open access

Vol 88, No 5 (2017)
Review paper
Published online: 2017-05-31
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Primary hyperparathyroidism in pregnancy — a review of literature

Hanna Komarowska1, Barbara Bromińska1, Bartosz Luftmann1, Marek Ruchała1
DOI: 10.5603/GP.a2017.0051
·
Pubmed: 28580574
·
Ginekol Pol 2017;88(5):270-275.
Affiliations
  1. Department of Endocrinology, Metabolism and Internal Medicine, University of Medical Sciences, Poznan, Poland

open access

Vol 88, No 5 (2017)
REVIEW PAPERS Obstetrics
Published online: 2017-05-31

Abstract

Hyperparathyroidism during pregnancy is diagnosed in 0.5–1.4% women and poses a serious challenge. Symptoms of primary hyperparathyroidism (PHP), namely fatigue, lethargy and proximal muscle weakness, are unspecific and could be mistaken as complaints naturally present during pregnancy. Thus, diagnosis is usually delayed. Moreover, the complications of PHP are very common. They occur in 67% of mothers and even in up to 80% of progeny. Appropriate management is a matter of debate. According to clinical symptoms, biochemical evaluation and trimester of pregnancy an operation or conservative management should be introduced. The recognition and understanding of the illness is therefore vital. Due to the lack of unequivocal guidelines concerning pregnancy and PHP, in this review we will analyze recent findings to facilitate proper proceedings.

Abstract

Hyperparathyroidism during pregnancy is diagnosed in 0.5–1.4% women and poses a serious challenge. Symptoms of primary hyperparathyroidism (PHP), namely fatigue, lethargy and proximal muscle weakness, are unspecific and could be mistaken as complaints naturally present during pregnancy. Thus, diagnosis is usually delayed. Moreover, the complications of PHP are very common. They occur in 67% of mothers and even in up to 80% of progeny. Appropriate management is a matter of debate. According to clinical symptoms, biochemical evaluation and trimester of pregnancy an operation or conservative management should be introduced. The recognition and understanding of the illness is therefore vital. Due to the lack of unequivocal guidelines concerning pregnancy and PHP, in this review we will analyze recent findings to facilitate proper proceedings.

Get Citation

Keywords

hypercalcemia, pregnancy, primary hyperparathyroidism, miscarriage

About this article
Title

Primary hyperparathyroidism in pregnancy — a review of literature

Journal

Ginekologia Polska

Issue

Vol 88, No 5 (2017)

Article type

Review paper

Pages

270-275

Published online

2017-05-31

DOI

10.5603/GP.a2017.0051

Pubmed

28580574

Bibliographic record

Ginekol Pol 2017;88(5):270-275.

Keywords

hypercalcemia
pregnancy
primary hyperparathyroidism
miscarriage

Authors

Hanna Komarowska
Barbara Bromińska
Bartosz Luftmann
Marek Ruchała

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