Abstract
Turner syndrome (TS) affects approximately 1:2000 live-born females (1). Thus, it has a prevalence only one fourth that of Klinefelter syndrome, although it is a far more frequent cause of referral to pediatric endocrinologists. This can be attributed to the fact that the Turner phenotype is much more evident during childhood than is the case for Klinefelter syndrome. Congenital heart abnormalities or lymphedema may be evident prenatally (as ascertained by ultrasonography) or at birth; growth abnormalities may be apparent during childhood, and pubertal delay is observed in approximately 80% of TS girls. Any of these abnormalities should alert the physician to the possible diagnosis of TS.
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References
Robinson A. Demography and prevalence of Turner syndrome. In: Rosenfeld RG, Grumbach MM, eds. Turner syndrome. New York: Marcel Dekker, 1990: 93–100.
Rosenfeld RG, Hintz RL, Johanson AJ, Brasel JA, Burstein S, Chernausek SD, et al. Methionyl human growth and oxandrolone in Turner syndrome: preliminary results of a prospective randomized trial. J Pediatr 1986; 109: 936–43.
Rosenfeld RG, Hintz RL, Johanson AJ, Sherman B, Brasel JA, Burstein S, et al. Three-year results of a randomized prospective trial of methionyl human growth hormone and oxandrolone in Turner syndrome. J Pediatr 1988; 113: 393–400.
Rosenfeld RG, Frane J, Attie KM, Brasel JA, Burstein S, Cara JF, et al. Six-year results of a randomized, prospective trial of human growth hormone and oxandrolone in Turner syndrome. J Pediatr 1992; 121: 49–55.
Rosenfeld RG, Attie KM, Frane J, Brasel JA, Burstein S, Cara JF, et al. Growth hormone therapy of Turner’s syndrome: Beneficial effect on adult height. J Pediatr 1998; 132: 319–24.
Bernasconi S, Giovanelli G, Volta C, Aicardi G, Balestrazzi P, Benso L, et al. Spontaneous growth in Turner syndrome: preliminary results of an Italian multicenter study. In: Ranke MB, Rosenfeld R, eds. Turner’s syndrome and growth-promoting therapies. Amsterdam: Elsevier, 1991: 53–57.
Ranke MB, Pfluger H, Rosendahl W, Stubbe P, Enders H, Bierich JR, et al. Turner syndrome: Spontaneous growth in 150 cases and review of the literature. Eur J Pediatr 1983; 141: 81–88.
Hausier G, Schemper M, Frisch H, Blumel P, Schmitt K, Plochl E, et al. Spontaneous growth in Turner syndrome: evidence for a minor pubertal growth spurt. In: Ranke MB, Rosenfeld R, eds. Turner’s syndrome and growth-promoting therapies. Amsterdam: Elsevier, 1991: 67–73.
Hibi I, Tanae A, Tanaka T, Yoshizawa A, Miki Y, Ito J. Spontaneous puberty in Turner syndrome: its incidence, influence on final height and endocrinological features. In: Ranke, MB, Rosenfeld R, eds. Turner’s syndrome and growth-promoting therapies. Amsterdam: Elsevier, 1991: 75–81.
Naeraa RW, Nielsen J. Standards for growth and final height in Turner’s syndrome. Acta Paediatr Scand 1990; 79: 182–90.
Lippe B, Plotnick L, Attie K, Frane J. Growth in Turner syndrome: updating the United States experience. In: Hibi I, Takano K, eds. Basic and clinical approach to Turner syndrome. Amsterdam: Elsevier, 1993: 77–82.
Lyon AL, Preece MA, Grant DB. Growth curve for girls with Turner syndrome. Arch Dis Child 1985; 60: 932–35.
Attie KM, Chernausek S, Frane J, Rosenfeld RG, Genentech Study Group. Growth hormone use in Turner syndrome: a preliminary report on the effect of early vs. delayed estrogen. In: Albertsson-Wikland K, Ranke M, eds. Turner syndrome in a life-span perspective: research and clinical aspects. Amsterdam: Elsevier. 1995: 175–81.
Smith EP, Boyd J, Frank GR, Takahashi H, Cohen RM, Specker B, et al. Estrogen resistance caused by a mutation in the estrogen-receptor gene in man. N Engl J Med 1994; 331: 1056–61.
Rosenfeld RG, Tesch L-G, Rodriguez-Rigau LJ, McCauley E, Albertsson-Wikland K, Asch R, et al. Recommendations for diagnosis, treatment, and management of individuals with Turner synrome. Endocrinologist 1994; 4: 351–58.
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Rosenfeld, R.G. (2000). The Impact of Growth Hormone Therapy on Turner Syndrome. In: Stabler, B., Bercu, B.B. (eds) Therapeutic Outcome of Endocrine Disorders. Serono Symposia USA. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1230-0_7
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DOI: https://doi.org/10.1007/978-1-4612-1230-0_7
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