Departments
Our Pediatric Endocrinology Clinic provides a wide range of medical care for diseases caused by hormonal abnormalities in children. Please feel free to consult us if you have any of the following concerns:
Failure to grow taller or gain weight is called growth disorder. There are various causes, including nutritional problems, decreased secretion of growth hormone, bone disease, the effects of SGA (small for gestational age) (a baby born small due to insufficient growth during pregnancy), and chromosomal or genetic abnormalities. Please bring your maternal and child health handbook and growth records with you when you visit the clinic. Growth hormone therapy is available for some diseases (growth hormone deficiency short stature, SGA short stature, achondroplasia, Turner syndrome, Prader-Willi syndrome, and Noonan syndrome).
If the thyroid gland, located in the front center of the neck, is swollen, it may be a sign of a thyroid disease. Thyroid diseases such as Hashimoto's disease and Graves' disease may require further investigation with blood tests and thyroid ultrasound, so please consult us. Also, if a congenital metabolic disorder test (newborn mass screening test) indicates suspicion of congenital hypothyroidism (cretinism), oral medication may be necessary, so please consult us.
If hyperglycemia or positive urine sugar is detected, or if symptoms of excessive drinking and urination are present, it may be diabetes. Insulin treatment may be necessary. For type 1 diabetes, insulin treatment incorporating carb counting is used. Furthermore, repeated episodes of hypoglycemia may have an impact on development, so it is necessary to thoroughly examine the cause and prevent hypoglycemia.
Diseases of the pituitary gland or the effects of brain tumor treatment can cause a decrease in the levels of multiple hormones secreted from the pituitary gland, which can lead to generalized hypopituitarism. In such cases, hormone replacement therapy is performed as necessary.
If puberty begins extremely early compared to other children of the same age, it may be precocious puberty. If secondary sexual characteristics appear at a young age, children may experience psychological and social difficulties and may ultimately end up being short in stature. Blood tests will be performed to check the state of gonadal hormones, and tests such as hand X-rays, head MRI, and abdominal ultrasound will be performed. If necessary, gonadal suppression therapy will be administered. Conversely, if secondary sexual characteristics do not appear or menarche is delayed, it may be hypogonadism. Gonadal hormone supplementation may be necessary.
The adrenal glands are organs located above the kidneys and produce steroid hormones that are important for maintaining life. Diseases that cause abnormal secretion of adrenal hormones include adrenal hypocortisolism, congenital adrenal hyperplasia, and Cushing's syndrome, and require appropriate treatment.
A lack of calcium in the blood can cause numbness in the fingers, cramps, and arrhythmia. There may be a deficiency or insufficient function of parathyroid hormone or vitamin D, which regulate calcium in the blood. The cause will be investigated, and calcium levels will be corrected through oral or intravenous treatment.
Diabetes insipidus is a disease in which the balance of water and salt in the body is disrupted. Patients urinate large amounts frequently, which causes thirst and excessive drinking. It can be caused by genetic abnormalities or brain tumors, and appropriate treatment is required depending on the cause.
If your child has severe bow legs or knock-knees, breaks bones easily, or has short limbs and short stature, they may have a bone disease. X-rays and blood tests will be used to check for bone diseases such as rickets, osteogenesis imperfecta, osteoporosis, and achondroplasia.
Childhood obesity and metabolic syndrome are on the rise. Diet and exercise are the basis of treatment. We provide nutritional guidance on appropriate calorie intake and conduct tests for complications such as fatty liver, hyperlipidemia, diabetes, and high blood pressure.