Endocrinology & Metabolism

The Department of Endocrinology & Metabolism combines specialist and diagnostic expertise: Charité’s expertise in internal medicine, gynecology and pediatrics is combined with the expertise of pediatric metabolic medicine. This is specially designed for the detection of rare metabolic diseases. The Charité’s original seven specialist laboratories were transformed into a joint interdisciplinary specialist laboratory – with the involvement of Laboratory Medicine. The department offers a comprehensive range of services with high diagnostic and methodological quality.
Diagnostic
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Thanks to the laboratory’s expertise, the measurement methods are selected strictly according to criteria of clinical relevance and in accordance with the clinical question. If desired, the parameters offered can be tested and maintained across the entire age spectrum – from newborn to old age. This applies to all reference ranges and assessment criteria. The clinical specialists are closely involved. This ensures rapid and continuous exchange between the laboratory and clinical practice.
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In the specialist department, all findings are medically examined by clinically active specialists and – if necessary – individually assessed. The end result is not just the laboratory value with its reference ranges. If necessary, a summary assessment of all the requested parameters is carried out with information on differential diagnoses and possible further diagnostics. For queries in special cases, the specialists can also be contacted by telephone.
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In the field of metabolic diagnostics, various intermediate and end products of the metabolism are measured in order to draw conclusions about the function of metabolic processes in the body. A comprehensive range of tests on the metabolism of carbohydrates, proteins, nucleic acids, fats and other selected metabolic and neuro-metabolic processes is offered here.
The department emerged from the former metabolic laboratory of the Children’s Hospital, which is why the focus of the examination program is still on the diagnosis and monitoring of patients with very rare, congenital disorders of the intermediary metabolism.
Close cooperation with the clinical specialists at the Charité is a central component of the concept, particularly in the field of metabolic diagnostics. Together with Dr. Oliver Blankenstein (Head of Diagnostics and Newborn Screening), the metabolic team also ensures the connection, diagnosis and consultation of abnormal findings in newborn screening. This enables us to provide a comprehensive range of metabolic diagnostics services for our consignors. This includes:
- Pre-analytical consultation
- Special analysis in the laboratory
- Medical diagnosis by the metabolic specialists, taking into account the available clinical information
- Advice on further diagnostics and, if necessary, therapy suggestions
Methodologically, metabolic diagnostics is characterized by a high proportion of manual and sometimes very complex examination procedures in order to reliably detect rare and unknown metabolites. In addition to chromatographic and photometric methods, HPLC is also used in combination with gas chromatographic (GC-MS) and mass spectrometric (LC-MS/MS) analysis methods.
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Newborn screening is provided by Labor Berlin in cooperation with Charité – Universitätsmedizin Berlin.
Lesen Sie ausführliche Informationen dazu unter: http://screening.charite.de.
Requisition slips and downloads
Services for private patients, self-paying patients or elective laboratory services will be invoiced by LABOR BERLIN directly to the respective payer, unless otherwise agreed with the sender. For this purpose, the sender shall forward the necessary patient data to LABOR BERLIN and ensure that the patients are informed about the possible forwarding of laboratory orders to LABOR BERLIN and the associated organizational measures, including billing by a private medical clearing office, in the manner prescribed by law and consent to this. The legal requirements with regard to the free choice of doctor are taken into account. We would like to point out that, in accordance with the provisions of the German Hospital Remuneration Act (KHEntgG), external elective laboratory services must be ordered by the sender on a case-by-case basis and specifically by the elective physicians concerned.