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Rheumatology
SPECIALITY · RHEUMATOLOGY

Rheumatology in Türkiye — biologic therapy for RA, SLE, spondyloarthropathies.

Modern biologics and JAK inhibitors. Complete diagnostics of autoimmune diseases.

What you get
  • Biologic and targeted therapies licensed in Türkiye, chosen and supervised by the rheumatologist
  • Day-clinic for infusions
  • Coordination with dermatologist, gastro and nephrologist
2 centres · 4 rheumatologists · Roche/AbbVie/J&J biologics
SECOND OPINION ONLINE

Second opinion from a rheumatologist — within 48 hours, free

Send your labs (CRP, ANA, anti-CCP), DAS28 and current therapy — the rheumatologist returns a written opinion.

01
Upload your discharge summary
Discharge summaries, CT/MRI discs (DICOM), histology slides if available. Up to 200 MB.
02
Coordinator reviews
Selects 2–3 professors matched to your diagnosis and stage. Sends them your records.
03
Video consultation
The professor responds online — review of histology, protocol, travel plan if needed.
What to send
  • Discharge summaries from inpatient / outpatient care
  • CT or MRI — original DICOM discs
  • Histology report (if available)
  • Slides or blocks for review (optional)
  • Current therapy list
Request a second opinion
Free. Confidential. Anna Moroz reads every request personally.
5 PROCEDURES

What we treat in rheumatology

Autoimmune rheumatic diseases — RA, SLE, spondyloarthropathies, vasculitis.

TREATMENT METHODS

Rheumatology methods

Biologics (TNFi, IL-6i, IL-17i), JAK inhibitors, day-clinic infusions.

TNF inhibitors
Adalimumab, Etanercept, Infliximab — the gold standard.
2 clinics
IL-6 / IL-17 inhibitors
Tocilizumab (RA), Secukinumab (axSpA, PsA) — alternatives to TNF inhibitors.
2 clinics
JAK inhibitors
Tofacitinib, Baricitinib, Upadacitinib — oral targeted synthetic DMARDs (tablets, not injections).
2 clinics
Day-clinic infusions
Standardised protocols for safe infusions.
2 clinics
RHEUMATOLOGY · TEAM

Professors you get direct access to

Professors and senior specialists at Memorial, Liv and Akdeniz. Direct contact, no middlemen.

Prof. Dr. M. Ender Terzioğlu, MD
Prof. Dr. M. Ender Terzioğlu, MD
Professor of Internal Medicine — Rheumatology and Allergy
Akdeniz University Hospital
Prof. Dr. Veli Yazısız
Prof. Dr. Veli Yazısız
Professor at the Department of Rheumatology; Head of the Rheumatology Outpatient Clinic
Akdeniz University Hospital, Antalya
Prof. Dr. Cahit Kaçar
Prof. Dr. Cahit Kaçar
Professor of Physical Medicine, Rehabilitation and Rheumatology
Akdeniz University Hospital
Prof. Dr. Funda Erbasan
Prof. Dr. Funda Erbasan
Professor of Internal Medicine — Rheumatology
Akdeniz University Hospital
Prof. Dr. Şenol Kobak
Prof. Dr. Şenol Kobak
Professor of Rheumatology
İstinye University Liv Hospital, Istanbul
CLINICS

Clinics where treatment takes place

Partner hospitals with specialised departments and end-to-end support.

JCI GOLD SEAL
Liv Hospital Ulus

The flagship hospital of the Liv Hospital group in the upscale Ulus district. JCI accreditation and a da Vinci robotic…

Learn more about the clinic
Akdeniz University Hospital

The world’s first deceased-donor uterus transplant and Türkiye’s first face transplant were performed here. The largest university hospital in Türkiye’s…

Learn more about the clinic
DIAGNOSTICS

Rheumatology diagnostics

CRP, ANA, anti-CCP, RF, anti-dsDNA, HLA-B27, joint ultrasound, MRI, DEXA.

Rheumatology panel
CRP, ESR, RF, anti-CCP, ANA, anti-dsDNA, HLA-B27.
1 day
Joint ultrasound
Power Doppler to assess synovitis activity.
30 min
Joint MRI 3T
Early detection of erosions and synovitis.
1 day
DEXA densitometry
Osteoporosis assessment under long-term steroid therapy.
15 min
PRICE SNAPSHOT

Rheumatology pricing — Türkiye vs EU/USA

Minimum prices, for reference only. The final cost is calculated individually after the doctors review your records.

Procedure Türkiye EU / USA Savings
Adalimumab (1 month) from $400 $1 500 – 2 800 −72%
Tocilizumab (1 infusion) from $1 200 $4 000 – 7 000 −72%
Belimumab (1 infusion) from $1 500 $5 000 – 8 500 −72%
Full rheumatology work-up from $500 $2 000 – 4 000 −75%
Day-clinic infusion (1 session) from $200 $700 – 1 500 −72%
The information on this page is for reference only and does not constitute a medical opinion.
Request a precise quote for my case
QUESTIONS

Frequently asked about Rheumatology

Should I choose a JAK inhibitor or a biologic for rheumatoid arthritis?
After methotrexate failure, EULAR 2022 recommends a biologic DMARD (anti-TNF, IL-6 inhibitor, abatacept, rituximab) or a JAK inhibitor (tofacitinib, baricitinib, upadacitinib). JAK inhibitors offer oral dosing and rapid action but have FDA/EMA warnings about MACE, VTE and malignancy in patients >65 or with cardiovascular risk factors. Memorial and Akdeniz rheumatology choose based on age, comorbidities, fertility plans and prior treatment response.
What's the workup for suspected lupus nephritis?
Workup includes complete autoimmune serology (ANA, anti-dsDNA, anti-Sm, complement C3/C4), full urinalysis with sediment, 24-hour proteinuria or spot UPCR, renal function, and renal ultrasound. A kidney biopsy is essential for ISN/RPS class determination (I-VI) and guides therapy — pulse cyclophosphamide or mycophenolate plus glucocorticoids for class III/IV/V. Memorial and Akdeniz rheumatology-nephrology teams complete the workup in 3-5 days.
Am I eligible for biologic therapy in axial spondyloarthritis?
Per ASAS-EULAR 2022, b/tsDMARDs should be considered for confirmed axSpA with ASDAS ≥2.1 despite at least two NSAIDs over 4 weeks, plus elevated CRP, MRI inflammation of the sacroiliac joints or radiographic sacroiliitis. Current practice is to start a TNF inhibitor (adalimumab, etanercept, infliximab, certolizumab, golimumab) or an IL-17 inhibitor (secukinumab, ixekizumab); JAK inhibitors are an alternative. Memorial rheumatology arranges MRI sacroiliac joints and full workup.
What does a comprehensive psoriatic arthritis workup involve?
Comprehensive workup includes joint assessment (peripheral arthritis pattern, enthesitis, dactylitis), spinal evaluation, skin/nail exam, MRI/ultrasound of affected joints, plain X-rays and inflammatory markers (CRP, ESR). Treatment is stratified by GRAPPA recommendations across six domains. Targeted therapy choice — anti-TNF, IL-17, IL-23, JAK inhibitor — depends on dominant domain. Memorial offers an MDT rheumatology-dermatology approach in 2-3 days.
What's the target serum urate level in gout, and how to reach it?
ACR and EULAR recommend a target serum urate <6 mg/dL (<360 µmol/L) — and <5 mg/dL for tophaceous or severe gout — to dissolve crystal deposits. First-line therapy is allopurinol, started at 100 mg and titrated to 300-900 mg; alternatives are febuxostat or uricosurics. Initial flare prophylaxis with colchicine 0.5 mg daily for 3-6 months prevents mobilization flares. Memorial rheumatology monitors urate monthly during titration.
How is Behçet's disease managed?
Behçet's management follows EULAR 2018 recommendations and depends on organ involvement: colchicine for mucocutaneous; azathioprine, cyclosporine, or IFN-α for uveitis; anti-TNF (infliximab, adalimumab) for refractory eye, neuro- or vascular Behçet's. Behçet's disease is common in Türkiye; Akdeniz University's dermatology department follows Behçet's patients in a dedicated registry and coordinates with ophthalmology and neurology as needed.
How important is exercise therapy in ankylosing spondylitis?
Exercise therapy is a cornerstone of axSpA management per ASAS-EULAR — daily stretching, posture correction, swimming and supervised physiotherapy reduce pain, preserve spinal mobility and improve quality of life independently of biologic therapy. Programs typically include 30-45 minutes daily, with formal physiotherapy 2-3x/week for 8-12 weeks. Memorial and Akdeniz physiotherapy departments build personalized AS programs alongside rheumatology follow-up.
REQUEST

Tell me about your case — I’ll read it personally.

Fill in the short form on the consultation page — diagnosis, preferred timing, attached records. We assemble a tumour board for your case and reply within 4 hours.

Open the consultation form
  • Reply within 4 hours during business hours
  • Confidentiality guaranteed
  • Coordinator-translator inside the doctor’s office
  • Tumour board of 2–3 professors within 72 hours