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Endocrinology (Pediatric)
Our role
The HUDERF HUB Paediatric Endocrinology Clinic is one of the biggest in Belgium with 5 paediatric endocrinologists and 1 nurse.
Our strengths:
- Patients are monitored exclusively by senior doctors who dedicate their complete professional activity to paediatric endocrinology.
- Informing patients and family is central: The patient becomes an actor in his or her own care.
- The doctor-nurse team makes the patient an expert on his or her own illness.
- Many patients are referred to us by other hospitals in Brussels and Belgium. At European level, we participate very actively in the ENDO-ERN network. The guiding idea is as follows: It is knowledge that travels and not patients.
Our specialities
Hormones play a central role in a child's growth and development. Problems of growth, puberty and sexual development often have their roots in the endocrine system (that is, in matters relating to hormones). Our Paediatric Endocrinology Clinic diagnoses and monitors patients aged 0 to 18 who have an endocrine disorder. We are particularly active in pituitary gland, growth, adrenal, calcium, sexual development and thyroid disorders. Most of the time it is a matter of making a diagnosis so as to be able to fine tune possible treatment. The treatment is often long term, the success of which requires well informed and committed patients and families. A lot of time and energy is devoted to sharing knowledge and thereby establishing a bond of trust with the patient and family. Some rare endocrine diseases must be monitored by several specialists. This takes place within the Children's Hospital (HUDERF), within the HUB, but also at national (BELSPEED) and European level (ENDO-ERN, the European Reference Network on Rare Endocrine Diseases).
Our team
Our medical specialists
Focus
Specific support for adolescence: The transition to endocrinology patient monitoring in adulthood is one that must succeed. Endocrinology teams from the HUDERF and the Erasmus Hospital have been working together for many years to ensure that this is the case.
Teaching
Sharing knowledge, with patients, family and care staff, is a very important aspect of our work.
Locally, in consultations (interns, assistants, visiting doctors), at HUDERF seminars.
Nationally:
- Interuniversity Certificate in Endocrinology and Reproduction ULB-Ulg
- Interuniversity DES in Endocrinology, In-depth questions, UCL – ULB – ULiège
- Belgian Master's in Clinical Genetics
- Interuniversity Certificate in Eating Disorders
- National Children's Office
- Paediatric Dietitians
- Nurses
- Services for health promotion at school
- Invited seminars (external hospitals)
Internationally:
- Maghreb School of the European Society of Paediatric Endocrinology http://www.eurospe.org/education
- European on-line teaching network CIVIS 2022 https://civis.eu/storage/files/programme-sexual-and-reproductive-health-27june-1july-2022.pdf
Publications
Pubertal induction and transition to adult sex hormone replacement in patients with congenital pituitary or gonadal reproductive hormone deficiency: an Endo-ERN clinical practice guideline
- Authors : Nordenström A, Ahmed SF, van den Akker E, Blair J, Bonomi M, Brachet C, Broersen LHA, Claahsen-van der Grinten HL, Dessens AB, Gawlik A, Gravholt CH, Juul A, Krausz C, Raivio T, Smyth A, Touraine P, Vitali D, Dekkers OM.
- Journal : Eur J Endocrinol. 2022 Apr 21;186(6):G9-G49. doi: 10.1530/EJE-22-0073.
Delayed diagnosis of congenital hypopituitarism associated with low socio-economic status and/or migration
- Authors : Boros E, Casimir M, Heinrichs C, Brachet C.
- Journal : Eur J Pediatr. 2020 Jan;179(1):151-155. doi: 10.1007/s00431-019-03489-3. Epub 2019 Nov 6.
Congenital Hypothyroidism: Long-Term Experience with Early and High Levothyroxine Dosage
- Authors : Uyttendaele M, Lambert S, Tenoutasse S, Boros E, Ziereisen F, Van Vliet G, Heinrichs C, Brachet C.
- Journal : Horm Res Paediatr. 2016;85(3):188-97. doi: 10.1159/000443958. Epub 2016 Feb 17.
Truncating RAX Mutations: Anophthalmia, Hypopituitarism, Diabetes Insipidus, and Cleft Palate in Mice and Men
- Authors : Brachet C, Kozhemyakina EA, Boros E, Heinrichs C, Balikova I, Soblet J, Smits G, Vilain C, Mathers PH.
- Journal : J Clin Endocrinol Metab. 2019 Jul 1;104(7):2925-2930. doi: 10.1210/jc.2018-02316.
Childhood Obesity
The Multidisciplinary Pediatric Obesity Center (CPMO) offers an outpatient care pathway for children and adolescents with overweight or obesity.
Our team of experts includes pediatricians, dietitians, psychologists, physiotherapists, and social workers. Each of these professionals is trained in pediatric obesity management and plays an essential role in the comprehensive care of the young patients.