Loading…
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...
Saved in:
Published in: | Canadian Medical Association journal 1983-11, Vol.129 (9), p.986-989 |
---|---|
Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | |
---|---|
cites | |
container_end_page | 989 |
container_issue | 9 |
container_start_page | 986 |
container_title | Canadian Medical Association journal |
container_volume | 129 |
creator | Wilson, R. D Martin, T Christensen, R Yee, A. H Reynolds, C |
description | 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. |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1875847</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>13981330</sourcerecordid><originalsourceid>FETCH-LOGICAL-h323t-50e95b29d10e8a2539856fae38c44f4a2eaf56a2bf438432f4fea2f1fc797f773</originalsourceid><addsrcrecordid>eNqFkMtKxEAQRbNQxnH0E4ReuQv0K0m3C0EGdRTBja6bmqR60pKX3cmE_L0RBx8rqUUV3FuHW3UULSmlKpaS6pPoNIQ3SrngVC6iRZpmjKlsGT1upg59Bx76cvKtK1yoiWtI53HXQJNPVySHgMRj1_qeQFPM497hSFpL-hJJ5XqclwePZ9GxhSrg-aGvote725f1Jn56vn9Y3zzFpeCijxOKOtlyXTCKCngitEpSCyhULqWVwBFskgLfWimUFNxKi8Ats3mmM5tlYhVdf3G7YVtjkWPTe6hM510NfjItOPNXaVxpdu3ezAcnSn4CLg8A374PGHpTu5BjVUGD7RCMoipTWsh_jWzOzoSgs_Hid6TvLIc3_4BKtytH59GEGqpqdjMzjiPj2sylUvEBRI2HiQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>13981330</pqid></control><display><type>article</type><title>Hyperparathyroidism in pregnancy: case report and review of the literature</title><source>PubMed Central(OA)</source><creator>Wilson, R. D ; Martin, T ; Christensen, R ; Yee, A. H ; Reynolds, C</creator><creatorcontrib>Wilson, R. D ; Martin, T ; Christensen, R ; Yee, A. H ; Reynolds, C</creatorcontrib><description>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.</description><identifier>ISSN: 0008-4409</identifier><identifier>PMID: 6671187</identifier><language>eng</language><publisher>Canada: Can Med Assoc</publisher><subject>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</subject><ispartof>Canadian Medical Association journal, 1983-11, Vol.129 (9), p.986-989</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1875847/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1875847/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6671187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, R. D</creatorcontrib><creatorcontrib>Martin, T</creatorcontrib><creatorcontrib>Christensen, R</creatorcontrib><creatorcontrib>Yee, A. H</creatorcontrib><creatorcontrib>Reynolds, C</creatorcontrib><title>Hyperparathyroidism in pregnancy: case report and review of the literature</title><title>Canadian Medical Association journal</title><addtitle>Can Med Assoc J</addtitle><description>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.</description><subject>Adenoma - complications</subject><subject>Administration, Oral</subject><subject>Adult</subject><subject>Calcium - blood</subject><subject>Female</subject><subject>Fetal Death - etiology</subject><subject>Humans</subject><subject>Hypercalcemia - etiology</subject><subject>Hyperparathyroidism - diagnosis</subject><subject>Hyperparathyroidism - therapy</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - etiology</subject><subject>Male</subject><subject>Parathyroid Hormone - blood</subject><subject>Parathyroid Neoplasms - complications</subject><subject>Phosphates - administration & dosage</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - diagnosis</subject><subject>Pregnancy Complications - therapy</subject><subject>Tetany - etiology</subject><issn>0008-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><recordid>eNqFkMtKxEAQRbNQxnH0E4ReuQv0K0m3C0EGdRTBja6bmqR60pKX3cmE_L0RBx8rqUUV3FuHW3UULSmlKpaS6pPoNIQ3SrngVC6iRZpmjKlsGT1upg59Bx76cvKtK1yoiWtI53HXQJNPVySHgMRj1_qeQFPM497hSFpL-hJJ5XqclwePZ9GxhSrg-aGvote725f1Jn56vn9Y3zzFpeCijxOKOtlyXTCKCngitEpSCyhULqWVwBFskgLfWimUFNxKi8Ats3mmM5tlYhVdf3G7YVtjkWPTe6hM510NfjItOPNXaVxpdu3ezAcnSn4CLg8A374PGHpTu5BjVUGD7RCMoipTWsh_jWzOzoSgs_Hid6TvLIc3_4BKtytH59GEGqpqdjMzjiPj2sylUvEBRI2HiQ</recordid><startdate>19831101</startdate><enddate>19831101</enddate><creator>Wilson, R. D</creator><creator>Martin, T</creator><creator>Christensen, R</creator><creator>Yee, A. H</creator><creator>Reynolds, C</creator><general>Can Med Assoc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19831101</creationdate><title>Hyperparathyroidism in pregnancy: case report and review of the literature</title><author>Wilson, R. D ; Martin, T ; Christensen, R ; Yee, A. H ; Reynolds, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h323t-50e95b29d10e8a2539856fae38c44f4a2eaf56a2bf438432f4fea2f1fc797f773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adenoma - complications</topic><topic>Administration, Oral</topic><topic>Adult</topic><topic>Calcium - blood</topic><topic>Female</topic><topic>Fetal Death - etiology</topic><topic>Humans</topic><topic>Hypercalcemia - etiology</topic><topic>Hyperparathyroidism - diagnosis</topic><topic>Hyperparathyroidism - therapy</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - etiology</topic><topic>Male</topic><topic>Parathyroid Hormone - blood</topic><topic>Parathyroid Neoplasms - complications</topic><topic>Phosphates - administration & dosage</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - diagnosis</topic><topic>Pregnancy Complications - therapy</topic><topic>Tetany - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilson, R. D</creatorcontrib><creatorcontrib>Martin, T</creatorcontrib><creatorcontrib>Christensen, R</creatorcontrib><creatorcontrib>Yee, A. H</creatorcontrib><creatorcontrib>Reynolds, C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Medical Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilson, R. D</au><au>Martin, T</au><au>Christensen, R</au><au>Yee, A. H</au><au>Reynolds, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hyperparathyroidism in pregnancy: case report and review of the literature</atitle><jtitle>Canadian Medical Association journal</jtitle><addtitle>Can Med Assoc J</addtitle><date>1983-11-01</date><risdate>1983</risdate><volume>129</volume><issue>9</issue><spage>986</spage><epage>989</epage><pages>986-989</pages><issn>0008-4409</issn><abstract>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.</abstract><cop>Canada</cop><pub>Can Med Assoc</pub><pmid>6671187</pmid><tpages>4</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0008-4409 |
ispartof | Canadian Medical Association journal, 1983-11, Vol.129 (9), p.986-989 |
issn | 0008-4409 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1875847 |
source | PubMed Central(OA) |
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 |
title | Hyperparathyroidism in pregnancy: case report and review of the literature |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T14%3A04%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hyperparathyroidism%20in%20pregnancy:%20case%20report%20and%20review%20of%20the%20literature&rft.jtitle=Canadian%20Medical%20Association%20journal&rft.au=Wilson,%20R.%20D&rft.date=1983-11-01&rft.volume=129&rft.issue=9&rft.spage=986&rft.epage=989&rft.pages=986-989&rft.issn=0008-4409&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E13981330%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-h323t-50e95b29d10e8a2539856fae38c44f4a2eaf56a2bf438432f4fea2f1fc797f773%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=13981330&rft_id=info:pmid/6671187&rfr_iscdi=true |