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Pink October: a month to raise awareness of breast cancer
Throughout October, our teams are working to raise the profile of the fight against breast cancer. Find out more on the Jules Bordet Institute website! All the info
Services
Pneumology
Our role Pneumology is the medical speciality concerned with diseases (infectious, cancerous or fibrotic) that affect the respiratory organs: bronchial tubes (asthma, COPD, etc.) or lungs (pneumonias, pulmonary fibrosis, allergic pulmonary diseases, etc.). Image Image In addition to their general pneumology consultation, the H.U.B. pneumologists all have a subspeciality in a type of disease or in thoracic endoscopy. We are the Belgian reference centre for several diagnostic and therapeutic endoscopic activities. Pr Dimitri Leduc Director of the H.U.B. Interhospital Department of Pneumology Our specialities In addition to a general pneumology consultation, the H.U.B. Interhospital Department of Pneumonia is structured into 7 clinics and centres of expertise:    The Cystic Fibrosis and Lung Transplant Reference Centre, together with  thoracic surgery, provides long-term follow-up  for persons with cystic fibrosis and/or who can benefit or have benefitted from a lung transplant.   The Asthma and Allergology Clinic is concerned with all forms of asthma, including the most severe, which are treated with biotherapies.  The Interstitial Pulmonary Diseases Clinic is one of 3 Belgian reference centres for the treatment of idiopathic pulmonary fibroses.   The Thoracic Endoscopy Reference Centre (see Focus) The Chronic Obstructive Pulmonary Disease (COPD) and Rehabilitation Centre provides a full range of available treatment, including endoscopic or surgical treatment (pulmonary volume reduction or transplant) for the most severe cases.   The Thoracic Cancer Clinic treats lung cancer patients, in cooperation with the Jules Bordet Institute.   The Sleep-Related Respiratory Disorders Clinic is concerned with patients with obstructive apnea requiring recourse to a CPAP.  The Department also has 2 technical platforms:  The respiratory function tests (RFT) that are carried out under the control of the physiotherapists in consultation;  A platform dedicated to endoscopy that the pneumologists share with the urologists and gastroenterologists.  Our Team Image Our specialists Focus The H.U.B. Thoracic Endoscopy Reference Centre provides all the diagnostic and therapeutic procedures of the discipline and has developed an innovative approach to pulmonary nodules. Thanks to scanner images acquired upstream, the Centre uses a GPS-type endoscopic navigation technique that makes it possible to visualise and, above all, reach a lesion located deep in the bronchial branches, beyond the reach of conventional endoscopy. This permits a biopsy and thus a non-invasive diagnosis of these potentially cancerous nodules.  Research The H.U.B. Interhospital Department of Pneumology pursues several lines of fundamental, translational and clinical research. Studies are carried out in the fields of asthma and COPD in particular – with the Asthma Laboratory  – focusing on pulmonary fibrosis, immunology and respiratory physiology.
Pneumologie - Erasme
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Health issues
Porphyria
What is porphyria? Porphyrias are rare disorders caused by a deficient production of haem, an essential molecule for the transport of oxygen (via the haemoglobin) and the elimination of medicines (via the cytochromes). Depending on the type of porphyria these diseases result in abdominal pain,  neurological disorders and/or skin problems. Some crises can be triggered by certain medicines, fasting, alcohol or an infection. In most cases porphyrias are hereditary diseases that develop during adulthood. Some of the skin problems can become apparent during childhood while others can be secondary to other health problems. The diagnosis is established by blood, urine and genetic tests. Treatment of porphyria Treatment of porphyria depends on the type of porphyria. Acute porphyrias require a multidisciplinary approach based on prevention and the treatment of acute attacks. Haem is administered via a central venous catheter in acute situations.  Pain management sometimes requires the administration of powerful analgesics. Neurological disorders can require specific care.  Prevention consists principally of  eliminating trigger factors such as certain medicines (especially the contraceptive pill) and alcohol.  Certain severe forms may require a liver transplant.  Recently, a new treatment with Givosiran has made it possible, under certain specific conditions, to improve the quality of life of patients who suffer recurring acute attacks of porphyria. This can only be prescribed following an initial assessment at one of the 2 reference centres in Belgium, one of which is at the Brussels University Hospital (H.U.B) and the other at UZ Leuven university hospital. When the porphyria takes the form of a skin complaint, treatment can be by bleedletting, medicines and/or protection against the sun.  In the long term, porphyrias  can be accompanied by complications such as high blood pressure, chronic kidney disease or liver problems.Regular follow-up with a specialist is therefore essential to prevent acute attacks and to identify complications related to the disease. Our specialists Need some medical advice?Dr. Tom AbrassartHématologistSpecialized in porphyria Make an appointment Focus The Hematology Department of the Brussels University Hospital (H.U.B) and the Medical Chemistry Department of LHUB-ULB together form the Belgian Porphyria Centre, which is one of the 16 expert clinical centers for porphyrias (PECC). In Belgium, it is one of the two centers authorized to initiate treatment with Givosiran.The Medical Chemistry Department is one of the specialized centers in the international network dedicated to porphyria, IPNET. It also holds recognition as a National Reference Center for Rare Diseases for certain analyses related to porphyrias. Discover our Hematology Department Associate doctors Prof. Frédéric Cotton - Head of Medical Chemistry Department - Laboratoire Hospitalier Universitaire de Bruxelles (LHUB-ULB).Prof. Fleur Wolff - Head of Hormonology Clinic -  Laboratoire Hospitalier Universitaire de Bruxelles (LHUB-ULB).Ph.Biol. David Fage - Medical Director - Special Biochemistry -  Laboratoire Hospitalier Universitaire de Bruxelles (LHUB-ULB).
Porphyria