Private Complex Inflammatory Disease Assessment in London
Some inflammatory diseases affect more than one part of the body and can be difficult to diagnose, especially when symptoms do not fit neatly into a single organ system.
Complex inflammatory conditions may include adult-onset Still’s disease, Behçet’s disease, sarcoidosis, inflammatory serositis, recurrent pericarditis, recurrent fever syndromes and other multisystem inflammatory disorders.
Symptoms may include recurrent fevers, rashes, joint pain, mouth ulcers, eye inflammation, chest pain, breathlessness, lymph node enlargement, raised inflammatory markers or unexplained systemic symptoms.
Dr Animesh Singh offers consultant-led rheumatology assessment in London for patients with suspected or established complex inflammatory disease, unexplained inflammation or diagnostic uncertainty.
The aim is to review the full clinical pattern, identify whether symptoms suggest a systemic inflammatory, autoimmune, autoinflammatory or granulomatous condition, and guide targeted investigation, treatment and multidisciplinary care where appropriate.
Private Complex Inflammatory Disease Assessment at a Glance
Assessment of suspected or established complex inflammatory disease
Review of recurrent fever, rashes, mouth ulcers, eye inflammation, joint pain and systemic symptoms
Interpretation of raised inflammatory markers and previous investigations in clinical context
Targeted blood tests, imaging or specialist review arranged where appropriate
MRI, cardiac MRI or PET-CT may be considered in selected patients where clinically appropriate
★★★★★ Highly rated by patients on Doctify and Google, with more than 800 patient reviews
Dr Animesh Singh is a Consultant Rheumatologist and General Internal Medicine Physician at the Royal Free Hospital, where he is Clinical Lead for Rheumatology. He offers private assessment in London for patients with suspected or established complex inflammatory disease, including adult-onset Still’s disease, Behçet’s disease, sarcoidosis, inflammatory serositis, recurrent or unexplained pericarditis, recurrent fever and multisystem inflammatory symptoms.
These conditions can be challenging because inflammation may affect joints, skin, eyes, blood vessels, lungs, lymph nodes, the heart, serosal linings or other organ systems. Symptoms can sometimes overlap with infection, malignancy, autoimmune disease, autoinflammatory disease, granulomatous disease or organ-specific conditions.
Dr Singh’s approach is to review the full clinical picture, examine carefully, interpret previous investigations in context and advise on targeted next steps. Where appropriate, assessment may involve blood tests, imaging, specialist radiology review, MRI, cardiac MRI, CT or PET-CT, as well as coordination with specialist colleagues in respiratory medicine, cardiology, ophthalmology, dermatology, infectious diseases, haematology, gastroenterology, renal medicine or other relevant specialties. The aim is to provide diagnostic clarity, identify clinically important inflammation, avoid unnecessary repeated testing where possible and guide appropriate treatment or multidisciplinary care.
Dr Singh is highly rated by patients on Doctify and Google, with more than 800 patient reviews.
Symptoms and Presentations That May Need Assessment
Complex inflammatory diseases can present in different ways, and symptoms may involve more than one organ system.
A specialist rheumatology assessment may be helpful when inflammation is persistent, unexplained or difficult to localise.
🔹 Recurrent Fever and Systemic Symptoms
Some inflammatory conditions cause systemic symptoms such as:
recurrent fever
drenching sweats
weight loss
severe fatigue
sore throat
lymph node enlargement
joint or muscle pain
raised inflammatory markers
These symptoms may require careful assessment to distinguish inflammatory disease from infection, malignancy or other medical causes.
🔹 Chest Pain, Serositis or Pericarditis
Inflammation can sometimes affect the lining around the heart or lungs.
Symptoms may include:
pleuritic chest pain
recurrent pericarditis
chest pain that varies with posture or breathing
shortness of breath
pleural or pericardial effusions
raised inflammatory markers during flares
Assessment may involve collaboration with cardiology, respiratory medicine and specialist imaging colleagues where appropriate.
🔹 Rashes, Mouth Ulcers and Eye Symptoms
Some systemic inflammatory diseases affect the skin, mouth or eyes.
Features may include:
recurrent mouth ulcers
genital ulcers
inflammatory eye disease
painful red eyes
skin rashes
nodules or tender skin lesions
photosensitive or unusual rashes
These symptoms can be important clues in conditions such as Behçet’s disease, sarcoidosis, lupus, vasculitis or other inflammatory disorders.
🔹 Breathlessness or Lung Inflammation
Some inflammatory diseases can involve the lungs, lymph nodes or chest.
Symptoms and findings may include:
breathlessness
cough
chest discomfort
abnormal chest X-ray or CT findings
enlarged lymph nodes in the chest
lung inflammation
reduced exercise tolerance
Respiratory review, CT imaging or multidisciplinary discussion may be needed in selected patients.
🔹 Raised Inflammatory Markers
Raised CRP, ESR, ferritin or other inflammatory markers can occur in many conditions.
These may include:
infection
autoimmune disease
autoinflammatory disease
sarcoidosis
vasculitis
malignancy
inflammatory pericarditis or serositis
adult-onset Still’s disease
The interpretation depends on the full clinical pattern, not the blood result alone.
🔹 Multisystem Diagnostic Uncertainty
Some patients have symptoms that do not fit neatly into one diagnosis.
This may include combinations of:
fever
rash
joint pain
chest pain
breathlessness
eye inflammation
mouth ulcers
abnormal scans
raised inflammatory markers
previous inconclusive investigations
A consultant-led rheumatology assessment can help connect the pattern and decide what further tests or specialist input are needed.
CONDITIONS
Conditions Considered
Complex inflammatory disease assessment may involve considering several possible diagnoses.
The focus is on matching symptoms, examination findings, blood tests and imaging results to the full clinical pattern.
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Adult-Onset Still’s Disease
Adult-onset Still’s disease is an inflammatory condition that can cause:
recurrent high fevers
joint pain or arthritis
sore throat
rash
raised inflammatory markers
markedly raised ferritin in some patients
swollen lymph nodes, liver or spleen involvement in some cases
It can sometimes be difficult to distinguish from infection, malignancy or other inflammatory diseases.
A careful assessment is important, particularly if fevers, rash and systemic inflammation are recurrent or unexplained.
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Behçet’s Disease
Behçet’s disease is a multisystem inflammatory condition that can affect the mouth, skin, eyes, joints, blood vessels, nervous system or gut.
Features may include:
recurrent mouth ulcers
genital ulcers
inflammatory eye disease
skin lesions
joint pain or swelling
vascular inflammation in some patients
neurological or gastrointestinal involvement in some cases
Assessment often requires careful history-taking and, where appropriate, input from ophthalmology, dermatology, neurology, gastroenterology or vascular specialists.
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Sarcoidosis
Sarcoidosis is a granulomatous inflammatory condition that most commonly affects the lungs and lymph nodes, but it can involve other organs.
Features may include:
cough or breathlessness
enlarged lymph nodes in the chest
abnormal chest imaging
skin lesions
eye inflammation
joint pain
raised calcium levels in some patients
heart or neurological involvement in selected cases
Assessment may involve respiratory medicine, ophthalmology, cardiology, neurology or specialist imaging depending on the organs involved.
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Inflammatory Serositis and Recurrent Pericarditis
Serositis refers to inflammation of the lining around organs, such as the pleura around the lungs or the pericardium around the heart.
Inflammatory serositis or recurrent pericarditis may cause:
chest pain
pain worse with breathing or posture
shortness of breath
pleural or pericardial effusion
recurrent inflammatory flares
raised inflammatory markers
abnormal echocardiogram, cardiac MRI or CT findings in selected cases
Rheumatology assessment can help consider whether symptoms suggest an autoimmune, autoinflammatory or systemic inflammatory cause, alongside cardiology or respiratory input.
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Autoinflammatory and Recurrent Fever Syndromes
Some patients have recurrent inflammatory episodes driven by autoinflammatory mechanisms.
Symptoms may include:
recurrent fever
rash
abdominal pain
chest pain
joint pain
raised inflammatory markers during attacks
family history or early-life symptoms in some cases
These conditions are uncommon, and assessment may require specialist investigation or referral depending on the clinical pattern.
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Other Multisystem Inflammatory Conditions
Other inflammatory diseases can sometimes mimic or overlap with adult-onset Still’s disease, Behçet’s disease, sarcoidosis or inflammatory serositis.
These may include:
lupus or connective tissue disease
vasculitis
inflammatory arthritis
infection-related inflammation
immune-mediated lung or cardiac inflammation
haematological or malignant causes of inflammation
drug-related inflammatory reactions
Assessment focuses on identifying the most likely explanation and deciding which investigations or specialist colleagues should be involved.
How Complex Inflammatory Disease Is Assessed
Assessment begins by reviewing the full clinical pattern, including symptoms, examination findings, previous blood tests, imaging results, specialist opinions and response to previous treatments.
Complex inflammatory diseases often require careful interpretation because symptoms may overlap with infection, malignancy, autoimmune disease, autoinflammatory disease, granulomatous disease or organ-specific conditions.
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The consultation explores:
symptom onset and timeline
fever pattern
joint pain or swelling
rashes or skin changes
mouth or genital ulcers
eye inflammation
chest pain or breathlessness
abdominal or neurological symptoms
weight loss, sweats or fatigue
previous infections or travel history
medication history
family history
previous investigations and diagnoses
The pattern over time is often as important as a single blood test or scan.
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Examination may include assessment of:
joints
skin
lymph nodes
mouth ulcers or mucosal symptoms
chest and cardiovascular features
neurological signs where relevant
signs of eye, lung, vascular or systemic involvement
The aim is to identify whether symptoms suggest systemic inflammation and which organ systems may require further review.
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Blood and urine tests may be arranged depending on the clinical picture.
These may include:
inflammatory markers
full blood count
liver and kidney function
ferritin
calcium levels
autoimmune tests
infection screening where appropriate
immunoglobulins and complement levels where relevant
urine testing for kidney involvement
other targeted tests depending on symptoms
Testing is selected according to the suspected diagnosis rather than performed as a generic panel.
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Imaging may be important in selected patients, particularly where there are chest symptoms, abnormal previous scans, suspected organ involvement or unexplained persistent inflammation.
Depending on the clinical situation, imaging may include:
chest X-ray
CT chest or CT body imaging
MRI
cardiac MRI
echocardiography
PET-CT in selected cases
ultrasound where relevant
specialist radiology or nuclear medicine review
Advanced imaging such as cardiac MRI or PET-CT is not required for every patient, but it can be valuable where the clinical question is specific.
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Complex inflammatory diseases often require input from more than one specialty.
Depending on symptoms, Dr Singh may coordinate assessment or discuss care with colleagues in:
respiratory medicine
cardiology
dermatology
ophthalmology
infectious diseases
haematology
gastroenterology
renal medicine
neurology
radiology
nuclear medicine or PET-CT imaging
cardiac MRI services
This helps ensure that organ-specific inflammation is assessed appropriately and that treatment decisions are made in context.
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After assessment, patients receive a clear explanation of the likely diagnosis, remaining uncertainties and recommended next steps.
The plan may include:
targeted further investigations
monitoring where immediate treatment is not required
treatment recommendations
referral to specialist colleagues
review of previous treatment response
advice on escalation if symptoms worsen
coordination with the patient’s GP, NHS team or other private specialists where appropriate
Treatment, Investigation and Multidisciplinary Care
Treatment depends on the diagnosis, organ systems involved, severity of inflammation, previous treatment response and the balance of risks and benefits.
Because this page covers several different inflammatory diseases, treatment is best considered in broad categories rather than as a single pathway.
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The first step is to identify whether symptoms are due to a systemic inflammatory, autoimmune, autoinflammatory or granulomatous condition.
This may involve:
reviewing previous tests and scans
identifying which organ systems are involved
considering infection, malignancy or alternative diagnoses
deciding whether further imaging or specialist review is needed
clarifying whether treatment is required immediately or whether monitoring is appropriate
Treatment decisions are safest when the diagnosis and clinical question are clear.
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Not every patient with raised inflammatory markers needs immediate immunosuppressive treatment.
In selected cases, monitoring may be appropriate while further assessment is completed.
This may include:
repeat inflammatory markers
symptom tracking
organ-specific blood tests
urine testing
repeat imaging
specialist review
review of response to previous treatment
The aim is to avoid both under-treatment of important inflammation and unnecessary treatment where the diagnosis is uncertain.
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Some inflammatory conditions may be treated initially with anti-inflammatory medication, depending on the diagnosis and organ involvement.
This may include:
non-steroidal anti-inflammatory drugs in selected patients
colchicine in selected inflammatory serositis or pericarditis presentations
corticosteroids where inflammation is significant or organ involvement requires treatment
local or organ-specific treatment where appropriate
The choice depends on the condition, severity, safety considerations and involvement of other specialists.
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When longer-term control is needed, steroid-sparing treatment may be considered depending on the diagnosis.
Examples may include medicines such as:
methotrexate
azathioprine
mycophenolate mofetil
ciclosporin
other immunosuppressive treatments depending on the condition
These treatments require careful patient selection, counselling, blood monitoring and review of risks and benefits.
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Some complex inflammatory diseases may require biologic or targeted therapies, particularly when inflammation is severe, recurrent or not controlled with standard treatment.
Depending on the diagnosis, examples may include treatments targeting:
interleukin-1
interleukin-6
tumour necrosis factor
B cells
other inflammatory pathways
These treatments are not suitable for every patient and usually require clear diagnosis, monitoring and specialist oversight.
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Complex inflammatory diseases may affect different organs, so treatment often needs input from other specialists.
Depending on the condition, this may involve:
respiratory medicine for lung or lymph node disease
cardiology for pericarditis, myocarditis, cardiac sarcoidosis or recurrent chest pain
ophthalmology for inflammatory eye disease
dermatology for inflammatory skin disease
gastroenterology for gut involvement
renal medicine for kidney involvement
neurology for neurological symptoms
haematology where blood abnormalities, lymph node enlargement or macrophage activation are concerns
infectious diseases where infection needs to be excluded or managed
Multidisciplinary working helps ensure that treatment is directed at the relevant organ involvement and that alternative diagnoses are considered.
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Specialist imaging can be helpful in selected patients where the clinical question is specific.
This may include:
CT imaging for lung, lymph node or systemic assessment
MRI for organ-specific inflammation
cardiac MRI for suspected pericardial or myocardial inflammation
echocardiography for pericardial effusion or cardiac function
PET-CT for selected cases of unexplained inflammation, sarcoidosis, vasculitis or inflammatory disease mapping
specialist radiology or nuclear medicine review
Dr Singh can coordinate care with imaging specialists and relevant clinical colleagues where appropriate.
Key Message
Complex inflammatory diseases often require careful diagnosis before treatment decisions are made.
Treatment may involve monitoring, anti-inflammatory medication, corticosteroids, steroid-sparing immunosuppression, biologic therapy or organ-specific specialist care, depending on the diagnosis and severity.
The aim is to identify clinically important inflammation, involve the right specialists and develop a targeted plan rather than applying a one-size-fits-all approach.
Need Help With Unexplained or Complex Inflammatory Symptoms?
If you have recurrent fevers, raised inflammatory markers, inflammatory chest pain, pericarditis, rashes, mouth ulcers, eye inflammation, breathlessness, joint pain or symptoms affecting several organ systems, a specialist rheumatology assessment can help clarify the likely cause.
Dr Singh offers consultant-led assessment for suspected complex inflammatory disease in London, including adult-onset Still’s disease, Behçet’s disease, sarcoidosis, inflammatory serositis, recurrent pericarditis and multisystem inflammatory presentations.
When to Consider a Private Complex Inflammatory Disease Appointment
A private rheumatology assessment may be helpful if you:
Have recurrent fevers, sweats, weight loss or systemic inflammatory symptoms
Have persistently raised inflammatory markers without a clear explanation
Have joint pain, rash, sore throat or high ferritin suggesting possible adult-onset Still’s disease
Have recurrent mouth ulcers, genital ulcers, eye inflammation, skin lesions or symptoms suggesting possible Behçet’s disease
Have suspected or established sarcoidosis with joint, skin, eye, lung, lymph node, cardiac or multisystem symptoms
Have inflammatory chest pain, recurrent pericarditis, pleurisy or serositis
Have abnormal CT, MRI, cardiac MRI, echocardiogram or PET-CT findings requiring rheumatology interpretation
Have symptoms involving several organ systems without a clear diagnosis
Are unsure whether symptoms suggest autoimmune, autoinflammatory, granulomatous, infectious, malignant or organ-specific disease
Need coordination between rheumatology, respiratory medicine, cardiology, ophthalmology, dermatology, imaging or other specialists
Would like a second opinion about diagnosis, investigations or treatment options
Complex inflammatory symptoms often need careful interpretation. A rheumatology assessment can help decide whether further investigation, treatment, monitoring or multidisciplinary input is most appropriate.
Why See Dr Singh Privately?
Complex inflammatory diseases can be difficult to diagnose because symptoms may involve several organ systems and may overlap with infection, malignancy, autoimmune disease, autoinflammatory disease, granulomatous disease or organ-specific conditions.
Patients may seek a private rheumatology assessment for:
diagnostic clarity after unexplained inflammatory symptoms
interpretation of raised CRP, ESR, ferritin or other abnormal blood tests
review of previous CT, MRI, cardiac MRI, echocardiogram or PET-CT findings
assessment of recurrent fever, rash, joint pain, mouth ulcers or eye inflammation
assessment of inflammatory chest pain, recurrent pericarditis or serositis
advice about adult-onset Still’s disease, Behçet’s disease, sarcoidosis or related conditions
a second opinion about investigations, diagnosis or treatment
coordination between multiple specialists
Dr Singh’s approach is to review the full clinical pattern, identify whether there is evidence of clinically important inflammation and decide which further tests or specialist input are genuinely needed.
Where appropriate, this may involve coordination with respiratory physicians, cardiologists, ophthalmologists, dermatologists, infectious diseases physicians, haematologists, gastroenterologists, renal physicians, radiologists, nuclear medicine specialists or cardiac MRI specialists.
The aim is to reduce uncertainty, avoid unnecessary repeated testing where possible and develop a clear plan for investigation, treatment, monitoring or multidisciplinary care.
Consultant Rheumatologist and General Internal Medicine Physician at the Royal Free Hospital
Clinical Lead for Rheumatology at the Royal Free Hospital
Experience assessing complex inflammatory disease, unexplained inflammation and multisystem rheumatology presentations
Experience assessing suspected or established adult-onset Still’s disease, Behçet’s disease, sarcoidosis, inflammatory serositis and recurrent pericarditis
Experience distinguishing autoimmune, autoinflammatory, granulomatous, infectious, malignant and organ-specific causes of inflammation
Experience interpreting inflammatory markers, ferritin, autoimmune blood tests, CT, MRI, cardiac MRI, echocardiography and PET-CT results in clinical context
Experience coordinating care with respiratory medicine, cardiology, ophthalmology, dermatology, infectious diseases, haematology, gastroenterology, renal medicine, radiology, nuclear medicine and cardiac imaging colleagues where appropriate
Experience advising on treatment pathways including monitoring, anti-inflammatory treatment, corticosteroids, steroid-sparing immunosuppression and biologic therapies where clinically appropriate
Highly rated by patients on Doctify and Google, with more than 800 patient reviews
Private Complex Inflammatory Disease Appointments in London
Consultant-Led Complex Inflammatory Disease Assessment Across London
Dr Singh offers private assessment for patients with suspected or established complex inflammatory disease, unexplained inflammation, recurrent fever, raised inflammatory markers, inflammatory chest pain, recurrent pericarditis, sarcoidosis, Behçet’s disease, adult-onset Still’s disease and multisystem inflammatory symptoms.
Appointments are available for patients with:
suspected or established adult-onset Still’s disease
suspected or established Behçet’s disease
suspected or established sarcoidosis
inflammatory serositis, pleurisy or recurrent pericarditis
recurrent fever or systemic inflammatory symptoms
persistently raised inflammatory markers without a clear explanation
inflammatory chest pain or breathlessness requiring rheumatology assessment
abnormal CT, MRI, cardiac MRI, echocardiogram or PET-CT findings requiring clinical interpretation
symptoms involving several organ systems
diagnostic uncertainty after previous investigations
requests for a second opinion about diagnosis, investigations or treatment options
Self-pay and insured patients are welcome. Self-pay patients can book directly without a GP referral, while insured patients should check their policy requirements before booking.
Where clinically appropriate, Dr Singh may coordinate further investigations, specialist imaging review or multidisciplinary input with respiratory, cardiology, ophthalmology, dermatology, infectious diseases, haematology, gastroenterology, renal medicine, radiology, nuclear medicine or cardiac imaging colleagues.
Private complex inflammatory disease assessments in Central London, near Harley Street, Marylebone and Oxford Circus.
This clinic may be suitable for patients seeking a central London location or those travelling from outside London for a specialist rheumatology opinion.
Private complex inflammatory disease assessments at the Royal Free Hospital in Hampstead.
This provides access to a major London teaching hospital environment and Dr Singh’s experience assessing complex rheumatological, inflammatory and multisystem presentations.
Private complex inflammatory disease assessments in West London, convenient for Chiswick, Richmond, Ealing, Acton, Hammersmith and surrounding areas.
Common Questions About Complex Inflammatory Disease
These answers cover common questions patients ask when seeking assessment for adult-onset Still’s disease, Behçet’s disease, sarcoidosis, inflammatory serositis, recurrent pericarditis, raised inflammatory markers or unexplained multisystem inflammation.
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A complex inflammatory disease is a condition where inflammation may affect more than one part of the body or does not fit neatly into one organ system.
Examples include adult-onset Still’s disease, Behçet’s disease, sarcoidosis, inflammatory serositis, recurrent pericarditis, autoinflammatory syndromes and other multisystem inflammatory conditions.
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Raised inflammatory markers such as CRP or ESR may need assessment if they are persistent, unexplained or associated with symptoms such as fever, weight loss, sweats, rash, joint pain, chest pain, breathlessness, eye inflammation or mouth ulcers.
A raised inflammatory marker is not a diagnosis by itself. It needs to be interpreted alongside symptoms, examination findings and previous investigations.
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Adult-onset Still’s disease is an inflammatory condition that can cause recurrent fever, rash, joint pain, sore throat and raised inflammatory markers.
Some patients have very high ferritin levels or systemic features such as lymph node, liver or spleen involvement.
Assessment is important because symptoms can overlap with infection, malignancy and other inflammatory conditions.
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Behçet’s disease is a multisystem inflammatory condition that can cause recurrent mouth ulcers, genital ulcers, eye inflammation, skin lesions, joint symptoms and, in some patients, vascular, neurological or gastrointestinal involvement.
Assessment may require input from ophthalmology, dermatology, gastroenterology, neurology or other specialists depending on the symptoms.
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Sarcoidosis is an inflammatory condition that can cause granulomas, which are collections of inflammatory cells.
It most commonly affects the lungs and lymph nodes, but it can also involve the skin, eyes, joints, heart, nervous system, calcium balance or other organs.
Assessment may involve respiratory medicine, ophthalmology, cardiology, neurology or specialist imaging depending on the clinical pattern.
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Serositis means inflammation of the lining around organs.
It can affect the pleura around the lungs or the pericardium around the heart.
Symptoms may include pleuritic chest pain, shortness of breath, pericarditis, pleural effusion or pericardial effusion.
Rheumatology assessment can help consider whether serositis is part of an autoimmune, autoinflammatory or systemic inflammatory condition.
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Yes, rheumatology input may be helpful when pericarditis is recurrent, unexplained, associated with raised inflammatory markers or suspected to be part of a wider inflammatory or autoimmune condition.
Assessment is usually most useful alongside cardiology input, particularly where echocardiography, cardiac MRI or other cardiac investigations are needed.
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Not every patient needs advanced imaging.
PET-CT, MRI or cardiac MRI may be helpful in selected cases where there is a specific clinical question, such as unexplained inflammation, suspected organ involvement, inflammatory chest pain, cardiac involvement, sarcoidosis or another systemic inflammatory condition.
The decision depends on symptoms, examination findings, previous tests and specialist input.
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Possibly.
Complex inflammatory diseases often involve more than one organ system.
Depending on your symptoms, input may be needed from respiratory medicine, cardiology, ophthalmology, dermatology, infectious diseases, haematology, gastroenterology, renal medicine, neurology, radiology, nuclear medicine or cardiac imaging specialists.
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Treatment depends on the diagnosis, severity and organs involved.
Options may include monitoring, anti-inflammatory medication, colchicine in selected inflammatory serositis or pericarditis presentations, corticosteroids, steroid-sparing immunosuppression or biologic therapy where clinically appropriate.
Treatment is individualised and may require multidisciplinary care.
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Yes.
Some infections, haematological conditions, malignancies or organ-specific diseases can mimic inflammatory or rheumatological disease.
This is why assessment needs to consider the full clinical picture and why targeted investigations or specialist input may be needed before starting immunosuppressive treatment.
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Yes.
A second opinion may be helpful if:
symptoms remain unexplained
inflammatory markers remain raised
previous investigations have been inconclusive
you have been given a possible diagnosis of adult-onset Still’s disease, Behçet’s disease, sarcoidosis or recurrent pericarditis
you are unsure whether treatment is needed
you need help coordinating assessment across more than one specialty
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Where available, bring:
blood test results
CT, MRI, cardiac MRI, echocardiogram or PET-CT reports
clinic letters
discharge summaries
biopsy results if relevant
medication list
fever diary or symptom timeline
photographs of rashes or ulcers if relevant
details of previous treatments and responses
This helps ensure the assessment is as complete as possible.
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A GP referral is not required for self-pay appointments.
If you are using private medical insurance, please check your insurer’s requirements before booking.
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Yes. Dr Singh sees insured patients.
Please check your insurer’s requirements before booking and bring any required authorisation details.
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Useful patient resources include:
Adult-Onset Still’s Disease
Information about adult-onset Still’s disease, symptoms and treatment.
Versus Arthritis: Adult-onset Still’s disease
Behçet’s DiseaseInformation about Behçet’s disease and its symptoms.
SarcoidosisInformation about sarcoidosis symptoms, diagnosis and treatment.
SarcoidosisUK: Sarcoidosis information
PericarditisInformation about pericarditis symptoms and treatment.
British Heart Foundation: Pericarditis
These resources can help you understand complex inflammatory conditions and prepare questions for your consultation, but they should not replace personalised medical advice.
Ready to Arrange a Private Complex Inflammatory Disease Assessment?
If you have unexplained inflammation, recurrent fever, raised inflammatory markers, inflammatory chest pain, recurrent pericarditis, sarcoidosis, Behçet’s disease, adult-onset Still’s disease or symptoms affecting several organ systems, a specialist rheumatology assessment can help clarify the next steps.
Dr Singh provides consultant-led complex inflammatory disease assessment in London, with a focus on careful diagnosis, targeted investigations, interpretation of previous results and multidisciplinary care where appropriate.
Related Rheumatology Pages
Complex inflammatory symptoms can overlap with several autoimmune and systemic rheumatology conditions.
These related pages may also be helpful.
