Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2019) 65 CMW2.1 | DOI: 10.1530/endoabs.65.CMW2.1

SFEBES2019 CLINICAL MANAGEMENT WORKSHOPS Hyperparathyroidism (3 abstracts)

Management of primary hyperparathyroidism in pregnancy

Rebecca Reynolds


University of Edinburgh, Edinburgh, UK


Primary hyperparathyroidism in pregnancy is rare, with a reported incidence of 1%. It is often asymptomatic with the majority of cases in case-series identified incidentally. Published case series report dramatic maternal complications including nephrolithiasis, pancreatitis, hyperemesis gravidarum, pre-eclampsia and hypercalcaemic crises with fetal complications including intrauterine growth restriction, preterm delivery and neonatal hypocalcaemic tetany. Severity of complications appears proportional to the calcium concentrations though data are limited. In milder cases, plasma calcium levels may be monitored regularly and managed conservatively with adequate fluid intake. In case of very high and increasing calcium levels, and in symptomatic cases, surgical intervention may be indicated. This should be performed in the second trimester if possible. Investigations, differential diagnosis and management will be discussed with illustration from recent cases managed in our antenatal clinics.

Volume 65

Society for Endocrinology BES 2019

Brighton, United Kingdom
11 Nov 2019 - 13 Nov 2019

Society for Endocrinology 

Browse other volumes

Article tools

My recent searches

No recent searches.

My recently viewed abstracts