Primary hyperparathyroidism in pregnancy — SCE Endocrinology MCQ
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Correct answer: D — Specialist parathyroidectomy consideration in the second trimester
Symptomatic significant primary hyperparathyroidism in pregnancy may require parathyroidectomy, often safest in the second trimester. Conservative management may be used in mild disease, but this patient has symptoms and marked hypercalcaemia. Cinacalcet has limited pregnancy data and is not routine first choice.
Reference: Society for Endocrinology Calcium Guidance; BNF