Diagnosis and conservative treatment of juvenile rheumatoid arthritis in Charite University Hospital Berlin
Charite University Hospital Berlin
Berlin, Germany
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Program id #
170089
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 blood coagulation
- anti-nuclear antibody
- cyclic citrullinated peptide (CCP)
- rheumatoid factor (RF)
- MRI/x-ray scan
- differential diagnosis of other diseases of the joints
- nursing services
- consultation of related specialists
- explanation of individual treatment plan
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 authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities!
The hospital in Germany provides modern diagnostics and treatment of patients, as well as the training of practicing physicians and scientists. More than half of all German Nobel Prize winners in the field of medicine and physiology, such as Emil von Behring, Robert Koch and Paul Ehrlich, trained and worked in the hospital. The structure of the medical complex includes over 100 specialized departments and institutes, which allows the doctors to guarantee their patients' services in all the existing medical fields. The hospital in Germany has outstanding experience in treating particularly complex clinical cases.
The hospital annually diagnoses and treats more than 152,693 inpatients and about 692,920 outpatients. It also has a huge medical team consisting of 4,225 scientists and doctors and and more than 4,500 nursing staff members who provide top-class medical treatment in Germany. The key task for all specialists of the medical facility is restoring the patient's health or preserving in critical cases. At the same time, the hospital offers a friendly atmosphere, and each patient feels care, respect and sympathy.
The excellent technical medical equipment, highly skilled personnel, availability of innovative diagnostic and treatment techniques, and high ethical standards form a solid foundation for successful clinical and scientific activities. Thus, the hospital is a leading provider of high-quality treatment in Germany.
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.
