Pediatrics Center (pediatrics)


Patient Care

1) Cardiology

Our cardiology team covers a wide spectrum of diseases including congenital heart disease, Kawasaki disease, arrhythmia, cardiomyopathy, myocarditis, pulmonary hypertension, etc. We provide multidisciplinary medical care for congenital heart diseases in collaboration with the departments of neonatology and cardiovascular surgery. Furthermore, we treat patients with ductus arteriosus or pulmonary valve stenosis with catheterization and have had good treatment outcomes.
Regarding Kawasaki disease, massive gamma globulin therapy is effective for most cases, however about 20% of cases are intractable and the treatment doesn’t work. Such severe cases tend to have coronary artery aneurysm as an aftereffect and we need to use various strategies for treatment. We treat patients suspected of intractable cases with additional treatment including steroid combination therapy, steroid pulse therapy, infliximab treatment, etc. As a result, the ratio of patients with aftereffects of coronary artery is less than 2%. It shows a better outcome than national statistics.
We examine a lot of patients with idiopathic or congenital pulmonary arterial hypertension as well. Recent progress of internal treatment resulted in a 5-year survival rate exceeding 90%. Since the incidence rate appears in about 2 out of 1,000,000 people, patients are recommended to be treated in an experienced medical institution. We received many patients from all over the country and have a lot of therapeutic experience in the above disease. For these reasons, not only domestic hospitals but also overseas hospitals refer patients to us. In addition, we treat arrhythmia proactively which is detected by health checkups at school as well as myocarditis and cardiomyopathy.

2) Hematology and Oncology

This department specializes in diagnoses and treatments for childhood leukemia, childhood cancer including malignant lymphoma, neuroblastoma, rhabdomyosarcoma, etc., and hematologic diseases including aplastic anemia, hemolytic anemia, hemophilia, etc. The number of new patients are 15 to 20 per year. We regularly examine no less than 10 patients with hemato-oncological diseases. We proactively take part in multicenter clinical trials conducted by Japan Children’s Cancer Group (JCCG). We also provide the most up-to-date medical consultation and examination in cooperation with pediatrics surgery, neurosurgery, and radiology department.
When we treat patients for childhood cancer, we work in close cooperation with multiple professionals including ward staff, Child Life Specialists, and ward pharmacists to provide meticulous medical services which meet every patient’s requirement.

3) Endocrinology

Two specialists examine approximately 500 to 600 patients in total including about 10 new patients and 1 to 2 hospitalized patients per month. We perform hormone stimulation tests for 2 to 3 outpatients per week. We cover a wide spectrum of endocrine diseases such as growth impairment, hypothalamic/pituitary disorder, thyroid disorder, adrenal disorder, gonad disorder, parathyroid disorder, diabetes, etc. In cooperation with the neonatal department, we examine problems in the early neonatal period such as vulvar abnormality, hypoglycemia, etc.

4) Allergy

We examine wide-ranging allergic diseases including infantile bronchial asthma, food allergy, atopic dermatitis, etc. For outpatients with bronchial asthma, we conduct spirometry including flow volume curve, exhaled nitric oxide with NIOX VERO, airway resistance with MostGraph, airway hypersensitivity with Astrograph method, as appropriate. We treat the patients as per the treatment/management guidelines for infantile bronchial asthma. For patients with food allergies, we conduct oral food challenge tests (as an inpatient or outpatient procedure), skin tests, etc. We aim to “enable you to eat” based on accurate diagnoses and minimum allergen-free products.