Hipoparatiroid Gebelik: Yirmi Olgunun Retrospektif Analizi

GİRİŞ ve AMAÇ: Kalıcı hipoparatiroidisi olan gebe kadınların klinik ve laboratuar özelliklerini ortaya koymayı amaçladık. YÖNTEM ve GEREÇLER: Herhangi bir komorbid hastalığı olmayan kalıcı hipoparatiroidi tanısı olan gebe kadınları retrospektif olarak analiz ettik. Yaş, gravida, parite, hipoparatiroidi etiyolojisi ve süresi, ilaçlar, laboratuar testleri, önceki hipoparatiroid gebelik veya gestasyonel diyabet öyküsü, hipokalsemi sebebiyle hastanede yatış, düzenli takip (klinik takip olup olmadığı), gebelikte en az bir kez ciddi hipokalsemi (düzeltilmiş kalsiyum

Hypoparathyroid Pregnancy: Retrospective Analysis of Twenty Cases

INTRODUCTION: We aimed to reveal the clinical and laboratory features of pregnant women with permanent hypoparathyroidism. METHODS: We retrospectively analyzed the pregnant women with permanent hypoparathyroidism and without any comorbid illness. Age, gravida, parity, etiology and duration of hypoparathyroidism, medications, and laboratory tests, history of previous hypoparathyroid pregnancy, gestational diabetes mellitus, hospitalization due to hypocalcemia, regular follow-up (presence of clinical controls or not), severe hypocalcemia at least once in pregnancy (corrected Ca(CCa)

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  • 1- Cundy T, Haining SA, Guilland-Cumming DF, et al. Remission of hypoparathyroidism during lactation: evidence for a physiological role for prolactin in the regulation of vitamin D metabolism. Clin Endocrinol (Oxf). 1987;26(6):667-674.
  • 2- Callies F, Arlt W, Scholz HJ, et al. Management of hypoparathyroidism during pregnancy--report of twelve cases. Eur J Endocrinol. 1998;139(3):284- 289.
  • 3- Salle BL, Berthezene F, Glorieux FH, et al. Hypoparathyroidism during pregnancy: treatment with calcitriol. J Clin Endocrinol Metab. 1981;52(4):810-813.
  • 4- Kovacs CS, Kronenberg HM. Maternal-fetal calcium and bone metabolism during pregnancy, puerperium, and lactation. Endocr Rev. 1997;18(6):832-872.
  • 5- Sowers MF, Hollis BW, Shapiro B, et al. Elevated parathyroid hormone-related peptide associated with lactation and bone density loss. JAMA. 1996;276(7):549-554.
  • 6- Ardawi MS, Nasrat HA, BA'Aqueel HS. Calcium-regulating hormones and parathyroid hormone-related peptide in normal human pregnancy and postpartum: a longitudinal study. Eur J Endocrinol. 1997;137(4):402-409.
  • 7- Gallacher SJ, Fraser WD, Owens OJ, et al. Changes in calciotrophic hormones and biochemical markers of bone turnover in normal human pregnancy. Eur J Endocrinol. 1994;131(4):369-374.
  • 8- Bertelloni S, Baroncelli GI, Pelletti A, et al. Parathyroid hormone-related protein in healthy pregnant women. Calcif Tissue Int. 1994;54(3):195- 197.
  • 9- Casey ML, Mibe M, MacDonald PC. Regulation of parathyroid hormone-related protein gene expression in human endometrial stromal cells in culture. J Clin Endocrinol Metab. 1993;77(1):188- 194.
  • 10- Resim S, Ekerbicer HC, Kiran G, et al. Are changes in urinary parameters during pregnancy clinically significant? Urol Res. 2006;34(4):244- 248. Erratum in: Urol Res. 2006 Oct;34(5):339. Sefa, Resim [corrected to Resim, Sefa]; Cetin, Ekerbicer Hasan [corrected to Ekerbicer, Hasan Cetin]; Gurkan, Kiran [corrected to Kiran, Gurkan]; Metin, Kilinc [corrected to Kilinc, Metin]. PMID: 16614847.
  • 11- Mitchell DM, Regan S, Cooley MR, et al. Long-term follow-up of patients with hypoparathyroidism. J Clin Endocrinol Metab. 2012;97(12):4507-4514.
  • 12- Pitkin RM, Cruikshank DP, Schauberger CW, et al. Fetal calcitropic hormones and neonatal calcium homeostasis. Pediatrics. 1980;66(1):77-82. 13- Schauberger CW, Pitkin RM. Maternalperinatal calcium relationships. Obstet Gynecol. 1979;53(1):74-76.
  • 14- MacIsaac RJ, Heath JA, Rodda CP, et al. Role of the fetal parathyroid glands and parathyroid hormone-related protein in the regulation of placental transport of calcium, magnesium and inorganic phosphate. Reprod Fertil Dev. 1991;3(4):447-457.
  • 15- Loughead JL, Mughal Z, Mimouni F, et al. Spectrum and natural history of congenital hyperparathyroidism secondary to maternal hypocalcemia. Am J Perinatol. 1990;7(4):350-355.
  • 16- Alikasifoglu A, Gonc EN, Yalcin E, et al. Neonatal hyperparathyroidism due to maternal hypoparathyroidism and vitamin D deficiency: a cause of multiple bone fractures. Clin Pediatr (Phila). 2005;44(3):267-9.
  • 17- Demirel N, Aydin M, Zenciroglu A, et al. Hyperparathyroidism secondary to maternal hypoparathyroidism and vitamin D deficiency: an uncommon cause of neonatal respiratory distress. Ann Trop Paediatr. 2009;29(2):149-154.
  • 18- Shani H, Sivan E, Cassif E, et al. Maternal hypercalcemia as a possible cause of unexplained fetal polyhydramnion: a case series. Am J Obstet Gynecol. 2008;199(4):410.e1-5.
  • 19- Bollerslev J, Rejnmark L, Marcocci C, et al. European Society of Endocrinology Clinical Guideline: Treatment of chronic hypoparathyroidism in adults. Eur J Endocrinol. 2015;173(2):G1-20.
  • 20- Kirby BJ, Ma Y, Martin HM, et al. Upregulation of calcitriol during pregnancy and skeletal recovery after lactation do not require parathyroid hormone. J Bone Miner Res. 2013;28(9):1987-2000.
  • 21- Horwitz MJ, Tedesco MB, Sereika SM, et al. Continuous PTH and PTHrP infusion causes suppression of bone formation and discordant effects on 1,25(OH)2 vitamin D. J Bone Miner Res. 2005;20(10):1792-1803.
  • 22- Shomali ME, Ross DS. Hypercalcemia in a woman with hypoparathyroidism associated with increased parathyroid hormone-related protein during lactation. Endocr Pract. 1999;5(4):198-200. 23- Krysiak R, Kobielusz-Gembala I, Okopien B. Hypoparathyroidism in pregnancy. Gynecol Endocrinol. 2011;27(8):529-532.
  • 24- Khan AA, Clarke B, Rejnmark L, et al. MANAGEMENT OF ENDOCRINE DISEASE: Hypoparathyroidism in pregnancy: review and evidence-based recommendations for management. Eur J Endocrinol. 2019;180(2):R37-R44.
  • 25- Gesek FA, Friedman PA. On the mechanism of parathyroid hormone stimulation of calcium uptake by mouse distal convoluted tubule cells. J Clin Invest. 1992;90(3):749-758.
  • 26- Winer KK, Yanovski JA, Cutler GB Jr. Synthetic human parathyroid hormone 1-34 vs calcitriol and calcium in the treatment of hypoparathyroidism. JAMA. 1996;276(8):631-636.
  • 27- Lubi M, Tammiksaar K, Matjus S, et al. Magnesium supplementation does not affect blood calcium level in treated hypoparathyroid patients. J Clin Endocrinol Metab. 2012;97(11):E2090-2. 28- GRAHAM WP 3rd, GORDAN GS, LOKEN HF, et al. EFFECT OF PREGNANCY AND OF THE MENSTRUAL CYCLE ON HYPOPARATHYROIDISM. J Clin Endocrinol Metab. 1964;24:512-516.
  • 29- Eller-Vainicher C, Ossola MW, Beck-Peccoz P, et al. PTHrP-associated hypercalcemia of pregnancy resolved after delivery: a case report. Eur J Endocrinol. 2012;166(4):753-756.
  • 30- Jackson IT, Saleh J, van Heerden JA. Gigantic mammary hyperplasia in pregnancy associated with pseudohyperparathyroidism. Plast Reconstr Surg. 1989;84(5):806-810.
Kocaeli Tıp Dergisi-Cover
  • ISSN: 2147-0758
  • Başlangıç: 2012
  • Yayıncı: -
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