Gravidita a primární hyperparatyreóza

Pregnancy and Primary Hyperparathyreoidism

Objective:
Evaluation of the infl uence of hypercalcemia and primary hyperparathyreoidism onthe course of pregnancy and recommendations for the best management of this condition.Design: Case report.Setting: Department of Obstetrics and Gynecology, Regional Hospital, Pardubice.Subjects and methods: The author analyses her experience with the course of pregnancy in a patientwith primary hyperparathyreoidism diagnosed at the beginning of the third trimester. Thepatient was successfully operated on, the solitary adenoma of parathyroid gland was removedand she delivered vaginally a healthy foetus in term.Conclusion: The example draws attention to the hypercalcemia during pregnancy that may causenausea and vomiting. This condition can be misdiagnosed for hyperemesis gravidarum and underlyingdisease can be missed.

Key words:
primary hyperparathyreoidism, hypercalcaemia, pregnancy