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Primary Hyperparathyroidism during Pregnancy: Two Tales with Different Outcomes
Yoon Doong Loh1, Masliza Hanuni Mohd Ali1
1Endocrinology Unit, Department of Internal Medicine, Hospital Sultanah Nur Zahirah, Ministry of Health, Malaysia.
Journal of the ASEAN Federation of Endocrine Societies
|June 12, 2024
Summary
Primary hyperparathyroidism (PHPT) in pregnancy is rare and difficult to manage. Timely surgical intervention is crucial for preventing serious maternal and fetal complications.
Area of Science:
- Endocrinology
- Obstetrics
- Surgical Management
Background:
- Primary hyperparathyroidism (PHPT) presents unique diagnostic and management challenges during pregnancy.
- Limited safe diagnostic and therapeutic options exist for pregnant patients.
Observation:
- Two cases of PHPT in pregnancy are presented, one managed surgically and one conservatively.
- The cases highlight the complexities of managing PHPT in pregnant individuals.
Findings:
- Timely surgical intervention in PHPT during pregnancy is essential for optimal outcomes.
- Delayed or non-surgical management may lead to significant maternal and fetal risks.
Implications:
- Early diagnosis and surgical treatment of PHPT in pregnancy can prevent adverse maternal and fetal complications.
- Further research is needed to establish clear guidelines for managing PHPT in pregnancy.
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