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  • Title: Primary hyperparathyroidism in pregnancy--report of 3 cases.
    Author: Hsieh YY, Chang CC, Tsai HD, Yang TC, Chiu TH, Tsai CH.
    Journal: Arch Gynecol Obstet; 1998; 261(4):209-14. PubMed ID: 9789652.
    Abstract:
    Three cases of primary hyperparathyroidism in pregnancy are described. Patient 1 developed left thigh pain and lower abdominal pain at 34 weeks' gestation. Patient 2 had right flank pain and lower abdominal pain at 32 weeks' gestation. Both patients accepted medical therapy initially, which resulted in poor control of hypercalcemia. Patient 1 delayed her parathyroidectomy until the postpartum period; she had maternal hypercalcemia and neonatal hypocalcemia. Patient 2 accepted parathyroidectomy at 32 weeks' gestation with an uneventful outcome for both mother and baby. Patient 3 was asymptomatic; her hyperparathyroidism was diagnosed postpartum after neonatal hypocalcemia and agreed to parathyroidectomy. All 3 patients had a parathyroid adenoma.
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