Parathyroid pathology and mineral metabolism disorders department
Head of the department «Parathyroid pathology and mineral metabolism disorders department»
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We provide outpatient (using telemedicine consultations if needed) and inpatient care with diagnostics and treatment for all kinds of calcium-phosphorus metabolism disorders and parathyroid pathology,
including rare hereditary forms of endocrine pathology.
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WHAT WE TREAT:
primary hyperparathyroidism;
parathyroid carcinoma;
secondary hyperparathyroidism due to vitamin D deficiency;
secondary hyperparathyroidism in chronic kidney disease;
hyperparathyroidism after kidney transplantation;
secondary hyperparathyroidism in other conditions (liver, intestinal diseases, metabolic disorders, etc.);
hypoparathyroidism of any etiology (after thyroid or parathyroid surgery, autoimmune, etc.);
rare hereditary diseases: multiple endocrine neoplasia (MEN-1, MEN-2), autoimmune polyglandular syndromes, familial hypocalciuric hypercalcemia, pseudohypoparathyroidism, etc.
The personalized approach implemented in ENC is used at all stages of managing patients with mineral disorders and allows choosing the most effective methods of treatment.
DEPARTMENT OF PARATHYROID PATHOLOGY AND MINERAL METABOLISM DISORDERS OFFERS YOU:
a complete diagnostics of your calcium-phosphorus metabolism;
medical care in case of parathyroid tumors;
personalized advice on mineral and bone disorders therapy in severe renal failure;
treatment recommendations in preparation for kidney transplantation;
personalized recommendations on hypoparathyroidism therapy;
extended examination and monitoring of parameters of mineral metabolism by a specialist when planning and during pregnancy;
individualized examination, including genetic tests, and treatment plan for hereditary parathyroid pathology and diseases of other endocrine glands (multiple endocrine neoplasia, autoimmune polyglandular syndromes, etc.);
recommendations for atypical cases of mineral disorders from a consilium of leading experts in endocrinology.
IMPROVE YOUR LIFE WITH MINERAL DISORDERS:
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Our doctors are engaged in active research work and clinical testing of diagnostic, treatment and rehabilitation methods for various pathologies of mineral metabolism. They participate in the development of national guidelines and standards of specialized medical care for patients with parathyroid diseases.
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We made a number of calculators to help physicians streamline diagnosis and treatment of mineral metabolism.
We were the first to create nationwide registries for PHPT, hypoparathyroidism and multiple endocrine neoplasia patients in Russia. They give a lot of perspective over the disease’s specificities and amounts of medical help rendered in various parts of the country.
Our doctors hold practical classes for specialists, meetings for scientists and participate in educational programs for specialists in endocrinology.
CONTINUING EDUCATION COURSES:
Head of the department «Parathyroid pathology and mineral metabolism disorders department»
Endocrinologist, Researcher
MD, PhD
Assistant director of the ENC
Endocrinologist, Neuroendocrinologist, Researcher
MD, PhD
Head of VIP assistance
Endocrinologist
MD, PhD, top qualification grade rated doctor, leading researcher
Head of the Analytics and Strategic Development Department, Primary Care Reorganization of the Coordinating Council
Endocrinologist
Top qualification grade rated doctor
Albumin-adjusted calcium calculator
General information
About 50% of total plasma calcium is bound to plasma albumin, while the remainder is in a physiologically active ionized free state. In cases where plasma albumin levels are low, total plasma calcium levels are often estimated by adjusting for calcium binding to proteins.
This technique is quite common in clinical practice, yet a number of studies have questioned the reliability and sensitivity of the corresponding correction formulas. Direct measurement of the ionized calcium, which is the recommended method, provides a more accurate evaluation.
How to use
- Fill the fields
- Click on “Calculate”
Formulas
Below are two formulas that are typically used to estimate total plasma calcium level adjusted for plasma albumin content:
- Albumin-adjusted calcium (mmol/L) = measured total plasma calcium level (mmol/L) + 0.02 x (40 – measured plasma albumine level (g/L))
- Albumin-adjusted calcium (mg/dL) = measured total plasma calcium level (mg/dL) + 0.8 x (4 – measured plasma albumine level (g/dL))
Note
- For calcium levels in millimoles per liter (mmol/L) use albumine levels in grams per liter (g/L).
- For plasma calcium levels in milligrams per deciliter (mg/dL) use albumine levels in grams per deciliter (g/dL).
- The average albumin level is usually taken as 40 g/L (4 g/dL).
- Total plasma calcium levels should be between 1.0 and 4.5 mmol/L.