actively collaborate with the patient's local care team to support ongoing care. Patients are also provided with the option of participating in a number of clinical, therapeutic and translation research studies being conducted at our center.

Juvenile Arthritis

The Center for Pediatric Rheumatology currently cares for more than 300 children with some form of chronic arthritis. Our treatment approach is driven by national guidelines yet individualized to meet the needs and expectations of our patients and their families.

Our program offers unique opportunities for patients and families, including:

To discover treatment options available for your child, download our free parent’s guide to juvenile arthritis.

Vasculitis

Patients coming for a visit with our pediatric rheumatologists have access to ENT doctors, ophthalmologists, neurologists, radiologists, cardiologists, pulmonologists, and vascular surgeons with extensive experience in the evaluation and management of children with vasculitis. We also work closely with internationally-known experts in the Center for Vasculitis Care and Research also located at Cleveland Clinic.

Upon completion of the visit, our physicians actively collaborate with a patient's local care teams to support ongoing care. Patients are also provided with the option of participating in a number of clinical, therapeutic and translation research studies being conducted at our center.

To schedule an appointment with the rheumatology team for one of these programs, request an appointment online or call us at 216.444.9000 or 866.275.7496.


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Robert Rennebohm, MD
 

Robert Rennebohm, MD

Rennebohm, Robert, MD
216.444.2400

Location(s): Cleveland Clinic Main Campus, Childrens Hospital for Rehabilitation

Department: Center for Pediatric Rheumatology and Immunology

Specialties: Juvenile Idiopathic Arthritis, Pediatric Rheumatoid Arthritis, Susac's Syndrome, Pediatric Rheumatology, Center for Pediatric Rheumatology

Treats: Children & Adolescents Only

Surgeon: No

Education: University of California-San Diego School of Medicine

 
Steven Spalding, MD
 

Steven Spalding, MD

Spalding, Steven, MD
216.444.9000

Location(s): Cleveland Clinic Main Campus, Richard E. Jacobs Health Center

Department: Medical Operations

Specialties: Arthritis, Autoinflammatory Syndromes, Central Nervous System Vasculitis, Chronic Infantile Neurological, Cutaneous, and Articular (CINCA) Syndrome, Dermatomyositis, Familial Cold Autoinflammatory Syndrome, Familial Mediterranean Fever (FMF) Syndrome more

Treats: Adults Only

Surgeon: No

Education: Wright State University School of Medicine

 
Andrew Zeft, MD
 

Andrew Zeft, MD

Zeft, Andrew, MD
216.444.9000

Location(s): Cleveland Clinic Main Campus, Twinsburg Family Health & Surgery Center

Department: Center for Pediatric Rheumatology and Immunology

Specialties: Arthritis, Autoinflammatory Syndromes, Central Nervous System Vasculitis, Chronic Infantile Neurological, Cutaneous, and Articular (CINCA) Syndrome, Dermatophytosis, Familial Cold Autoinflammatory Syndrome, Familial Mediterranean Fever (FMF) Syndrome more

Treats: Children & Adolescents Only

Surgeon: No

Education: Medical College of Wisconsin

 
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Information & Appointments

Additional Info

What To Bring To Your First Rheumatology Consultation Appointment

  • Copies of all prior and recent blood tests, X-rays, or their reports, and any other special test results
  • A complete written list of your child’s current and prior medications
  • Any letters or documents from other physicians relating to you/your child’s current problem
  • Referral authorization/documentation, if necessary
  • The names, addresses, and telephone numbers of all current and prior physicians