title: Primary hyperparathyroidism in pregnancy: a two-case report and literature review.
abstract: Primary hyperparathyroidism (PHPT) in pregnant women is an uncommon disease. It could be easily misdiagnosed because of physiologic changes during pregnancy; in some cases, patients could remain asymptomatic maintaining elevated calcium serum levels, and this situation represents a threat to the health of both mother and fetus. We present two cases of PHPT during pregnancy and their evolution after surgical treatment in the second trimester; there were no observed complications during pregnancy or delivery in our patients. Early diagnosis and medical/surgical treatment in PHPT are necessary for avoiding maternal and fetal complications which could not be predicted based on duration or severity of hypercalcemia. An appropriate management of PHPT during pregnancy is necessary for preserving the health of both the woman and the fetus.
authors.affiliation: Department of Endocrinology and Nutrition, Reina Sofia University Hospital, Avenida Menéndez Pidal, s/n, 14004 Córdoba, Spain.
authors.forename: A D
authors.initials: AD
authors.lastname: Herrera-Martínez
authors.affiliation: Department of Endocrinology and Nutrition, Reina Sofia University Hospital, Avenida Menéndez Pidal, s/n, 14004 Córdoba, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Bahamondes-Opazo
authors.affiliation: Department of Endocrinology and Nutrition, Reina Sofia University Hospital, Avenida Menéndez Pidal, s/n, 14004 Córdoba, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Palomares-Ortega
authors.affiliation: Department of Endocrinology and Nutrition, Reina Sofia University Hospital, Avenida Menéndez Pidal, s/n, 14004 Córdoba, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Muñoz-Jiménez
authors.affiliation: Department of Endocrinology and Nutrition, Reina Sofia University Hospital, Avenida Menéndez Pidal, s/n, 14004 Córdoba, Spain.
authors.forename: M A
authors.initials: MA
authors.lastname: Gálvez-Moreno
authors.affiliation: Department of Endocrinology and Nutrition, Reina Sofia University Hospital, Avenida Menéndez Pidal, s/n, 14004 Córdoba, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Quesada Gómez