The
Department of Paediatrics and Adolescent Medicine is responsible for treatment
of children within the following areas:
- Paediatric cardiology
- Paediatric rheumatology
- Hepatology
- Infection paediatrics
- International paediatrics
- Bone marrow transplant
- Chronic lung disorders
- Nephrology
- Neuropaediatrics
- Oncology and haematology
- Sexually abused children
- Semi-intensive paediatrics
Paediatric cardiology
Diagnostics and treatment of
congenital abnormalities in heart and large vessels, inflammation in the heart
muscle, conductive disturbance and disturbance of the rhythm. The department
cooperates closely with the Department of Neonatology and the Department of
Cardiothoracic Surgery.
Paediatric rheumatology
Juvenile Idiopathic Arthritis (JIA), systemic, complex connective
tissue diseases, including genetic, inflammatory diseases. Close cooperation
exists within the fields of rheumatology, ophthalmology, orthopeadic surgery,
odontology and radiology. Medical treatment increasingly include treatment with
“biological” means.
Hepatology
The patient
population is heterogeneous, ranging from children with chronic hepatitis B
without fibrosis to seriously ill, decompensated children suffering from severe
hepatic impacts from treatment of children with acute and chronic liver failure.
About six children are transplanted per year. The work is carried out in close
cooperation with the Department of Pediatric Surgery, the Department of Liver
Transplants and the Adult Department of Hepatology.
Infection
paediatrics and international paediatrics
The department is
responsible for diagnostics and treatment of general paediatric infectious
diseases as well as special infections arising in immune supprimed and other
patients with chronic diseases. In addition, the department examines and treats
imported diseases in foreign adoptive children, immigrant children and children
returned home from overseas travel. With regard to training and education, the
department is part of the University of Copenhagen School of Global Health and
teaches International Child Health in a number of different courses as well as
in the Masters studies in International Health. The department also organises an
annual course in a low-income country, in International Child Health, for Danish
paediatricians and local physicians/doctors.
Bone marrow
transplant
The semi-function of the Department of Pediatrics 2 is
that of elucidation, treatment and check-ups of two overall patient groups; more
specifically patients undergoing stem-cell transplant (allogenic and autologic),
and patients with primary immune defects. The TXID function is the only one in
Denmark to perform allogenic stem-cell transplant in children, and about 20 per
year of such transplants are carried out. Transplanted patients are monitored
after the procedure during admission on an outpatient basis until adulthood.
Diagnoses leading to transplants are primarily leukaemia, benign haematological
diseases, primary immune defects and certain genetically conditioned metabolism
diseases.
Chronic lung diseases
Such diseases are
treated in a semi-function of the Department of Pediatrics I, which is called
the Danish ChildLung Centre (DBLC. NB. In Danish). Cystic fibrosis (CF):
The centre monitors 300 children and adults with CF. The centre is known for a
tight micro-biological monitoring and an extremely aggressive strategy for
pseudomonas infections in the lungs, which quite uniquely has meant that more
than 80% of children and young people up to 20 years do not have a chronic
infection.Primary Ciliary Dyskinesia (PCD): The department has a unique
diagnostic and treatment regimen, based on international standards. 130 children
and adults are followed through life, checked for chronic problems with
pneumonia, lung destruction, chronic sinusitis and reduced hearing. chILD
(children’s Interstitial Lung Diseases) are a group of diseases in and around
the many millions of small pulmonary alveoluses (alveoluses) at the end of the
smallest branching structures of the bronchial tree which might lead to lung
fibrosis and potentially result in death. DBLC has the highest expertise within
chILD and has a strong cooperation with the largest centre in the area in the
US.
Nephrology
Recurring, chronic renal pelvis
inflammation, nephrotic syndrome, glomerulonephritis Kidney insufficiency (GFR
below 30-60 ml/min compensated for surface) Tubulary disorders and
nephrosclerosis, tubulary interstitial disorders as well as kidney-transplanted
children together with the Department of Nephrology. Neuropaediatrics Severe
treatable epilepsy, including epilepsy surgical elucidation and
assessment.Neuromuscular diseases.Encephalitis, including neuro-immunological
diseases.Progressive neurometabolic diseases.Severe cerebral paresis and
dystonia requiring intrathecal baclofen pump treatment.
Oncology
and haematology
The Paediatric Haematology and Oncology Unit is the
largest within the Nordic countries. The department performs diagnosis,
treatment, and follow-up of all children from East Denmark with suspected or
confirmed malignant diseases, as well as children with certain severe,
non-malignant haematological diseases. The department treats malignant diseases
according to Nordic, European, and other international collaborative treatment
protocols.The department collaborates with several other units at
Rigshospitalet, including radiology, nuclear medicine, specialised chromosome
and haematology laboratories, all surgical specialities, and the radiotherapy
unit.
Sexually abused children
The Team for
Sexually Abused Children is a cross-disciplinary team organised under the
Department of Paediatrics and Adolescent Medicine and the Department of
Psychology, Play Therapy and Social Counselling, which handle medical and
psycho-social treatment of children (0-15 years) who have been sexually abused.
The treatment is aimed at the whole family and not just the child who has been
violated. The physician and the nurse in the team cooperate closely with the
medicolegal experts.
Semi-intensive paediatrics
A
paediatric semi-intensive unit observes and treats critically ill children from
they are newborn until the age of 15-18. The department is specialised in
monitoring and treatment of all types of medical and surgical diseases in
children. The unit is responsible for invasive monitoring of blood pressure and
intensive care of circulatory insufficiency, non-evasive respiratory-supporting
theray and continuous video EEG monitoring, etc.