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  4. PRIMARY HYPERPARATHYROIDISM IN PREGNANCY
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PRIMARY HYPERPARATHYROIDISM IN PREGNANCY

Journal
Macedonian Journal of Anaesthesia
Date Issued
2018-05
Author(s)
Shukarova, Emilija
Angushev, D
Tolevska, N
Abstract
In this article, we report a case of a primary hyperparathyroidism in a young woman, as a
result of the adenoma of a parathyroid gland, detected few days after delivery. Suspicion for
primary hyperparathyroidism was achieved after different clinical features had been seen in the
newborn (respiratory insufficiency, neonatal hypocalcaemia and recurrent convulsions).
The aim of this article is to emphasize the importance of the early detection of hyperparathyroidism in pregnancy with adequate control of calcium, phosphates and magnesium, in order to additionally prevent disturbances of the neuromuscular feasibility and other changes in the newborn. Even though, the early treatment of hyperparathyroidism in pregnant woman, needs
to be individualized for every case (conservative or surgical treatment), in this article we also
present the surgical treatment postpartum and the aspects of how calcium metabolism is changed
in pregnancy and why this state may be overviewed by clinicians.
Subjects

hyperparathyroidism

neonatal hypocalcemia...

parathyroidectomy

pregnancy

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