Hyperparathyroidism in pregnancy: case report and review of the literature

The apparent incidence of hyperparathyroidism (HPT) is low in pregnancy but will likely increase now that more asymptomatic HPT is being diagnosed. However, since the serum calcium levels are decreased in pregnant women, mild primary HPT may go unrecognized. In untreated cases of HPT, complications...

Full description

Saved in:
Bibliographic Details
Published in:Canadian Medical Association journal 1983-11, Vol.129 (9), p.986-989
Main Authors: Wilson, R. D, Martin, T, Christensen, R, Yee, A. H, Reynolds, C
Format: Article
Language:English
Subjects:
Adenoma - complications
Administration, Oral
Adult
Calcium - blood
Female
Fetal Death - etiology
Humans
Hypercalcemia - etiology
Hyperparathyroidism - diagnosis
Hyperparathyroidism - therapy
Infant, Newborn
Infant, Newborn, Diseases - etiology
Male
Parathyroid Hormone - blood
Parathyroid Neoplasms - complications
Phosphates - administration & dosage
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - therapy
Tetany - etiology
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The apparent incidence of hyperparathyroidism (HPT) is low in pregnancy but will likely increase now that more asymptomatic HPT is being diagnosed. However, since the serum calcium levels are decreased in pregnant women, mild primary HPT may go unrecognized. In untreated cases of HPT, complications during pregnancy or during the neonatal period have included spontaneous abortion, stillbirth, neonatal death, neonatal tetany and hypercalcemia. A review of the literature indicates a substantial improvement in fetal outcome when parathyroidectomy is done during pregnancy, as in the case reported here. Therefore, parathyroidectomy is the treatment of choice when the diagnosis is made during pregnancy, although oral phosphate therapy may be an alternative if surgery is contraindicated.
ISSN:0008-4409