電話

Consultation Info.:049-228-3411

Number Info.:049-228-3400

▶Contact information

Department of Rheumatology and Clinical Immunology

November 15,2021 Update

Introduction

The Department of Rheumatology and Clinical Immunology, Saitama Medical University Medical Center, conducts research on the treatment of systemic rheumatic diseases and connective tissue diseases.

The etymology of "rheumatism" is the ancient Greece word "ρηευμα(rheuma)" which means "flowing." It is said that Hippocrates had seen many joint and muscle aches around 400 BC, and came to call it "rheumatism", thinking that something bad was going out from the brain and flowing through the body. Rheumatic diseases include rheumatoid arthritis, rheumatic fever, polymyalgia rheumatica, osteoarthritis associated with aging, collagen diseases, and other painful diseases that are called "Rheumatism". Among these, in rheumatoid arthritis, it is understood that what was originally thought of as "bad things which flow through the body" are known as "inflammatory cytokines" and a therapeutic drug has been developed that targets them. We would like patients to consult with a specialist doctor early and receive the appropriate treatment.

On the other hand, what kind of diseases are collagen diseases? These are diseases where the immune response to protect from pathogens, etc. attacks its own cells and tissues(autoimmune diseases). The cause of collagen diseases is still unknown. The symptoms are very diverse and many organs are usually involved. Although steroids and immunosuppressants are used to treat successfully, these drugs have many side effects, so they should be used with care by a specialist.

When visiting our department, we would like you to consult with your local doctor if possible and have them send a letter of introduction to our department. Collagen disease is not easily cured and is a lifelong illness, however, it is not necessary to be pessimistic. When the treatment begins, trust your doctor and go through the treatment together.

Patient care at our department

The diseases we treat in our department include rheumatoid arthritis, collagen diseases such as systemic lupus erythematosus, systemic sclerosis, inflammatory myositis and primary systemic vasculitis such as giant cell arteritis, Takayasu arteritis, ANCA associated vasculitis. These diseases are the so-called "intractable diseases" of unknown cause, but outcomes of these diseases are highly variable from mild to life-threatening diseases. Complete cures are rare, but we set up a treatment policy according to the individual patient's condition based on the scientific basis and patients' opinions. For example, there are some patients who do not need immunosuppressive treatment and are in good condition with only paying a bit of attention to their life. On the other hand some patients do not improve inspite of heavy immunosuppression such as high-dose steroids and multiple immunosuppressants and will be hospitalized due to the side effects and/or complications.

Recently, the diagnositic methods for collagen diseases have progressed remarkably, but it is still difficult to "diagnose", which is the first step towards medical treatment. In other words, there are some patients with real collagen diseases who gradually deteriorate because of inappropriate treatment, and there are some patients who have suffered from the side effects of the steroids and immunosuppressants even though they don't have collagen diseases. Therefore, it is important to confirm the diagnosis with certainty with a specialist first.

New immunosuppressants and various biological agents have been introduced recently for the treatment of collagen diseases and have led to favorable outcomes of these patients. However, it is still intractable in some cases, where these new treatments do not bring adequate improvement, or where the side effects of medicines force them to be hospitalized. Our department has some clinical trials of new drugs and novel therapeutic strategies for patients with collagen diseases.

If you have a problem with collagen disease, or you think you may have collagen disease, please do not hesitate to consult our department to check the diagnosis and discuss the treatment policy.

Main diseases

  • Rheumatoid arthritis
  • Malignant rheumatoid arthritis
  • Systemic lupus erythematosus
  • Systemic sclerosis
  • polymyositis/dermatomyositis
  • Mixed connective tissue disease
  • Non-classified connective tissue disease
  • Pulmonary hypertension
  • Takayasu arteritis
  • Giant cell arteritis (temporal arteritis)
  • Microscopic polyangiitis
  • Granulomatosis with polyangiitis (Formerly: Wegener granulomatosis)
  • Eosinophilic granulomatosis with polyangiitis (Formerly: Churg-Strauss syndrome)
  • Polyarteritis nodosa
  • Cryoglobulinemia
  • Adult onset Still's disease
  • Sjogren's syndrome
  • IgG4 related diseases
  • Relapsing polychondrotis
  • Spondyloarthritis (ankylosing spondylitis, reactive arthritis, psoriasis arthritis, SAPHO syndrome)
  • Bechet's disease
  • Sarcoidosis
  • Autoinflammatory syndrome
  • Polymyalgia rheumatica
  • RS3PE syndrome
  • Antiphospholipid antibody syndrome, etc.
 

Treatment results

Number of admission in 2020
Disease name Number of cases
Systemic lupus erythematosus (SLE) 44
Rheumatoid arthritis (RA) 31
Dermatomyositis (DM) 17
Polymyositis (PM) 12
Microscopic polyangiitis (MPA) 11
Systemic scleroderma 10
Giant cell arteritis (GCA) 10
Eosinophilic granulomatosis with polyangiitis (EGPA) 7
Granulomatosis with polyangiitis (GPA) 7
Sjögren syndrome (SS) 7
Adult-onset Still's disease (AOSD) 7
Antiphospholipid syndrome (APS) 6
Mixed connective tissue disease (MCTD) 4
Polymyalgia rheumatica (PMR) 4
Takayasu arteritis (TAK) 2
Polyarteritis nodosa (PAN) 2
Behçet’s disease (BD) 2
IgA vasculitis (IgAV) 1
RS3PE (remitting,seronegative,symmetrical synovitis with pitting edema) syndrome 1
Others 10
Total number of admissions 195
Number of outpatients in 2020
Disease name Number of cases
Rheumatoid arthritis (RA) 293
Systemic lupus erythematosus (SLE) 62
Sjögren syndrome (SS) 56
Polymyalgia rheumatica (PMR) 50
Polymyositis (PM) 17
Systemic scleroderma 16
Giant cell arteritis (GCA) 15
Dermatomyositis (DM) 12
Microscopic polyangiitis (MPA) 12
Mixed connective tissue disease (MCTD) 10
Behçet’s disease (BD) 10
Antiphospholipid syndrome (APS) 9
RS3PE (remitting,seronegative,symmetrical synovitis with pitting edema) syndrome 9
Takayasu arteritis (TAK) 7
Granulomatosis with polyangiitis (GPA) 7
Sarcoidosis 5
Eosinophilic granulomatosis with polyangiitis (EGPA) 4
Polyarteritis nodosa (PAN) 2
Others (no rheumatic disease) 139
Total number of outpatients 735

診療スタッフ

Name Job Title Position Specialized Field Credentials
天野 宏一
(Amano Koichi)
リウマチ・膠原病内科スタッフ001
Professor Chief Administrator
Chief of Clinical Services
Chief of Research
Rheumatology and Clinical immunology Fellow of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist
Japan College of Rheumatology board certified rheumatologist instructor
The Japanese Association for Infectious Diseases
Board Certified Specialist for Infectious Diseases
近藤 恒夫
(Kondo Tsuneo)
リウマチ・膠原病内科スタッフ002
Assistant Professor Chief of Education Rheumatology and Clinical immunology Fellow of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist
Japan College of Rheumatology board certified rheumatologist instructor
倉沢 隆彦
(Kurasawa Takahiko)
リウマチ・膠原病内科スタッフ004
Assistant Professor Manager of Residency Programs
Manager of Outpatient Services
Rheumatology and Clinical immunology Fellow of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist
Japan College of Rheumatology board certified rheumatologist instructor
酒井 亮太
(Sakai Ryota)
リウマチ・膠原病内科スタッフ006
Instructor Manager of Inpatient Services Rheumatology and Clinical immunology
Vasculitis
Lupus nephritis
Fellow of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist instructor
柴田 明子
(Shibata Akiko)
リウマチ・膠原病内科スタッフ007
Instructor Rheumatology and Clinical immunology Fellow of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist
岡田 悠介
(Okada Yusuke)
リウマチ・膠原病内科スタッフ008
Instructor Rheumatology and Clinical immunology Board Certified Member of the Japanese Society of Internal Medicine
吉永 正一
(Yoshinaga Shoichi)
リウマチ・膠原病内科スタッフ008
Instructor Rheumatology and Clinical immunology
竹内 勤
(Takeuchi Tsutomu)
リウマチ・膠原病内科スタッフ009
Visiting Professor Board Certified Member of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist
Japan College of Rheumatology board certified rheumatologist instructor
The Japanese Association for Infectious Diseases Board Certified Specialist for Infectious Diseases
Japanese Society of Allergology Board Certified Allergist
Japanese Society of Allergology Board Certified Allergist Instructor
伊藤 達也
(Ito Tatsuya)
リウマチ・膠原病内科スタッフ011
Visiting Assistant Professor Fellow of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist
Board Certified Hematologist Board Certified Member of the Japanese Society of Hematology
小川 祥江
(Ogawa Hiroe)
リウマチ・膠原病内科スタッフ012
Visiting Assistant Professor Fellow of the Japanese Society of Internal Medicine
Japan College of Rheumatology board certified rheumatologist
長澤 逸人
(Nagasawa Hayato)
リウマチ・膠原病内科スタッフ015
Visiting Assistant Professor Fellow of the Japanese Society of Internal
Japan College of Rheumatology board certified rheumatologist
Japan College of Rheumatology board certified rheumatologist instructor
Japan Medical Association Certified Industrial Doctor

Outpatient clinic

Department of Rheumatology and Clinical Immunology
  Monday Tuesday Wednesday Thursday Friday Saturday
午前
初診

予約外
岡田 悠介
(Okada Yusuke)
柴田 明子
(Shibata Akiko)
小川 祥江
(Ogawa Hiroe)
長澤 逸人
(Nagasawa Hayato)
酒井 亮太
(Sakai Ryota)
(交替制)
再診
倉沢 隆彦
(Kurasawa Takahiko)
天野 宏一
(Amano Koichi)
天野 宏一
(Amano Koichi)
近藤 恒夫
(Kondo Tsuneo)
倉沢 隆彦
(Kurasawa Takahiko)
伊藤 達也
(Itou Tatsuya)
(第2.4週)


岡田 悠介
(Okada Yusuke)



午後
再診


柴田 明子
(Shibata Akiko)




近藤 恒夫
(Kondo Tsuneo)
倉沢 隆彦
(Kurasawa Takahiko)

近藤 恒夫
(Kondo Tsuneo)

To the Medical Institutions

To medical students and everyone thinking about early and late stage training

Our educational goal is "To provide the best medical care to patients with collagen diseases, including rheumatoid arthritis, and to foster such medical personnel." A characteristic of our department is not only to be specializing in autoimmune and auto inflammatory diseases, but also to examine the whole body of the patients (= to see all organs) to diagnose and differentiate from various diseases other than collagen diseases, which will lead definitely to nurture high quality general physicians. We have also many cooperative medical treatments; with Department of Orthopaedic Surgery for musculoskeletal disorders including rheumatoid arthritis, with Department of Dermatology for scleroderma, dermatomyositis and psoriasis arthritis, with Department of Nephrology and the blood purification center for ANCA- associated vasculitis and severe lupus nephritis, with Department of Pulmonary Medicine for interstitial pneumonia due to collagen diseases, with Department of Cardiology for pulmonary hypertension, with Department of Neurology for central nervous system lupus or mononeuritis multiplex due to vasculitis, with Department of Gastroenterology and Hepatology for inflammatory bowel diseases and collagen diseases, and Department of Endocrinology and Diabetes for metabolic abnormalities and glucocorticoid induced osteoporosis. Fortunately, Saitama Medical University Medical Center has all of these departments and can exchange information each other. Our departments can provide 3 kinds of rheumatologist; a teaching doctor at a university hospital, a specialist in a core hospital, and a general physician with a special interest of rheumatism.

Please feel free to contact us anytime if you are even a little interested. It would be useful for you also to check the website of our department.

Regarding hospital and clinic collaboration

Regarding the introduction of patients when they suspect rheumatism or collagen diseases, it would be great if they can visit as an outpatient with a letter of introduction. In addition, we will reply to you after investigation about the patient who was introduced, but please feel free to contact us if this is not enough.

In addition, please feel free to contact us if you have any questions or more information about the medical examination and treatment. Our hospital is located in Kawagoe City, and there are many patients with collagen diseases who are consulted from all over Saitama Prefecture and other prefectures. On the other hand many patients want to receive medical treatment near home. In order to meet these needs, it is essential to have a Hospital and Clinic Collaboration, so please feel free to contact us.

埼玉医科大学バナー 埼玉医科大学看護学校バナー