Document Detail

Hyperparathyroidism in pregnancy: case report and review of the literature.
MedLine Citation:
PMID:  6671187     Owner:  NLM     Status:  MEDLINE    
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.
R D Wilson; T Martin; R Christensen; A H Yee; C Reynolds
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  129     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1983 Nov 
Date Detail:
Created Date:  1984-05-16     Completed Date:  1984-05-16     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  986-9     Citation Subset:  AIM; IM    
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MeSH Terms
Adenoma / complications
Administration, Oral
Calcium / blood
Fetal Death / etiology
Hypercalcemia / etiology
Hyperparathyroidism / diagnosis*,  therapy
Infant, Newborn
Infant, Newborn, Diseases / etiology
Parathyroid Hormone / blood
Parathyroid Neoplasms / complications
Phosphates / administration & dosage
Pregnancy Complications / diagnosis*,  therapy
Tetany / etiology
Reg. No./Substance:
0/Parathyroid Hormone; 0/Phosphates; 7440-70-2/Calcium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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