CME 9 and 11 April 2013 Iran
Faculty: Shahrzad Ossarek, MD; Mitra Mahdavi, MD, PhD; Pablo Urena, MD, PhD; Marc De Broe, MD, PhD
09h00
Introduction
09h05
 Physiology/physiopathology of mineral metabolism in progressive renal failure
 Calcium balance in patients with renal failure (CKD I-V; HD/PD)
 Total calcium-ionized calcium
 Diagnosis of different forms of ROD / biomarkers
Case reports: N=2
10u45
Coffee break
11h00
 Vitamine D
 Metabolism, pharmacological activities
 Insufficiency/depletion in renal failure
 How to restore the vit D stock in patients with renal failure
Case report: N=1
 FGF23
 FGF23 in the regulation of phosphate metabolism
 FGF23 useful in the monitoring of phosphate balance in renal failure
 Klotho and mineral bone metabolism in normal and renal failure patients
Case reports: N=1
12h30
Lunch pause
During this pause a continuous projection of a video demonstrating technique of prelevation,
sample processing, indication ,analysis and reporting of a bone biopsy in a patient.
13h30
 Vacular calcifications
 Physiopathology
 Screening yes or no ? How ?
 Treatment / prevention
Case report: N=1
14h30
 Mineral metabolism postrenal transplantation
Case report: N=1
 Mineral metabolism in children with renal failure
15h15
Coffee break
15h40
 Treatment of hyperparathyroidism
 Surgery versus medical treatment
 Localization tests on parathyroid glands before surgery ?
 Novel agents in hyperparathyroidism
 Hyperphosphatemia
 How to treat ?
 Calcium versus non-calcium phosphate binders
 Use of biphosphonates in renal failure
 HD versus PD as treatment modality in the mineral metabolism disturbances
Case report: N=2
17h00
Panel discussion: questions/answers
17h30
Take home messages and closure