PRIMARY HYPERPARATHYROIDISM IN PREGNANCY

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.