Case Report

The Biochemical Profile of Familial Hypocalciuric Hypercalcemia and Primary Hyperparathyroidism during Pregnancy and Lactation: Two Case Reports and Review of the Literature

Table 1

Summary of serum and urine biochemistry in patients 1 and 2 prior to pregnancy, during pregnancy, and during lactation.

Patient 1 (FHH)Patient 2 (PHPT)Reference range

Prior to pregnancy

Albumin adjusted calcium (mmol/L)2.61 mmol/Ln/a2.10–2.55 mmol/L
PTH (ng/L)33 ng/Ln/a13–54 ng/L
CCCR (%)0.79%n/a<2% = possible hypocalciuria
<1% = hypocalciuria

Pregnancy

Albumin adjusted calcium (mmol/L)2.59 mmol/L2.97 mmol/L2.10–2.55 mmol/L
PTH (ng/L)46 ng/L52 ng/L13–54 ng/L
CCCR (%)1.99%2.67%n/d

Lactation

Albumin adjusted calcium (mmol/L)2.53 mmol/L2.96 mmol/L2.10–2.55 mmol/L
CCCR (%)n/a0.89%n/d

n/a = not available.
n/d = not defined.
Reference ranges are for nonpregnant and nonlactating patients.