The specificity of the internal medicine department concerns systemic diseases , ie diseases that can affect several organs simultaneously. These diseases can be inflammatory in nature, often autoimmune (by antibodies directed against certain organs) . Examples include systemic lupus, Gougerot-Sjögren syndrome, scleroderma, polymyositis, sarcoidosis, mastocytosis, histiocytosis, vasculitis ( such as Horton's disease, Wegener's disease, etc.) .
These are most often chronic diseases requiring regular follow-up in the department, in collaboration with the attending physician and the organ specialist(s) (for example the cardiologist, pulmonologist, dermatologist, ophthalmologist, etc. according to the affected organs) . The service summarizes these often complex files and coordinates care.
The service is labeled “Competence Center for Rare Diseases and Systemic and Autoimmune Diseases, Immunodeficiency and Hereditary Angioedema” : it works in close collaboration with the various national reference centers, to offer the patient the best care, adapted to the most up-to-date knowledge.
At the request of the attending physician or specialist, the department receives for consultation and/or hospitalization whose disease has not yet been identified despite various investigations. The biological or imaging assessments, the responses to the treatments administered, the data from the clinical examination are then all pieces of a puzzle that must be ordered to make a diagnosis. As such, the service provides assessments of persistent fever, weight loss, phlebitis or recurrent pulmonary embolism .
A significant part of the department's activity concerns patients admitted to medical emergencies for reasons as diverse as malaise, anemia, infection, phlebitis, stroke, cancer disease... Internal Medicine takes care of these patients as a whole, especially when several associated pathologies make things complex.
The conditions for good care of these patients are also taught to the students.
to find out more about the specialty of internal medicine, visit the site: www.snfmi.org
The clinical activity of the “Internal Medicine and Clinical Immunology Department” is oriented on 2 main axes: consultation and hospitalization