| Primary hyperparathyroidism in pregnancy presenting as intractable hyperemesis complicating psychogenic anorexia: a case report. | |
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MedLine Citation:
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PMID: 18839830 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Primary hyperparathyroidism is a rare complication of pregnancy. Its peak incidence is in the perimenopausal period. CASE: A 31-year-old woman was admitted at 8 weeks of pregnancy with intractable hyperemesis and fatigue. After parathyroidectomy, at 18 weeks' gestation, she remained asymptomatic. Biochemistry gradually normalized, and her body mass index returned to the levels found prior to her eating disorder manifestation. In our review there were no maternal complications in 32 of 43 (74%) cases. There were 10 cases (21%) of fetal complications identified. CONCLUSION: Postponing treatment increases the risk of preeclampsia, preterm labor and fetal parathyroid impairment, while early surgical treatment decreases the fetal complication rate 4-fold. |
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Authors:
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Anastasios Pachydakis; Pelopidas Koutroumanis; Bohaiza Geyushi; Leila Hanna |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 53 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-10-08 Completed Date: 2009-02-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 714-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Queen Mary's Hospital, Sidcup, Kent, UK. pachydakis@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenoma
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complications*,
surgery Adult Anorexia / etiology* Anorexia Nervosa / etiology Female Humans Hyperemesis Gravidarum / etiology* Hyperparathyroidism, Primary / complications, diagnosis, etiology* Parathyroid Neoplasms / complications*, surgery Pregnancy Pregnancy Complications, Neoplastic* / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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