title: Self-diagnosis of hyperparathyroidism during pregnancy resulting in parathyroidectomy and uncomplicated delivery.
abstract: Primary hyperparathyroidism is a condition with hypercalcemia and elevated parathyroid hormone (PTH). Typically, treating patients with such disease does not pose a problem for doctors, unless the patient is pregnant. Firstly, pregnancy may mask signs of hypercalcemia. Secondly, treatment should be applied with special care for immature fetus. If undiagnosed and untreated, it is life-threatening for the mother and the baby. The main cause of primary hyperparathyroidism is parathyroid adenoma, which should be removed surgically in second trimester. If the patient is monitored by a multidisciplinary team, the risk of mortality and pregnancy loss is reduced.
authors.affiliation: a Department of Endocrinology and Internal Medicine.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Medza
authors.affiliation: a Department of Endocrinology and Internal Medicine.
authors.forename: Lukasz
authors.initials: L
authors.lastname: Obolonczyk
authors.affiliation: a Department of Endocrinology and Internal Medicine.
authors.forename: Anna
authors.initials: A
authors.lastname: Lewalska
authors.affiliation: b Department of Palliative Medicine , and.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Buss
authors.affiliation: c Department of Pathology , Medical University of Gdansk , Gdansk , Poland.
authors.forename: Rafal
authors.initials: R
authors.lastname: Peksa
authors.affiliation: a Department of Endocrinology and Internal Medicine.
authors.forename: Malgorzata
authors.initials: M
authors.lastname: Siekierska-Hellmann
authors.affiliation: a Department of Endocrinology and Internal Medicine.
authors.forename: Monika
authors.initials: M
authors.lastname: Berendt-Obolonczyk
authors.affiliation: a Department of Endocrinology and Internal Medicine.
authors.forename: Piotr
authors.initials: P
authors.lastname: Wisniewski
authors.affiliation: a Department of Endocrinology and Internal Medicine.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Sworczak
mesh_terms: D000236:Adenoma / Q000150:complications / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000175:diagnosis* / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery; D016105:Parathyroidectomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery
keywords: Hypercalcemia; parathyroid adenoma; parathyroidectomy; pregnancy; primary hyperparathyroidism