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ATOS Clinic Heidelberg

location_on Heidelberg, Germany
9.8/10 from 23 Votes

Department of Pediatric Endocrinology (364714)

Sabine Knauer-Fischer

Dr. med.

Sabine Knauer-Fischer

Specialized in: pediatric endocrinology

About the department

The Department of Pediatric Endocrinology at the ATOS Clinic Heidelberg offers a full range of services in this area of medicine. The chief physician of this department is Dr. med. Sabine Knauer-Fischer - a competent specialist with a many years experience in the area of her specialization.

Diagnostics and treatment of children and adolescents with hormonal disorders, growth disorders and diabetes mellitus is carried out here. For the diagnosis, the department has the latest equipment, for example, the innovative Stadiometer system for high-precision measurement of the child's body size, ultrasound equipment, including duplex sonography.

The department specializes in the diagnostics and treatment of such diseases:

  • Thyroid gland diseases
    • Thyroid hypothyroidism (hypothyroidism)
    • Thyreoiditis Hashimoto
    • Basedow's disease (thyrotoxicosis)
  • Growth disorders
    • High stature
    • Low height
    • Delay in physical development
    • Low growth with growth impairment at the stage of prenatal development
  • Disorders of puberty
    • Premature puberty
    • Lack of sexual development
    • Hypogonadism
  • Diseases of the adrenal glands
    • Adrenogenital syndrome
    • Addison's disease
    • Cushing's syndrome (hypercorticism)
  • Pituitary diseases
    • Panhypopituitarism (absence of pituitary hormones)
    • Growth Hormone Deficiency
    • Central hypothyroidism
    • Central hypogonadism
  • Hirsutism
    • Excess body and face hair growth in girls
  • Disturbances of bone metabolism
    • Deficiency of vitamin D
    • Pseudohypoparathyroidism
  • Turner syndrome
  • Klinefelter's syndrome
  • Diabetes
  • And other diseases

The range of medical services of the department covers:

Thyroid gland diseases

  • Clinical examination
  • Blood test and laboratory tests (diagnostics and therapy monitoring)
  • THS blood testing, free T4 test, AT-TPO, AT-TG
  • THS stimulating test
  • Ultrasound
  • Therapy prescription and its observation
  • Height disorders

Growth disorders

  • Clinical examination
  • Determination of the expected child’s height (based on the parents’ height)
  • Individual height prognosis for the child (based on the bone age)
  • Blood test and other laboratory tests (diagnostics and therapy monitoring)
  • Stimulating studies (on indications)
  • Therapy prescription and its observation (on indications), for instance, prescription of growth hormone drugs

Puberty disorders

  • Clinical examination with the definition of the puberty status
  • Determination of bone age and height prognosis
  • Ultrasound examination of internal genital organs
  • Blood test and other laboratory tests (chromosomal analysis may also be prescribed)
  • Stimulating tests (according to indications), for example, tests with LH, hCG
  • Prescribing and monitoring of therapy (according to indications)

Adrenal glands diseases

  • Clinical examination
  • Ultrasound examination of the adrenal glands
  • Laboratory tests (blood, urine, saliva)
  • Stimulating and suppressive tests
  • Prescribing and monitoring of therapy

Pituitary gland diseases

  • Clinical examination
  • Determination of hormones levels in the blood and urine
  • Determination of bone age
  • Stimulating tests
  • Ultrasound study
  • Prescribing and monitoring of therapy

Hirsutism

  • Clinical examination
  • Determination of bone age
  • Determination of hormones levels in the blood and urine
  • Ultrasound examination of internal genital organs, adrenal glands
  • Prescription and monitoring of therapy (according to indications)

Disturbances of bone metabolism

  • Clinical examination
  • Determination of markers of bone metabolism
  • Prescription and monitoring of therapy

Shereshev-Turner's syndrome

  • Clinical examination with the definition of puberty status
  • Blood tests and laboratory tests
  • Diagnosis and treatment of concomitant diseases e.g. Hashimoto's thyroiditis, celiac disease)
  • Ultrasonic examination of internal genital organs, thyroid gland
  • Prescription and monitoring of therapy, for example, hormone therapy (growth hormone, sex hormones, thyroid hormone)

Klinefelter's syndrome

  • Clinical examination with the definition of puberty status
  • Blood tests and other laboratory tests
  • Diagnosis and treatment of concomitant diseases (for example, thyroid disease)
  • Prescription and monitoring of therapy, for example, hormone therapy (sex hormones, thyroid hormone)

Diabetes

  • Clinical examination
  • Consultation on the control of blood sugar level
  • Determination of the level of glycosylated hemoglobin (HbA1c)
  • Determination of fructosamine levels in the blood
  • Determination of insulin and C-peptide levels in the blood
  • Monitoring of therapy

Curriculum vitae

  • 1983 - 1989 Study of medicine at the Ruprecht and Karl Heidelberg University.
  • 1990 Defense of doctoral dissertation, Ruprecht and Karl Heidelberg University.

Clinical Practice

  • January 1990 - June 1991 Internship, Institute of Pathology, Heinrich Heine Düsseldorf University.
  • June 1991 - October 1991 Researcher, Institute of Pathology, Heinrich Heine Düsseldorf University.
  • November 1991 - September 2003 Assistant doctor, University clinic Essen.
  • October 1997 Specialist in the field of pediatric and adolescent medicine.
  • October 2003 - December 2006 Researcher of the Pediatrics Center at the Heinrich Heine Düsseldorf University, Head of the Department of Pediatric Endocrinology.
  • February 2007 - September 2011 Researcher of the Center for Pediatric and Adolescent Medicine, Department of Pediatric Endocrinology and Diabetology at the Heidelberg University Hospital.

Additional Qualifications

  • October 1999 - April 2004 Participation in the curriculum of the working group on pediatric endocrinology. Objective: to determine the main directions of endocrinology and diabetology in accordance with the EU directives, summarizing in April 2004.
  • November 2004 Member of the German Diabetes Society.
  • February 2006 Additional qualification in the field of pediatric endocrinology and diabetology.

Membership in International and National Professional Societies

  • German Society of Pediatric and Adolescent Medicine (the Working Group on Pediatric Endocrinology and Diabetology (APE) and the Working Group on Pediatric Diabetology (AGPD).
  • Professional Association of Physicians in Pediatrics and Adolescent Medicine in Germany (BVKJ).
  • German Society of Endocrinology (DGE).
  • European Society of Pediatric Endocrinology (ESPE).
  • Endocrinology Society.
  • German Diabetes Society (DDG).
  • Society of Pediatric Nephrology (GPN).
  • German Society of Nephrology (DGN).

Department of Pediatric Endocrinology.
ATOS Clinic Heidelberg:

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