Diagnosis and conservative treatment of atopic dermatitis in Hospital Kloster Grafschaft Schmallenberg
Hospital Kloster Grafschaft Schmallenberg
Schmallenberg, Germany
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Program id #
50197
Dr. med. Friedrich Riffelmann
Department of Allergology
Specialized in: allergology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- immune status (IgE)
- differential diagnosis of other diseases of the skin
- skin scratch/prick tests
- consultation of related specialists
- symptomatic specific treatment
- the cost of essential medicines and materials
- nursing services
- control examinations
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- Skin allergy testing (if available)
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About the department
The Department of Allergology at the Hospital Kloster Grafschaft Schmallenberg provides the full range of diagnostic and therapeutic services in the area of its specialization. A highly qualified team of the department's doctors, which is rightfully proud of its rich clinical experience and excellent treatment success rates, provides effective treatment of allergic diseases. The Chief Physician of the department is Dr. med. Friedrich Riffelmann.
The patients can receive medical care both on an inpatient and outpatient basis. The complex of diagnostic tests and follow-up therapeutic procedures are selected for each patient individually. In most cases, the patients visit the department with the onset of symptoms, so symptomatic therapy is often the first-line treatment. Many patients then undergo allergen-specific immunotherapy (hyposensitization). With an annual number of more than 3,500 patients with allergic diseases of varying severity, the department enjoys a reputation as one of the largest highly specialized medical facilities of this kind at the national level.
Food intolerance is the most common clinical case (up to 60% of inpatients) in the practice of the department's doctors. Typical clinical symptoms of pathology are abdominal pain, bloating and diarrhea, constipation, nausea. In some cases, food intolerance can cause the development of neurodermatitis, chronic itching, urticaria and Quincke's edema. Even the development of bronchial asthma may be associated with the presence of food intolerance in the patient. The first stage of the therapeutic process when a patient is admitted to the department is allergological diagnostics. The attending physician studies the patient's medical history and current complaints. This is followed by blood tests and provocation skin tests. After diagnostic tests, it is quite often indicated for the patient to follow a diet (at home), which excludes the consuming of allergens. An alternative to the diet is a comprehensive food intolerance test with the determination of IgG antibodies to the most common foods. The main treatment method for food intolerance is diet therapy, in which allergens that provoke the development of the pathological process are excluded from the patient's diet.
Another common pathology is dust mite allergy. The symptoms of the pathology depend on the main localization of the allergic process and the number of allergens that entered the body. The patients with dust in the nasal mucosa develop allergic rhinitis, while those with dust mites in the ocular mucous membrane have allergic conjunctivitis. Contact of dust mites with the skin can cause the development of eczema. To confirm the diagnosis and select the optimal treatment tactics, the specialists conduct such tests as the complete blood count, IgE blood test, allergy blood test, provocation tests and allergic skin tests. The first-line treatment is allergen-specific immunotherapy (desensitization) and antiallergic drugs. Obviously, an integral part of therapy is the reduced contacts with allergens – regular wet cleaning, washing of pillows and blankets, care for upholstered furniture and carpets with anti-mite agents.
The department's range of medical services includes:
- Diagnostics and treatment of common allergic diseases
- Drug allergy
- Insect venom allergy
- Anaphylactic shock
- Diagnostics and treatment of allergic respiratory diseases
- Bronchial asthma
- Chronic allergic rhinitis
- Sinusitis
- Hay fever
- Diagnostics and treatment of allergic skin diseases
- Eczema
- Allergic contact dermatitis
- Urticaria
- Quincke's oedema
- Contact allergy
- Diagnostics and treatment of allergic reactions caused by gastrointestinal diseases
- Chronic abdominal pain, diarrhea
- Irritable bowel syndrome
- Diagnostics and treatment of other diseases
Curriculum vitae
Higher Education and Professional Career
- 11.1976 - 10.1978 Training as the Medical Technical Assistant, Hospital Knappschaftskrankenhaus Bochum-Langendreer.
- 11.1978 - 04.1980 Work as the Medical Technical Assistant, Department of General and Environmental Hygiene, Ruhr University Bochum.
- 04.1980 - 11.1986 Study of Human Medicine at the University of Cologne.
- 11.1986 Admission to medical practice.
- 12.1986 - 10.1989 Assistant Physician, Hospital Kloster Grafschaft Schmallenberg.
- 11.1989 - 04.1993 Assistant Physician, Department of Internal Medicine I, Hospital Remscheid Burgerstrasse.
- 05.1993 - 08.2007 Senior Physician of the Department of Allergology at the Hospital Kloster Grafschaft Schmallenberg.
- Since 01.09.2007 Chief Physician of the Department of Allergology at the Hospital Kloster Grafschaft Schmallenberg.
Qualifications
- 1988 Specialization in Allergology.
- 1991 Doctoral Degree in Medicine.
- 1993 Board certification in Internal Medicine.
- 1997 Additional qualification in Environmental Medicine.
- 2002 Specialization in Pulmonology.
Awards and Honors
- 2002 Poster Award from the German Society for Allergology.
Photo of the doctor: (c) Fachkrankenhauses Kloster Grafschaft
About hospital
The Hospital Kloster Grafschaft Schmallenberg is a leading medical facility, which provides both diagnostics and treatment of the full range of respiratory diseases. The hospital's key focuses include the treatment of diseases of the lungs and other respiratory organs, allergies, sleep-related breathing disorders, as well as the weaning of patients from mechanical ventilation.
The history of the hospital dates back to 1950. At that time, it had the status of a sanatorium for the patients with sarcoidosis. Over time, a new building was erected. There were opened the Departments of Pulmonology, Allergology, Sleep Medicine and others. Since April 2012, the medical facility has been an Academic Hospital of the Philipps University of Marburg, which provides access to innovative treatment methods. Today, the hospital is the largest highly specialized Weaning Center in Germany.
The hospital has 200 beds. The medical facility is distinguished by an excellent technical base, while the treatment is based on the use of modern therapeutic methods, the effectiveness of which has been confirmed by evidence-based medicine. It is noteworthy that the hospital has a helipad, thanks to which patients in critical condition can be freely delivered here.
The hospital annually provides treatment to about 7,000 inpatients and to more than 16,000 outpatients. Many patients with pulmonary diseases come from foreign countries, since the hospital enjoys a reputation as one of the best highly specialized centers of this kind in Germany. The patients' health is in the safe hands of a highly qualified team consisting of more than 480 employees. The doctors and nursing staff regularly attend advanced training courses to keep pace with medical innovations. During the treatment, the specialists strive to create maximum comfort and a pleasant atmosphere for each patient.
The exceptional quality of medical services in the hospital is confirmed by prestigious certificates, including DIN EN ISO 9001:2015 certificate, LGA InterCert certificate, WIESO CERT certificate, DAkkS certificate and others.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Hospital Kloster Grafschaft Schmallenberg live in cozy single and double rooms equipped with everything necessary for a comfortable hospital stay. The standard room furnishings include an automatically adjustable bed, a bedside table with a pull-out tray, a wardrobe, a TV and a telephone. Wi-Fi access is also available in each patient room. The rooms have an ensuite bathroom with shower and toilet.
If desired, patients can live in enhanced-comfort rooms with a more refined design, upholstered furniture, a safe for storing valuables and a mini fridge.
Smoking is prohibited in the hospital. The patients can smoke only in a specially equipped glass pavilion located on the right side of the main entrance.
Meals and Menus
The patient and the accompanying person are offered a tasty and balanced three meals a day: breakfast, lunch and dinner. If for some reason you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to treatment.
There is also a cafeteria on the ground floor of the hospital, which offers a wide range of salads, snacks, sweets, pastries, ice cream, hot and cold drinks. The cafeteria also sells fresh newspapers and magazines, toiletries.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
The religious services are available upon request.
Accompanying person
During the inpatient program, the accompanying person can stay with the patient in a patient room or at a hotel of his choice. Our managers will help you choose the most suitable option.
Hotel
During the outpatient program, the patient can stay at a hotel of his choice. Our managers will help you choose the most suitable option.
