Rheumatology

Locum Consultant At Southend General Hospital, Essex, UK

July 2002 - August 2002 (6 weeks)

July 2003 - August 2003 (6 weeks)

July 2004 - August 2004 (6 weeks)

July 2005 - August 2005 (6 weeks)

July 2006 - August 2006 (6 weeks)

January 2000 – August 31, 2001 : Visiting Registrar in Rheumatology, Southend General Hospital, Essex, UK

June 20, 1996 – January 15, 2000 : Clinical Associate (Senior Registrar grade) - Rheumatology, P. D. Hinduja National Hospital & MRC, Mumbai. India

May 1, 1995 – July 31, 1996 : Visiting Clinical Fellow – Rheumatology, Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath, UK

June 1, 1993 – April 15, 1995 : Clinical Fellow – Rheumatology, P. D. Hinduja National Hospital & MRC, Mumbai. India.

December 1, 1992 – May 31, 1993 : Clinical Assistant – Medicine, P. D. Hinduja National Hospital & MRC, Mumbai. India

January 1, 1992 – June 1, 1992 : Chief Resident – Medicine, Sassoon General Hospital, Pune, India

September 1, 1990 – December 31, 1991 : Senior Resident – Medicine, Sassoon General Hospital, Pune, India

June 1, 1989 – August 31, 1990 : Junior Resident, Madras Medical College, Madras. India

June 1, 1988 – May 31, 1989 : House Officer – Rotation, Madras Medical College, Madras, India

• Oration at Western region Dermatology Society in Pune 2009
• DNB guide in rheumatology since 2008

• Indian Rheumatism Association 

Chapters in Text Books:

• Joshi VR. Balakrishnan C.  Systemic lupus erythematosus.  In Manual of Rheumatology.  Pispati PK, Borges NE, Uppal SS, eds, First edition.  Publisher : Indian Rheumatism Association, 1999, 227 – 50.
• Joshi VR. Balakrishnan C.  Systemic lupus erythematosus.  In Manual of Rheumatology.  Pispati PK, Borges NE, Uppal SS, eds, Second Edition.  Publisher : Indian Rheumatism Association.
• Balakrishnan C, Joshi VR. Management of Rheumatoid Arthritis. In Manual of Rheumatology. Eds URK Rao, Pub Indian Rheumatology Association, 3rd edition, 2009: pgs120-126.
• Balakrishnan C. Relapsing polychondritis in Rheumatology: principles and practice, Eds Syngle.A, Deodhar SD. Jaypee publication 2010, pgs 316-324.

• Balakrishnan C, Joshi VR.  Drug induced rheumatic disorders – a review.  Journal of Association of Physicians of India.  J. Assoc. Physc India 1994; 42: 895 – 989.
• Balakrishnan C.  Tuberculosis and leprosy – a rheumatic diseases.  Bombay Hospital Journal 1997; 39 (2): 296 – 301.
• Joshi VR, Mangat G, Balakrishnan C, Mittal G.  Osteoporosis – Approach in Indian Scenario.  J. Assoc Physc India 1998; 46 (11): 965 – 67.

• Balakrishnan C, Venkatachalam S, Mangat G, Wadhwa M, Joshi VR.  Clinical significance of extreme elevations of ESR.  Journal of Indian Rheumatism Assoc (J Indian Rheum Assoc) 1994; 60: 76 – 78.
• Balakrishnan C, Pai B, Mangat G, Venkatachalam S. Wadhwa M, Joshi VR.  Pattern of radiological changes in rheumatoid hand – a study of 100 Indian patients.  J Indian Rheum Assoc 1995; 3: 48 – 50.
• Shah NM, Mangat G, Balakrishnan C, Joshi VR.  Psoriatic arthritis – a study of 102 patients.  J Indian Rheum Assoc 1995; 4: 133 – 6.
• Balakrishnan C, Mangat G, Venkatachalam S, Udwadia Z, Joshi VR.  Shrinking lungs in systemic lupus erythematosus – a study of 6 cases.  J Indian Rheum Assoc 1994; 2 (4): sup 85 – 89.
• Balakrishnan C, Mangat G, Shah NM, Joshi VR.  Comparison of radiological changes between hands and feet in patients with early rheumatoid arthritis.  J Indian Rheum Assoc 1995; 3: 82 – 3.
• Mangat G, Balakrishnan C, Venkatachalam S, Joshi VR.  Pattern of osteoarthritis in India – a hospital based study.  J Indian Rheum Assoc 1995; 3 (4): 125 – 28.
• Balakrishnan C, Kalke S, Mangat G, Joshi VR.  Erythema nodosum and panniculitis – an analysis of patients at a tertiary referral centre in Western India.  J Ind Rheum Assoc 1997; 5 (2): 47 – 49.
• Kalke S, Balakrishnan C, Mangat G, Agarwala S, Chinoy RK, Joshi VR.  The pattern of joint replacements in rheumatological diseases experience at a tertiary referral centre.  J Indian Rheum Assoc 1997; 5 (2): 44 – 46.
• Andrew Taylor, Balakrishnan C, Andrei Calin.  Reference centile charts for measures of disease activity, functional impairment, and metrology in ankylosing spondylitis.  Arthritis Rheum 1998; 41 (6): 1119 – 25.
• Balakrishnan C, Mangat G, Kalke S, Desai D, Joshi A, Deshpande RB, Joshi VR.  Chronic auotimmune hepatitis.  J Assoc Physc India 1998; 46: 431 – 35.
• Balakrishnan C, Mangat G, Mittal G, Joshi VR.  Tuberculosis in patients with systemic lupus of erythematosus.  J Assoc Physc Indian 1998; 46 (8) 682 – 83.
• Kalke S, Jhankaria B, Balakrishnan C, Mangat G, Khemani R, Chinoy RJ et al.  Evaluation of knee pathology by ultrasonography.  J. Assoc Physc India 1998; 46 (7) 623 – 24.
• Kalke S, Kumar N, Balakrishnan C, Mangat G, Joshi VR.  Echocardiography in systemic lupus erythematosus.  Lupus 1998; 7: 540 – 44.
• Balakrishnan C, Mangat G, Mittal G, Gaitonde S, Deshpande RB, Shah B, Joshi VR. Efficacy of repeat cyclophosphamide pulses in patients with relapse of lupus nephritis – an interim report. APLAR J Rheumatol 2000; 3(3): 212-16.
• Balakrishnan C, Sule A, Mittal G, Gaitonde S, Pathan E, Rajadhakshya S, Deshpande RB, Gurmeet M, Samant R, Joshi VR. Treatment of AA amyloidosis in rheumatoid arthritis. J Assoc Physicians India 2002; 50: 907-9.
• Balakrishnan C. Vasculitic syndromes: An overview. J General Med 2002; 14 (2): 38-42.
• McHugh NJ, Balakrishnan C, Jones SM. Progression of Psoriatic Arthritis. Rheumatology 2003.
• Gohar S, Desai D, Joshi A, Bhaduri A, Deshpande R, Balakrishnan C, Chawla M, Rodrigues C, Joshi VR. Autoimmune hepatitis: a study of 50 patients. Indian J Gastroenterol 2003; 12:140-2.
• Pinto L, Kagalwala F, Singh S, Balakrishnan C, Prabhu SV, Khodaiji S. Macrophage activation syndrome: Experience from a tertiary referral centre. J Assoc Physicians India 2007; 55: 185 – 187.
• Tembe AG, Ramteke S, Joshi VR, Balakrishnan C. Dermatomyositis / Polymyositis associated with malignancy: our experience with ten cases and review of relevant literature. International Journal of Rheumatic Diseases 2008; 11: 269-273.
• Ravindran J, Cavill C, Balakrishnan C, Jones SM, Korendowych E, McHugh NJ. A modified Sharp score demonstrates disease progression in established psoriatic arthritis. Arthritis Care Research 2010; 62(1): 86-91.
• Singh S, Balakrishnan C, Mangat G, Samant R, Bambani M, Kalke S, Joshi VR. Giant Cell Arteritis in Mumbai. J Assoc Physicians Indian 2010; 58: 372-374.
• Nagraj S, Sharma V, Chitnis N, Mangat G, Samant R, Balakrishnan C. Primary prophylaxis for steroid induced osteoporosis: are we doing enough? – an audit from a tertiary care centre. Ind J Rheumatol 2010: 5 (4): 176-179.
• Balakrishnan C, Madnani N. Diagnosis and management of psoriatic arthritis. Indian J Dermatol Venereol Leprol 2013;79:18-24.

• Balakrishnan C, Udwadia Z, Joshi VR.  Pneumothorax as a presenting manifestation of lymphangitis carcinomatosa.  J. Assoc Physc India 1994; 42: 904 – 06.
• Balakrishnan C, Mangat G, Joshi VR.  Pure red cell aplasia due to carbamazipine – a case report.  Indian J Clin Pharmacology Therapeutics 1994; 10: 26 – 27.
• Balakrishnan C, Venkatachalam S, Mangat G, Joshi VR.  Vasculitic ulcers in rheumatoid arthritis.  Indian Journal of Dermatology, Venereology and Leprology (Ind J of Derm Venereol Leprol) 1994; 60: 87 – 88.
• Balakrishnan C, Mangat G, Venkatachalam S, Udwadia Z. Joshi VR.  Shrinking lungs in SLE – a study of 6 cases.  J Indian Rheum Assoc 1994; 2: sup 85 – 89.
• Venkatachalam S, Balakrishnan C, Mangat G, Joshi VR.  Destructive bone lesions in primary amyloidosis.  J Indian Rheum Assoc 1995; 3 (3): 82 – 83.
• Venkatachalam S, Balakrishnan C, Mangat G, Kanekar S, Niranjan A, Sainani RG, Joshi VR.  Central nervous system toxoplasmosis in AIDS.  J. Assoc Physc India 1995; 43: 427 – 30.
• Balakrishnan C, Venkatachalam S, Mangat G, Pathak A, Kapadia A, Joshi VR.  Dermatomyositis with malignancy.  J. Assoc Physc India 1995; 43: 287 – 8.
• Kothari VH, Shah NM, Venkatachalam S, Balakrishnan C, Mangat G, Joshi VR.  Cogan’s syndrome in a 9 years old – a case report and review of literature.  J Indian Rheum Assoc 1995; 3 (4): 164 – 65.
• Balakrishnan C, Kalke S, Mangat G, Joshi M, Joshi VR.  Concomittant osteomalacia in rheumatological disorders – an important reversible cause of recent onset increase in morbidity.  J Indian Rheum Assoc 1997; 5 (2): 58 – 60.
• Kalke S, Kulkarni B, Balakrishnan C, Mangat G, Karve SR, Deshpande RB, Joshi VR.  Cytomegalovirus pneumonia in a rheumatoid arthritis patient on low dose methotrexate.  J Assoc Phys India 1998; 46 (6) 554 – 56.
• G. Mittal, Balakrishnan C, Mangat G, Joshi VR.  Sustained remission in a case of SLE following megadose cyclophosphamide.  Lupus 1999; 8 : 77 – 80.
• Kini S, Mittal G, Balakrishnan C, Mangat G, Hegde AV, Joshi VR. An unusual systemic presentation of gout. J Assoc Phys India 2000; 48: 11-12.
• Dutta I, Gohar S, Balakrishnan C, Mangat G, Mittal G, Bhaba SK, Joshi VR. Unilateral inter-nuclear opthalmoplegia in systemic lupus erythematosus. J Assoc Phys India 2000; 48: 1210-1.
• Sule A, Gohar S, Mittal G, Balakrishnan C, Mangat G, Joshi VR. Neuroleptic malignant syndrome occurring in a suspected case of systemic lupus erythematosus. J Assoc Phys India 2000; 48: 437-438.
• Balakrishnan.C, Sule A, Gaitonde S, Mittal, Mangat G, Joshi VR. Familial Sarcoidosis. J Indian Rheum Assoc 2000; 8(1): 11-12.
• Balakrishnan C, Sule A, Mittal G, Gaitonde S, Mangat G, Shah B, Joshi VR. Renal involvement in nonspecific aortoarteritis. Indian J Nephrol 2000; 10: 179-180.
• Shah NM, Mangat GK, Balakrishnan C, Buch V.I, Joshi VR. Accidental self-injection with Freund’s complete adjuvant. J Assoc Physc India 2001; 49: 366-8.
• Shah NM, Balakrishnan C, Mangat G, Joshi VR. Pulmonary nocardial infection and pseudomonas infection of the tongue in a patient with dermatomyositis. J Assoc Phys India 2001; 49: 850-1.
• Sule A, Gaitonde S, Bhojani K, Mittal G, Balakrishnan C, Gurmeet M, Deshpande RB, Joshi VR. Systemic hypersensitivity reaction to mesacol. J Assoc Phys Indian 2001; 49: 1120-22.
• Chandan K, Mangat G, Balakrishnan C, Chinoy RK, Bhaduri A. Polyarticular villonodular synovitis in a child. J Indian Rheumatol Assoc 2003; 11: 14-5.
• Balakrishnan C, Pathan E, Kodaiji S, Dasgupta A, Mangat G, Joshi VR. Myelodysplasia and Acute Myeloid Leukaemia in a Case of Rheumatoid Arthritis with Secondary Amyloidosis Treated with Chlorambucil. J Assoc Physians Indian 2004: 52: 423 - 425.
• Dipika A, Balakrishnan C, Nene A, Santosh G, Udwadia ZF. Upper Airways Involvement In Wegener's Granulomatosis: A Case Report And Review. J Indian Rheumatol Assoc 2004; 12: 127 - 129.
• Jain S, Balakrishnan C, Mangat G, Bhaduri A, Udwadia ZF. Follicular Bronchiolitis in a patient with rheumatoid arthritis. J Indian Rheumatoid Assoc 2004: 12: 74 - 76.
• Shanbhag A, Balakrishnan C, Bhaduri A, Chinoy RK. Primary Synovial Osteochondromatosis.  J India Rheumatoid Assoc 2004: 12: 29 - 30.
• Singh S, Balakrishnan C, Maheshwari S. Pannus and enthesitis in the atlanto-axial region in ankylosing spondylitis. APLAR Journal of Rheumatology 2005; 8(2): 139-140.
• Balakrishnan C. Leg ulcers in rheumatology. J Gen Med 2005; 17: 17-18.
• Balakrishnan C: Cervical spine involvement in rheumatoid arthritis. J Gen Med 2005; 17: 19-20.
• Kothari JP, Shanbag A, Chadha MD, Bhatt KR, Balakrishnan C, Gursahani R. Hypokalemic periodic paralysis unmasks underlying Sjogren's syndrome - A case report and review. IJEM 2005; 7(2): 97-99.
• Bhatt K, Balakrishnan C, Mangat G, Bajan K, Ashavaid T, Joshi VR. Paget's disease of the bone: A report of three cases. J Assoc Physicians India 2006; 54: 571-4.
• Singh S, Balakrishnan C, Mangat G, Maheshwari S. Reversible posterior leucoencephalopathy syndrome in a patient with undifferentiated connective tissue disease. Scand J Rheumatol 2006; 35 (3): 248-9.
• Sharma V, Nagaraj S, Choksey U, Hegde A, Samant R, Balakrishnan C. Bisphosphonate-induced osteonecrosis of the Jaw. J Assoc Phys India 2011; 59; 516-517.

Letters to the Editor:

• Javle M, Balakrishnan C, Mangat G, Joshi VR.  Upper oesophageal involvement in systemic sclerosis – a letter to the editor.  J Assoc Phys Indian 1993; 41: 545 – 6.
• Shah NM, Venkatachalam S, Mehta Y, Balakrishnan C, Dubey SG, Mangat G, Joshi VR.  Thrombocytopenia – a rare but serious side effect of rifampicin.  J Assoc Phys India 1995; 44 : 351 – 53.
• Kalke S, Balakrishnan C, Mittal G, Mangat G, Joshi VR.  Complications with low dose methotrexate in rheumatoid arthritis.  J Assoc Physc India 1997; 45 (11) 903 – 04.
• Balakrishnan C, Mangat G, Mittal G, Joshi VR.  Hypovitaminosis D in patients attending a rheumatology clinic at a tertiary referral centre.  J Assoc Physc India 1998; 46 (4): 403.
• Balakrishnan C, Mangat G, Mittal G, Joshi VR. Isonex prophylaxis in cases of systemic lupus erythematosus on immunosuppressive therapy. J Assoc Physc India 2000; 48: 366.
• Balakrishnan C, Mittal G, Mangat G, Bhaduri A, Deshpande RB, Agarwalla N, Joshi VR. Blind conjunctival biopsy as an aid to the diagnosis of sarcoidosis. J Assoc Physc India 2000; 48: 656-8.
• Sule A, Balakrishnan C, Gaitonde S, Mittal G, Pathan E, Gokhale NS, Joshi VR. Rheumatoid corneal melt. Rheumatology 2002; 41: 705-6.
• Gaitonde SD, Balakrishnan C, Joshi VR. Sarcoidosis: TB or not TB?. Ann Rheum Dis 2003; 62: 495-495.
• Kharbanda P, Dagaonkar R, Balakrishnan C, Udwadia ZF. TNF alpha induced tuberculosis. J Rheumatol 2010; 37(7): 1542.
• Balakrishnan C, Vishnu Sharma, Anupama Vyas. Immunosuppressive therapy in inflammatory ocular surface disease post Steven Johnson syndrome. Indian J Opthalmology 2011: 59(1); 69-70.