Authors: Banu Aktaş Yılmaz Mustafa Altay Ceyla Konca Değertekin Ali Rıza Çimen Özlem Turhan İyidir Aydan Biri Osman Yüksel Füsun Baloş Törüner Metin Arslan
Publish Date: 2014/06/11
Volume: 290, Issue: 4, Pages: 811-814
Abstract
Primary hyperparathyroidism during pregnancy is a rare condition and the diagnosis may be confounded by pregnancy related conditions Since the appropriate management reduces the maternal and fetal complications differential diagnosis becomes quite crucialClinical course of a patient with hyperparathyroid crisis will be discussed with the review of the literature A 22year old gravida 2 para 1 woman was presented with hyperparathyroid crisis at the 11th weeks gestation She was hospitalized twice due to hyperemesis gravidarum When she was admitted to the hospital for the third time due to increased vomiting and weightloss serum biochemistry panel was performed and it revealed severe hypercalcemia that serum Ca was 1759 mg/dl and she was referred to our hospital as parathyroid crisis Maternal hypercalcemia was resolved after urgent parathyroidectomy She was diagnosed as preeclampsia at the 30 weeks gestation and delivered a male infant weighing 1090 g at 33 weeks gestation with APGAR scores 6 at 1 min and 7 at min 5 without evidence of neonatal hypocalcemia or tetanyHyperemesis may lead to hypercalcemic crisis in patients with hyperparathyroidism so serum Ca level should be checked in patients with hyperemesis gravidarum especially who detoriate rapidly Although they share some common pathogenetic mechanisms there is not enough evidence for attributing preeclampsia to primary hyperparathyroidism
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