Hand-Foot-Mouth disease

1) Oral vesicles of Hand-Foot-Mouth disease

2) Electron-Microscopy of Enterovirus.

------- Dr. Linda Stannard, Department of Medical Microbiology,

University of Cape Towan.

3) small vesicles in hand
4) Knee region
5) small vesicles in hip

----------------------------------

Hand-Foot-Mouth disease

❑ Symptoms: small vesicles(no itching) appeared in oral,

hand, foot, knee and hip

❑ Etiology: Coxsackie viruses , enteroviruses

❑ Epidemiology: epidemic in summer among children

❑ Age: infant, toddlers, primary school child

❑ Incubation period: 3-6 days

❑ Route of transmission: oral-fecal,

❑ Natural course: resolved in 1 week

Cautions: Hand-Foot-Mouth disease is benign disease,

but in the cases due to Enterovirus 71, Central

nerves system infection such as meningo-encephalitis

and Polio-like illness occur in child.

see also → http://en.wikipedia.org/wiki/Hand,_foot_and_mouth_disease

Any Questions: write to

Keiji Hagiwara, MD

Kami-Ube Pediatric Clinic,

E-mail: keijihagiwara@gmail.com

Cleft lip and palate

                           (Left: before operation,  Right: After operation)

The technique to repair the cleft lip & palate is progressed rapidly.

Thanks to Plastic & Reconstructive Surgery.

The repair need several operations;  first operation is done during

infancy to correct the cleft lips.  Second operation is, at least, done 

before 3-year-old to correct the hard palate.  because if the correction

of cleft palate is delayed, the patient will be suffering some difficulty 

of speaking.  

For more details, Please ask the Plastic surgeon or Reconstructive 

surgeon.

Ref) Fishaer DM. Unilateral cleft lip repair: an anatomical subunit 

        approximation technique.  Plastic and Reconstructive Surgery  

        116:61, 2005.

Any questions:  write to Keiji Hagiwara, MD

                          keijihagiwara@gmail.com

Amaryllis

Amaryllis in the front of my clinic

Two bulbs of Amaryllis were purchased in Keukenhof garden

of Holland in 1987, when I studied at Universite Catholique de

Louvain in Brussels. Its bulbs produce childs, grandchilds and

so on ------

Opening hours of Clinic

   Open hours of Clinic
    Kami-Ube Pediatric Clinic  

    Keiji Hagiwara, MD

    Kami-Ube Pediatric Clinic,

    1-20-2 Tokiwadai, Ube 755-0097, Japan

    Tel: 81-836-29-1155,  Fax:81-836-29-1156

    E-mail: keiji-hagiwara@umin.ac.jp

    Opening hours: 

         Mon/Thu/Wed/Fri -----  am 9:00-12:30

                                                       pm 3:00-6:30

         Thursday  ------   am 9:00-12:30

         Saturday  -------  am 9:00-12:30, pm3:00-5:00 

 

   Any Questions:    write to

                                  Keiji Hagiwara,  MD

                                  Kami-Ube Pediatric Clinic,

                                  e-mail:  keijihagiwara@gmail.com

Inside of Clinic

Photo 1) outside

Photo 2.) Reception area.

Photo 3) Waiting room.

Photo 4.) Consultation room.

Photo. 5) Peace !

Photo. 6) Me !

Photo. 7) Inside.

Kami-Ube Pediatric Clinic

Place: 1-20-2 Tokiwadai, Ube 755-0097, Japan

Tel: 81-836-29-1155

Fax: 81-836-29-1156

E-mail: (1) keijihagiwara@gmail.com

(2) keiji-hagiwara@umin.ac.jp