Document Detail


Primary hyperparathyroidism: changes on biochemical and hormonal profile related to pregnancy.
MedLine Citation:
PMID:  2754184     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A woman with mild asymptomatic hypercalcemia due to primary hyperparathyroidism became pregnant and her serum calcium normalized while her hypophosphatemia worsered. The PTH was low normal, but her urinary cAMP was elevated. In the second trimester of pregnancy a parathyroid adenoma was removed. After surgery, a transient hypocalcemia that normalized ten days later, a partial recovery of hypophosphatemia, and a 40% reduction of the elevated urinary cAMP excretion were observed. Pregnancy continued uneventful and a normal newborn was delivered. This case demonstrates the diagnostic difficulties posed by primary hyperparathyroidism during pregnancy, derived from inapparent changes in serum calcium and PTH. However, phosphorus and urinary cAMP deviations are significant constituting the basis for a correct diagnosis.
Authors:
J M Lopez; C B Fardella
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endocrinological investigation     Volume:  12     ISSN:  0391-4097     ISO Abbreviation:  J. Endocrinol. Invest.     Publication Date:  1989 Feb 
Date Detail:
Created Date:  1989-09-07     Completed Date:  1989-09-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806594     Medline TA:  J Endocrinol Invest     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  127-9     Citation Subset:  IM    
Affiliation:
Department of Endocrinology, Metabolism and Nutrition, Pontificia Universidad Catolica de Chile, Santiago.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / blood,  surgery
Adult
Calcium / blood
Female
Humans
Hyperparathyroidism / blood*
Parathyroid Neoplasms / blood,  surgery
Phosphates / blood
Pregnancy
Pregnancy Complications / blood*
Pregnancy Complications, Neoplastic / blood,  surgery
Chemical
Reg. No./Substance:
0/Phosphates; 7440-70-2/Calcium
Comments/Corrections
Comment In:
J Endocrinol Invest. 1990 Feb;13(2):195   [PMID:  2158508 ]

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


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