Acromegaly incidentally diagnosed at term in a pregnant woman presenting with ventricular premature complexes
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20212693Keywords:
Acromegaly, Gestational hypertension, Pituitary neoplasms, Pregnancy, Ventricular premature complexesAbstract
Pituitary adenomas lead to increased growth hormone production and acromegaly. Pregnancy in acromegaly is rare as spontaneous conception is affected. We presented a case of 31 year old lady conceived by ovulation induction and presented at term gestation with ventricular premature complexes and was subsequently diagnosed with pituitary micro adenoma causing acromegaly. There has been no reported case of pregnancy with acromegaly presenting with premature ventricular complexes. Moreover, diagnosis of acromegaly in pregnancy is difficult and limited literature is available on its effects as well as management.
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References
Lavrentaki A, Paluzzi A, Wass JA, Karavitaki N. Epidemiology of acromegaly: review of population studies. Pituitary. 2017;20(1):4-9.
Hannon AM, O'Shea T, Thompson CA, Hannon MJ, Dineen R, Khattak A, et al. Pregnancy in Acromegaly is safe and is associated with improvements in IGF-1 concentrations. Eur J Endocrinol. 2019;180(4):21-9.
Abucham J, Bronstein MD, Dias ML. Management of endocrine disease: acromegaly and pregnancy: a contemporary review. Eur J Endocrinol. 2017;177(1):1-12.
Chanson P, Vialon M, Caron P. An update on clinical care for pregnant women with acromegaly. Expert Rev Endocrinol Metab. 2019;14(2):85-96.
Huang W, Molitch ME. Pituitary tumors in pregnancy. Endocrinol Metab Clin North Am. 2019;48(3):569-81.
Araujo PB, Neto LV, Gadelha MR. Pituitary tumor management in pregnancy. Endocrinol Metab Clin North Am. 2015;44(1):181-97.