It is my great pleasure to welcome you to THE 10th KING ABDULAZIZ RHEUMATOLOGY UPDATE CONFERENCE, I would like to express my most sincere gratitude for your presence and attendance. The meeting as usual will include updates in all aspects in the field of Rheumatology and oral abstract presentations. We are especially thankful to the Saudi Society of Internal Medicine and king Abdulaziz administration and the college of medicine for their tremendous, continued support and contribution, their support and encouragement eased all difficulties and enabled us to arrange and organize this conference for the 10thh time. This conference has been a cornerstone for Rheumatologist’s in the whole area to attend and to follow the recent updates in rheumatology. Our dear speakers and chairpersons are well known figures from around Saudi Arabia and the world. Their hard work is the main reason for our success. The leadership vision for 2030 is the strongest reason for us to move forward and unite for the same Nobel vision. Finally, the contributions of the pharmaceutical companies are appreciated especially the platinum sponsors who believed in us and in our goals and in our institution and in our speakers.