Specialized Outpatient Care

Nail Outpatient Care

Nail outpatient care is targeted at diseases that feature nail pain or deformation such as ingrown nails, onychogryphosis, tinea unguium, nail psoriasis, nail lichen planus, onycholysis, and chronic paronychia. Nail disease is a highly specialized field. We conduct inquiries, medical examinations, and various tests to provide appropriate diagnosis and treatment. In addition, depending on the disease, lifestyle habits are related to onset and disease development, so we provide life guidance tailored to each person after listening to the details of everyday experiences of their conditions. Those who wish to visit the nail outpatient clinic should visit the first visit initial outpatient clinic in the morning and make an appointment for the nail outpatient clinic if necessary. If you are having any trouble with pain or deformation of the nails, please contact us.

Outpatient Day : Monday, PM
Doctors in Charge : SHIIYA Chihiro, KOSUMI Hideyuki

Autoimmune Blistering Disease Outpatient Care

At the outpatient department for autoimmune blistering diseases, we provide specialized examinations and treatments for patients with pemphigoid and pemphigus. In addition to general blood sampling and histopathological examinations, special examinations (direct immunofluorescence, Western blotting, ELISA, etc.) performed in our laboratory are used to provide accurate diagnosis and appropriate treatment. Autoimmune blistering diseases often require hospitalization for a certain period of time, and we provide medical care in cooperation with ward doctors when necessary. We are also actively conducting clinical trials to establish new treatment methods. Please do not hesitate to contact us in cases of suspected autoimmune blistering diseases.

Outpatient Day : Tuesday, PM
Doctors in Charge : UJIIE Hideyuki, IZUMI Kentaro

Atopic Dermatitis Outpatient Care

Atopic dermatitis is a chronic disease in which eczema lesions accompanied by pruritus are in a constant cycle of improving and worsening, and long-term outpatient treatment is required. In the past, care with moisturizers and anti-inflammatory treatments with topical steroids and tacrolimus ointment were the main treatments, but in recent years the pathophysiology of atopic dermatitis has been elucidated, and new drugs such as oral medicines and injections are being developed at a steady pace. At the atopy outpatient department, we are trying to provide tailor-made medical care, such as actively introducing biologics or JAK inhibitors to patients whose symptoms are poorly improved by existing treatments. On the other hand, it is also very important for patients and their families to deepen their understanding of the disease, and if necessary, we offer educational hospitalization for around ten days. We endeavor to contribute to improving the quality of life of our patients as much as we can.

Outpatient Day : Wednesday, AM
Doctors in Charge : UJIIE Hideyuki, IZUMI Kentaro, TSUJIWAKI Masumi, SEO Takashi

Dermatological Surgery Outpatient Care

At the dermatological surgery outpatient clinic department, we are in charge of diagnosis, treatment, follow-up after treatment, etc. for all tumors that have developed on the skin. In addition to surgical resection by surgery, we also provide radiotherapy, chemotherapy, and immunotherapy as necessary. Recent advances in immune checkpoint inhibitors have been particularly remarkable, allowing therapeutic interventions for advanced skin malignancies that could not be treated before. We also perform small surgeries on the same day as a patient’s visit to an outpatient clinic. Regardless of whether a tumor is malignant or benign, we are always ready to respond flexibly with a wide range of approaches from minor surgical procedures to immunotherapy.

Outpatient Day : Thursday, PM
Doctors in Charge : YANAGI Teruki, KITAMURA Shinya

Psoriasis Outpatient Care / Ultraviolet Phototherapy Outpatient Care

The psoriasis outpatient department operates in conjunction with the ultraviolet phototherapy outpatient department. Treatment options for psoriasis are increasing year by year, and there are 10 biologics now. It is expected that new drugs will continue to appear in the future, so it becomes more difficult to choose therapeutic drugs. In the psoriasis outpatient department, we provide a variety treatment options that covers from topical treatment to biologics. About 60% of patients are currently treated with biologics. We provide the best advanced medical care including clinical trials.

Outpatient Day : Thursday, PM
Doctors in Charge : IWATA Hiroaki, NATSUGA Ken, MIYAZAWA Hajime

Epidermolysis Bullosa Outpatient Care

Epidermolysis bullosa (EB) is a group of inherited skin and mucosal fragility disorders resulting from mutations in genes encoding basement membrane zone (BMZ) components or proteins that maintain the integrity of BMZ and adjacent keratinocytes. At the epidermolysis bullosa outpatient department, we analyze specimens requested for diagnosis from Japan and other countries, and also diagnose, treat, and care for outpatients. The diagnostic work is carried out with the cooperation of Dr. Nakamura Hideki of the Central Research Institute and Dr. Hsu Chao-Kai of National Cheng Kung University, Taiwan. In addition, esophageal stenosis, undernutrition, finger or toe fusion, malignant skin tumors, etc. seen in severely ill patients are treated in cooperation with other clinical departments.

Outpatient Day : 1st and 3rd Friday, PM
Doctors in Charge : NATSUGA Ken, KOSUMI Hideyuki

Ichthyosis and Palmoplantar Keratoderma Outpatient Care

In the outpatient department for ichthyosis and palmoplantar keratoderma, we provide medical care for patients with the nationally designated intractable disease congenital ichthyosis, and palmoplantar keratoderma, which cause similar symptoms on the hands and feet. We always do our very best to provide accurate diagnoses by making full use of findings, histopathological examinations, and genetic testing. Based on diagnoses, we also provide treatment, genetic counseling, lifestyle guidance, application for designated intractable disease documents, etc. We strive for ‘total care’ for patients suffering from ichthyosis and palmoplantar keratoderma.

To work towards the same goal for patients with ichthyosis, we work very closely with the ichthyosis support association ‘Himawari’ and provide them with information or ask them for advice on care based on their experiences and perspectives whenever necessary.

Please feel free to contact us if you have any medical personnel, patients, or family members who are having difficulty with diagnosis, treatment, or daily care.

Outpatient Day : 2nd and 4th Friday, PM
Doctors in Charge : MIYAUCHI Toshinari, MAI Yosuke