Abstract:
:It is often reminded that if the ionized calcium is not measured, the interpretation of total calcemia should consider serum albumin. Two formulas are usually employed: ["Corrected" Ca (mmol/L) = Ca measured (mmol/L) + 0.020 or 0.025 (40 - albumin (g/L))]. This adjustment formula arises from works of Payne published in 1973. In a control population, we established the median values of calcium, albumin and ionized calcium (corrected to pH 7.40), respectively 2.34 mmol/L, 45.7 g/L and 1.23 mmol/L with our laboratory's methods (albumin - bromocresol green and Ca - ortho-cresolphtalein on a Modular analyser, Roche Diagnostics; ionized calcium with ion-selective electrode, Radiometer SA). Based on this, we retrospectively compared for 71 patients who do not belong to the control population the "corrected calcium" resulting from the two formulas and the measured calcemia to the ionized calcium corrected at pH 7,40. This comparison shows that in our laboratory, the two formulas lead to a rising underestimation of the calcium for albumin values greater than 40 g/L, reaching -0,20 mmol/L for albumin values above 44 g/L. The use of this formulas may also mask an hypercalcemia, indeed half of our patients' hypercalcemia (ionised Ca ((pH 7,40)) > 1,29 mmol/L) is not found. These results agree with Payne's recommendations for the use of his adjustment formula: the clinically justified adjustment of a low calcemia due to an hypoalbuminemia should not be extended to other situations, particularly when albumin is increased.
journal_name
Ann Biol Clin (Paris)journal_title
Annales de biologie cliniqueauthors
Parent X,Spielmann C,Hanser AMdoi
10.1684/abc.2009.0348subject
Has Abstractpub_date
2009-07-01 00:00:00pages
411-8issue
4eissn
0003-3898issn
1950-6112pii
abc.2009.0348journal_volume
67pub_type
杂志文章abstract::In order to increase the versatility of phage display technology, it is desirable to be able to impose some structural constraints on the peptides that are presented by the phage particles. This is currently not feasible since the conformation of the capsid proteins, used to link the foreign peptide to the phage, are ...
journal_title:Annales de biologie clinique
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journal_title:Annales de biologie clinique
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