A pregnant woman with primary hyperparathyroidism: a case report
Journal Title: The European Research Journal - Year 2016, Vol 2, Issue 1
Abstract
Primary hyperparathyroidism is diagnosed with an increase of calcium levels and a decrease in phosphorus levels. Primary hyperparathyroidism is a rare condition in pregnancy. Calcium levels tend to be low in pregnant women, and high levels of calcium can point a primary hyperparathyroidism. Here, we report an original case of a pregnant woman with primary hyperparathyroidism who was fully healed after the surgery. A 30-year-old pregnant women (10th gestational week), admitted to the endocrinology department for management of thyrotoxicosis, when high calcium levels (11.8 mg/dL) were found in the laboratory tests. The parathyroid hormone level was 135 pg/ml. Ultrasound imaging revealed a parathyroid adenoma (12x7x27mm). She had maintained high calcium levels despite the medical treatment, for this reason, she had surgery in the second trimester. Our case was diagnosed early due to early recognition of calcium elevation. The mother and the foetus had not any complication. Pregnant women tend to have low calcium levels hence if a hypercalcemia situation appears in pregnant women; primary hyperparathroidism has to be suspected.
Authors and Affiliations
Goknur Yorulmaz, Nur Kebapci, Kevser Onbasi, Belgin Efe, Aysen Akalin
Keywords
Related Articles
- EP ID EP194612
- DOI 10.18621/eurj.2016.2.1.77
- Views 97
- Downloads 0
Pedunculated liver hemangioma mimicking stomach neoplasm
Hepatic hemangiomas are the most frequently seen benign liver mass. However, exophytic hepatic hemangiomas, particularly pedunculated ones are very rare. They have various appearances that make the diagnosis difficult. W...
Discrete subaortic stenosis in an adult patient
Discrete subaortic stenosis is an unusual cause of the left ventricular outflow tract obstruction in the adults and characterized by a discrete subaortic membrane. A 52-year-old female patient presented with chief compla...
Role of B-type natriuretic peptide in diagnosis of coronary artery disease
Objectives: B-type natriuretic peptide (BNP) has been extensively studied as a biomarker in heart failure. There is clear benefit of BNP in diagnosis and risk stratification of several cardiac diseases including acute co...
The effectiveness of soft and semi-rigid cervical collars on acute cervical radiculopathy
Objectives. Cervical radiculopathy is one of the common causes of the neck pain. Medical devices in the form of cervical collars are frequently recommended in acute cervical radiculopathy. We aim to investigate and compa...
Coronary artery bypass grafting in a renal transplant patient: case report
The patients with end-stage renal disease have an increased risk of atherosclerosis and the probability of cardiovascular diseases. Due to the use of immunosuppressive agents, the patients having renal graft carry an add...