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Background/objectives: Consultation is an important aspect of rheumatology fellowship training and essential service provided by academic rheumatology divisions.The objective of this investigation is to profile the spectrum of disease which might be encountered in the consultation service.Methods: The medical records of all patient consults during the year 2015 at a university hospital were reviewed with regard to reason for consult,demographic data,and final rheumatologic diagnosis and consequences.Result: A total of 478 consultations regarding 374 patients were seen on medical center consult service in 2015.Mean age of patients was 57.7 years-old,and 242(65%)patients were female.There were 190 patients related rheumatoid disease and 184 patients not related.Among patients with rheumatic disease,115(30.7%)patients were previously diagnosed to rheumatic disease and 75(20.0%)patients were newly diagnosed during hospitalization.The 6 major disease entities of newly diagnosed patient were crystal arthropathy,systemic lupus erythematous,vasculitis,adult onset still`s disease,and rheumatoid arthritis.Two main reasons for consultation were laboratory abnormalities(antinuclear antibody,antineutrophil cytoplasmic antibody,anti CCP antibody,rheumatoid factor,etc.)and musculoskeletal symptom(arthralgia and/or fever),or mixture them.Among patients with newly diagnosed as a rheumatic diseases,67(17.9%)patients were consulted from division of infectious diseases followed by division of cardiology,neurology,and pulmonary diseases.Conclusion: There were a significant number of patients newly diagnosed with rheumatic diseases by consultation service during hospitalization period.We need to be more cautious to patients with an important symptom and sign,especially arthralgia and/or fever.