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Diagnostic tests for juvenile rheumatoid arthritis (170121) | Charite University Hospital Berlin - BookingHealth
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Diagnostic tests for juvenile rheumatoid arthritis in Charite University Hospital Berlin

Charite University Hospital Berlin

Berlin, Germany
Program id # 170121
Doctor photo
Prof. Dr. med. Marcus Mall
Department of Pediatric Pulmonology, Immunology and Intensive Care
Specialized in: pediatric pulmonology, immunology, intensive care

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
    • antinuclear antibody
    • cyclic citrullinated peptide (CCP)
    • rheumatoid factor (RF)
  • x-ray scan
  • MRI scan (on indication 1200 €)
  • nursing services
  • differential diagnosis of other diseases of the joints
  • consultation of related specialists
  • consultation of the chief physician and all leading experts
  • development of individual treatment plan
  • written statement

Required documents

  • Medical records

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About the department

The Department of Pediatric Pulmonology, Immunology and Intensive Care at the Charite University Hospital Berlin offers the full range of services in these fields. The department positions itself as a maximum care medical facility specializing in the treatment of children and adolescents with allergic diseases, as well as with all acute and chronic respiratory diseases, immunological and autoimmune disorders, cystic fibrosis and rheumatic diseases. The department deals with the treatment of infants, young children and adolescents under the age of 18. Congenital cystic fibrosis is treated in patients of all age groups. Depending on the complexity of the clinical case, the treatment can be provided both on an inpatient and outpatient basis, as well as in a day hospital. The Chief Physician of the department is Prof. Dr. med. Marcus Mall.

The main clinical focuses of the department include:

  • Diagnostics and treatment of allergic reactions
    • Developed treatment regimens for bronchial asthma, allergies and chronic urticaria, including biologic therapy
    • Consultations on allergy prevention 
    • Allergological diagnostics using laboratory diagnostics (specific IgE) and skin tests
    • Nasal provocation tests
    • Oral food provocative tests
    • Structured training of patients (individually and in groups) in bronchial asthma, atopic dermatitis and anaphylaxis
    • Nutrition recommendations in food allergies (diagnostic, therapeutic and preventive diets)
    • All hyposensitization procedures (subcutaneous, sublingual, etc.)
    • Vaccination consultation in relative contraindications
  • Diagnostics and treatment of pulmonological diseases
    • Entire range of lung function testing in children (spirometry, body plethysmography, specific and non-specific provocation methods)
    • Spiroergometry, treadmill stress test
    • Diagnostics of gas exchange disorders
    • Nitric oxide measurements (FeNO) in exhaled air for the diagnostics of bronchial asthma
    • Partial oxygen saturation (SaO2) measurement
    • Sweat test
    • Bronchoscopy (flexible and rigid)
    • All options of imaging diagnostics
  • Diagnostics and treatment of cystic fibrosis (within the specialized center)
    • Sweat test
    • Newborn screening
    • Genetic examinations
    • Functional pulmonary diagnostics
    • Spiroergometry
    • Nutrition consultations
    • Physiotherapy with autogenous drainage and reflex respiratory therapy
    • Oxygenation and non-invasive mask ventilation
    • Ambulatory intravenous antibiotic therapy
    • Psychological and psychosocial support
    • Preparation for lung transplantation and subsequent medical care for children and adults, strict separation of patients according to the range of pathogens
    • Flexible and rigid bronchoscopy with interventional procedures
  • Diagnostics and treatment of immunological diseases
    • Primary immunodeficiencies in children and adults
    • HIV/AIDS in children
    • Especially severe infections due to congenital or acquired immunodeficiency
    • Tuberculosis in children
    • Atypical mycobacterial infection
    • Cytomegalovirus and Epstein–Barr virus
    • All types of influenza
    • Complex infections, including tropical ones
      • Consultations on vaccination
      • Diagnostic assessment of pathological susceptibility to infections in children and adults
      • Inpatient treatment (as part of a day hospital), for example, intravenous immunoglobulin infusion in children and adults
      • Clinical diagnostics and therapy (as part of a day hospital) for children with HIV and other infections
      • Clinical examinations for patients with primary immunodeficiencies or HIV/AIDS
      • Outpatient diagnostics and treatment of children with mycobacterial and other chronic infections
  • Diagnostics and treatment of rheumatic and autoimmune diseases
    • Chronic joint diseases and all types of rheumatism in childhood and adolescence
    • Infectious-associated joint inflammation (for example, Lyme arthritis, reactive arthritis, rheumatic fever)
    • Collagenoses (for example, systemic lupus erythematosus, dermatomyositis, systemic scleroderma)
    • Inflammatory vascular lesions (for example, Kawasaki disease, Takayasu's arteritis)
    • Fever syndromes (for example, familial Mediterranean fever, TRAPS syndrome, PFAPA syndrome)
    • Fever of unknown origin
    • Pain syndromes (for example, chronic regional pain syndrome, fibromyalgia syndrome, reflex dystrophy)
    • Inflammatory bone diseases (for example, chronic recurrent multifocal osteomyelitis)
    • Other inflammatory systemic diseases (for example, Behcet's disease, sarcoidosis)
  • Intensive care
  • Other diseases, diagnostic and therapeutic options

Curriculum vitae

  • ​Since 2007 Attending Physician and Head of Cystic Fibrosis Center, Department of Pediatrics III, University Hospital Heidelberg.
  • Since 2006 Faculty Member of the Molecular Medicine Partnership Unit (MMPU) of the University of Heidelberg and the EMBL.
  • 2005 Junior Group Leader, Department of Pediatrics III, University Hospital Heidelberg.
  • 2004 - 2006 Fellow, Department of Pediatrics III, University Hospital Heidelberg.
  • 2003 - 2004 Assistant Professor, Cystic Fibrosis/Pulmonary Research and Treatment Center, School of Medicine, University of North Carolina, Chapel Hill, USA.
  • 2000 - 2003 Postdoctoral Fellow, Cystic Fibrosis/Pulmonary Research and Treatment Center, School of Medicine, University of North Carolina, Chapel Hill, USA.
  • 1998 - 2000 Resident, Department of Pediatrics, University Hospital Freiburg.
  • 1997 Postdoctoral Fellow, Institute of Physiology, University of Freiburg.
  • 1997 Doctoral thesis (Dr.med.), Institute of Physiology, University of Freiburg.
  • 1990 - 1997 Medical School, University of Freiburg and University College London, Great Britain.

Senior Positions

  • Since 2006 Member of the German Cystic Fibrosis Research Council.
  • Since 2006 Deputy Leader, Workpackage Animal Models, European Coordination Action for Research in Cystic Fibrosis (EuroCareCF).
  • 2004 - 2006 Member of the Scientific Committee for Basic Research, European Cystic Fibrosis Society (ECFS), 29th Annual Conference.

Field of Interests

  • Molecular and cellular pathogenesis of cystic fibrosis and other chronic lung diseases.
  • Transgenic animal models for human diseases.
  • Epithelial ion transport
  • Epithelial defense mechanisms. 
  • Airway inflammation.
  • Identification of novel therapeutic targets and development of novel therapeutic strategies.

Photo of the doctor: (c) Charité – Universitätsmedizin Berlin 


About hospital

According to the reputable Focus magazine, the Charite University Hospital Berlin ranks 1st among the best healthcare facilities in Germany! 

The hospital is one of the largest and leading university medical complexes in Europe, and also consistently holds leading positions in the international medical arena. The Charite operates on the basis of the Faculty of Medicine of the Free University of Berlin and the Humboldt University of Berlin. Patients are offered modern diagnostics and treatment with the very latest methods, many of which were developed by professors and scientists of the medical complex. More than half of all German Nobel Prize winners in medicine and physiology, such as Emil von Behring, Robert Koch, and Paul Ehrlich, studied and worked at the Charite University Hospital Berlin. The medical complex includes more than 100 specialized departments and institutes, which helps to ensure that patients receive care in all existing medical specialties. The hospital has exceptional experience in treating complex clinical cases.

Each year, the hospital treats more than 137,800 inpatients and more than 787,700 outpatients. The hospital has a bed capacity of 3,293 beds. A huge medical team consisting of 5,670 scientists and doctors and more than 6,000 nurses work for the benefit of the patients. The main task of all specialists of the medical facility is to restore the patient's health or save his life in critical cases. The hospital has a friendly atmosphere where every patient feels care, respect and empathy.

The Charite University Hospital Berlin is generously funded by the German government, which is why it offers patients the latest generation of excellent equipment and comfortable infrastructure. The Charite medical complex is equipped with da Vinci robotic surgery systems, laser technologies, equipment for endovascular catheter-based interventions, neuronavigation devices, intraoperative monitoring systems, equipment for proton therapy available only in the most advanced medical centers in the world, and many other technologies. All these resources, combined with the experience and professional skills of the hospital's doctors, are the key to providing the most effective and safe treatment in accordance with the highest international medical standards.

The hospital is recognized with a huge number of quality certificates, including DIN EN ISO 9001:2015, certificates from the German Cancer Society (DKG), the German Society for General and Visceral Surgery (DGAV), the German Society for Thoracic Surgery (DGT), the German Hernia Society (DHG), and the ERAS Society.

The Charite University Hospital Berlin is a benchmark in the European healthcare system. Patients therefore receive impeccable medical service, quality care, and personalized service that puts the patient and their individual needs first.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Charite University Hospital Berlin live in comfortable rooms made of modern design. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room furnishing includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, a table and chairs for receiving visitors, and a TV. If desired, Wi-Fi access can be provided. The hospital also offers enhanced-comfort rooms.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason, you do not like the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences before the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a patient room or at the hotel of your choice.

Hotel

During the outpatient program, you can live at a hotel of your choice. Managers will help you to choose the most suitable options.

The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.

  • Proton therapy
  • CyberKnife treatment
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)
  • PSMA therapy with Lutetium-177
  • Joint replacement in adults and children

These are oncological diseases, benign neoplasms of the brain and spinal cord, heart valve defects, diabetes mellitus and its complications, joint diseases and other pathologies.

  • Neurosurgery
  • Oncology
  • Plastic and reconstructive surgery
  • Interventional radiology
  • Proton therapy (Proton Therapy Center BerlinProtonen)

The medical team includes more than 4,225 highly qualified scientists and doctors.