iperkalseminin en sık nedeni olan primer hiperparatiroidizm (HPT), toplumda %0,15-0,3 oranında görülen ve kadınları üç kat daha fazla etkileyen, diyabet ve tiroid hastalıklarından sonra üçüncü sıklıkta gözlenen endokrinolojik bir bozukluk olup fertiliteyi etkilemediği düşünülmektedir.1,2 Artmış kalsiyum (Ca) ve parathormon (PTH) düzeyleri ile birlikte azalmış fosfat ile karakterize olan HPT'nin en sık nedeni paratiroid adenomu (%85), paratiroid hiperplazisi (%10), çoklu adenom (%3) ve paratiroid karsinomudur (%2).3,4 Artan Ca düzey-leri birçok organı etkileyerek iştahsızlık, bulantı, kusma, yorgunluk, hâlsizlik, kabızlık, karın, kas ve eklem ağrısı ve nöropsikiyatrik rahatsız-lıklara neden olabilmektedir. A An na ah ht ta ar r K Ke el li im me el le er r: : Gebelik; hiperparatiroidizm; pre-eklampsi A AB BS ST TR RA AC CT T Primary hyperparathyroidism (HPT), which is very rare in pregnancy, may be confused with hyperemesis gravidarum. A 26-years-old patient with a third pregnancy of fifteen weeks, previously with a cesarean birth and one abortion, was referred to our clinic with a resistant vomiting complaint. As a result of the examinations, parathyroid adenoma was detected in the patient with HPT diagnosis. Surgical parathyroidectomy was performed in patients with calcium levels higher than 12 mg/dL and a healthy girl was born with cesarean section on the occurence of antihypertensive treatment-resistant preeclampsia on 35 th gestational week in obstetric follow-ups. Primary HPT, which can cause serious morbidity and mortality for the mother and the fetus, may have positive maternal and fetal outcomes with early diagnosis, appropriate medical and surgical treatment.
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