TURNER SYNDROME BY STEVEN MOORE
OTHER NAMES Ullrich-Turner syndrome Monosomy X
INCIDENCE One of the most common mosomies Incidence is 1/2500 liveborn females Frequency of 45X karyotype is about 3% at conception but 99% are aborted Mosaicism is rare among abortuses
LABORATORY INVESTIGATIONS Chromosomal analysis (short girls) Ultrasonography (kidneys, ovaries) Echocardiography X-rays Gonadotrophins (FSH) Thyroid antiperoxidase antibodies
TREATMENT Growth hormone initiated early in childhood Oestrogen at about 12-13yrs, after 3-6mts would induce puberty then alternate with progestin Psychosocial support Prophylactic gonadectomy
PROGNOSIS With early Rx with GH, adult ht >150cm can be achieved Pregnancies have been reported among those spontaneously menstruating, in others ova donation and IVF have helped
turnersyndrome.org syndrome/DS01017