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Abstract Primary hyperparathyroidism (PHPT) is the most common cause of hypercalcemia in outpatient settings, with an incidence in women of reproductive age of 4.7-6.2 cases per 100,000 persons. When untreated in pregnant women, PHPT can lead to maternal and fetal complications. The authors present a case of a patient with a pre-pregnancy hyperparathyroidism diagnosis: she had worsening symptoms during pregnancy, so was referred for surgery due to failure of clinical treatment to keep the disease under control. Clinical issues, laboratory findings, and relevant therapeutic approaches are discussed. Read More About This Article: https://juniperpublishers.com/arr/ARR.MS.ID.555690.php Read More Juniper Publishes Google Scholar Articles: h ttps://scholar.google.com/citations?view_op=view_citation&hl=en&user=l2xTCboAAAAJ&citation_for_view=l2xTCboAAAAJ:k8Z6L05lTy4C