Primary hyperparathyroidism with vitamin D deficiency in third trimester of pregnancy
- Author:
Chin Voon Tong
;
Mohamad Rafie bin Md Kaslan
- Publication Type:Case Reports
- Keywords:
Primary hyperparathyroidism;
hypercalcemia;
pregnancy;
parathyroidectomy;
vitamin D deficiency
- MeSH:
Hyperparathyroidism;
Pregnancy
- From:International e-Journal of Science, Medicine and Education
2015;9(3):47-51
- CountryMalaysia
- Language:English
-
Abstract:
In pregnancy, the diagnosis of primary
hyperparathyroidism (PHP) may be delayed due to
physiological changes that occur during this period.
The maternal related complications of PHP during
pregnancy has been reported to be as high as 67%, whilst
fetal complications up to 80% of cases.1
The therapeutic
gold standard and definitive treatment for PHP in
pregnancy is minimally invasive parathyroidectomy
in the second trimester. We report a case of a 22-year
old primidgravida who underwent parathyroidectomy
in the third trimester of her pregnancy for PHP with
persistent hypercalcemia. She was also found to have
Vitamin D deficiency which probably led to secondary
hyperparathyroidism and made her hypercalcemia more
apparent during pregnancy.
- Full text:P020151207430514693472.pdf
