Severe Hypocalcemia in a Young Female During Postpartum Period: A Challenging Diagnosis of Primary Hypoparathyroidism
- 1. Department of Education Coordinatorship, Mogadishu Somalia-Türkiye Recep Tayyip Erdoğan Training and Research Hospital, University of Health Sciences, Mogadishu, Somalia.
- 2. Department of Internal Medicine, Mogadishu Somalia-Türkiye Recep Tayyip Erdoğan Training and Research Hospital, University of Health Sciences, Mogadishu, Somalia.
Description
Abstract
Hypocalcemia is a clinical symptom of hypoparathyroidism, which is usually accompanied by distinctive signs and symptoms that vary depending on how severe and chronic the disease becomes. The aim of this study is to report on a case of severe hypocalcemia secondary to hypoparathyroidism in a postpartum woman. We present a case of a young woman with complaints of cramping legs and feet, tingling or burning in fingertips, toes, and lips, fatigue and weakness, twitching and spasms in muscles, particularly around the mouth, but also in hands and arms, painful menstrual periods, and depression, after the first delivery. She is successfully treated with calcium, calcitriol, magnesium, and levothyroxine. The idiopathic primary hypoparathyroidism, which is a rare condition, could be included in evaluating the differential diagnosis of hypocalcemia and depression in postpartum period.
Özet
Hipoparatiroidizmin klinik bir semptomu olan hipokalsemi genellikle hastalığın ne kadar şiddetli ve kronik hale geldiğine bağlı olarak değişen karakteristik belirti ve semptomlarla birlikte görülür. Bu çalışmanın amacı, postpartum bir kadında hipoparatiroidizme sekonder gelişen şiddetli hipokalsemi olgusunu sunmaktır. İlk doğumdan sonra bacak ve ayaklarda kramp, parmak uçları, ayak parmakları ve dudaklarda karıncalanma veya yanma, yorgunluk ve güçsüzlük, özellikle ağız çevresinde ve ayrıca eller ve kollarda kas seğirmesi ve spazm, ağrılı adet dönemleri ve depresyon şikayetleri olan genç bir kadın olguyu sunuyoruz. Hasta kalsiyum, kalsitriol, magnezyum ve levotiroksin ile başarılı bir şekilde tedavi edildi. Nadir bir durum olan idiyopatik primer hipoparatiroidizm, postpartum dönemde hipokalsemi ve depresyon ayırıcı tanısında değerlendirmeye dahil edilebilir.
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References
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