Primary hyperparathyroidism and pregnancy
Saudi Medical Journal. 2000; 21 (1): 31-35
in English
| IMEMR
| ID: emr-55229
ABSTRACT
The coexistence of primary hyper-parathyroidism and pregnancy is very rare worldwide. It carries serious complications to the mother and fetus, therefore, early diagnosis and management is of paramount importance. Over a period of 16 years from 1982-1997, 24 patients with primary hyperparathyroidism were identified from the central diagnostic index data base of King Khalid University Hospital. Out of these, only 3 women with primary hyperparathyroidism complicating pregnancy were identified. All 3 women were in the fourth decade. Two of them had coexisting vitamin D deficiency with initially normal serum calcium and were misdiagnosed as cases of osteomalacia while the third had very high serum calcium on first presentation. A single parathyroid adenoma was identified in all 3 patients with 2 undergoing surgical removal of the adenoma. The third patient unfortunately had an abortion. The babies of the first 2 patients were born healthy with no complications. Primary hyperparathyridism, even though rare in pregnancy, carries risks to the mother and fetus and therefore early screening for asymptomatic hyper-parathyroidism in all women of childbearing age and in the early antenatal period of pregnant women is recommended
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Pregnancy
/
Hyperparathyroidism
/
Hyperthyroidism
Type of study:
Screening study
Limits:
Female
/
Humans
Language:
English
Journal:
Saudi Med. J.
Year:
2000
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