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Our role Dermatology is the medico-surgical speciality concerned with diseases of the skin, the mucous membranes and integument (hair, nails, body hair). Image Image In addition to dermatological diseases as such, other diseases or certain treatment can also have an impact on skin health. This is why dermatologists often work closely together with other medical or surgical services Pr Véronique Del Marmol Head of the Interhospital Dermatology Department at the H.U.B. Our specialities The H.U.B’s Interhospital Dermatology Department is structured as follows: General dermatology is often the gateway to another specialised consultation.   Paediatric dermatology, which straddles the Erasmus Hospital and the HUDERF, treats all skin diseases in children.   Oncological dermatology, which straddles the Jules Bordet Institute and the Erasmus Hospital, treats all skins cancers (melanoma and others) and skin lymphomas, as well as  dermal toxicities linked to certain cancer treatments. Innovative methods of early diagnosis are also available.    Dermatological emergencies responds to acute and sudden problems. Examples: allergic reaction, zona disease, skin infection, acute diabetic foot, etc.    Chronic sore care (especially sores linked to diabetic foot) is carried out at the Erasmus Medical Center (EMC).  The Allergology Clinic treats  contact allergies, eczema, hives and certain occupational diseases that affect the skin. Its activities are  both diagnostic (patch test, prick test, etc.) and therapeutic. The reference centre for Verneuil’s disease (or hidradenitis suppurativa) is Belgium’s only centre  dedicated to this disease.  It is a part of a European Reference Network (ERN). ***mettre logo ERN + lien vers vidéo*** The skin, hair and hormones consultation is concerned with skin diseases that could have a hormonal origin. Examples: hirsutism, alopecia (hair loss), alopecia areata, stubborn acne, etc.   A dermatologist holds a consultation in gynaecology for diseases  affecting the  female genital mucosa. Examples: vaginal candidiasis, STIs, condyloma, etc.   The consultation dedicated to diseases of the  male genital mucosa. Examples: STIs, condyloma, etc. .  The psoriasis consultation (see dedicated sheet).  The immunity disorders consultation  follows up transplant patients or patients with an innate or acquired immunity disorder that results in skin fragility.   Joint consultations with other specialists are proposed for  Inflammatory diseases (such as psoriatic arthritis), with rheumatology; Auto-immune bullous and systemic diseases of the lupus type, with  internal medicine ; Dermatosurgery with plastic surgery; Dermatopaediatrics with paediatrics; Mucosal diseases with gynaecology. Aesthetic dermatology proposes laser treatment for rosacea and laser CO2 for  dermabrasion treatment.Please note: A supplement of 55 euros will be charged for non-invasive skin imaging (L-OCT). In the case of a complex consultation (multiple lesions, for example), a supplement of 75 euros will be charged. An additional charge of 100 euros will be made for mapping. Our team Image Our specialists Focus The H.U.B’s Interhosptial Dermatology Department is the reference and training centre for non-invasive imaging. By combining a confocal microscope and optical coherence tomography (LC-OCT), it is possible, for example, to see in the epidermis with near-cell resolution. This permits a diagnosis of certain diseases without having to take a skin sample (biopsy).  Image Research The H.U.B’s Interhospital Dermatology Department carries out many clinical and translational research projects. In particular, it helps draw up disease registers   (Verneuil’s disease/ hidradenitis suppurativa, psoriasis, skin cancers, etc.). This provides for a better understanding of their sub-types, their development and response to treatment.   

What is diabetes? Diabetes is characterised by an excessively high level of sugar in the blood (glycaemia). Eventually, without appropriate treatment, this chronic hyperglycaemia increases the risk of cardiovascular disease: coronary thrombosis, stroke, etc. Other complications of diabetes can affect the eyes, kidneys and nerves.  Image There are several kinds of diabetes and they require sometimes different medical treatment. The most frequent are: Type 1 diabetes, treated at the Convention du diabète [Diabetes Convention] centres;Type 2 diabetes, with first-line treatment by GPs (Trajet de Démarrage) [Start-Up Pathway] and/or in a hospital environment, in the framework of a Trajet de soins [Care Pathway) or a Convention du diabète ;Gestational diabetes, treated at Convention du diabète  centres;MODY type diabetes  and other rarer genetic diabetes can also be treated at   Convention du diabète centres Care A multidisciplinary teamThe H.U.B Diabetology Clinic consists of a multidisciplinary team of medical, paramedical and nursing staff who are dedicated to optimal care for all diabetes patients in line with their specific needs.  In addition to the acts and services foreseen by the Care Pathways and the Diabetes Convention (in particular therapeutic education on insulin treatment), the Diabetology Clinic proposes specialised consultations for diabetic foot, gestational diabetes and hypoglycaemias. Learning to manage your diabetesOptimal diabetes care means autonomy for the diabetes patient in regard to their treatment. In this respect the H.U.B’s Diabetology Clinic has been a pioneer in therapeutic education. We consider the person with diabetes  as a genuine partner in his or her care. Our team organises group sessions for treatment education, covering: the particularities of diabetes, diet management and, above all, how to (effectively) manage treatment with insulin.    Diabetic footWith its myriad of small blood vessels and nerves, the foot is a zone that is particularly vulnerable to diabetes complications. This can result in desensitization and wounds or sores that do not heal. The persons concerned can make an appointment at the diabetic foot consultation, recognised as a reference centre by the INAMI [National Institute for Sickness and Disability Insurance]. Depending on their needs, patients are seen by a diabetes specialist, a nurse specialising  in wound care, a chiropodist and, if necessary, a shoemaker. A vascular surgeon is also a member of the team.      Gestational diabetesWomen who develop diabetes during their pregnancy are at increased risk of certain complications during childbirth. They are also at a greater risk of developing type 2 diabetes later in life. These patients are treated jointly by the Diabetology Clinic and gynaecologists at the H.U.B’s Obstetrics Department both during and after their pregnancy.   (Non) diabetic hyperglycaemiasThe H.U.B’s Diabetology Clinic diagnoses and treats hypoglycaemias. These (sudden) falls in blood sugar levels can, in their severe form, lead to behavioural disorders or even a loss of consciousness. A badly managed diabetes, an insulimona (rare tumour of the pancreas) or obesity surgery (bypass, gastroplasty) can result in severe hypoglycaemias. Advice If you are diabetic, as your GP if you can benefit from  a Trajet de Démarrage,a ”Type 2 diabetes” Trajet de soinsor a Convention du diabète.These programmes entitle you to services, specialised consultations and additional reimbursements. Focus As a centre of excellence, the H.U.B Diabetology Clinic has signed a number of conventions with the INAMI so as to be able to offer persons treated with insulin access to the latest diabetes monitoring technologies. Most notably: different types of blood sugar sensors (for type 1 and type 2 diabetes), conventional insulin pumps and “patch” pumps without tubing (for type 1 diabetes). Some people with type 1 diabetes can also benefit from insulin treatment in a closed circuit. This automated “artificial pancreas” system consist of connecting a blood sugar sensor to an insulin pump. This system then effects the insulin injections semi- automatically. Research The H.U.B Diabetology Clinic participates in and/or initiates clinical trials on future medicines and new technologies for treating diabetes.  Our specialists Services