Key Takeaways
- Turner syndrome affects approximately 1 in 2,000 to 1 in 2,500 live female births worldwide
- In the United States, about 60,000 women live with Turner syndrome, representing a prevalence of roughly 1:2,500 female births
- The incidence of classic 45,X monosomy in Turner syndrome is around 50% of cases, with mosaicism in 30% and structural abnormalities in 20%
- Isodicentric X chromosome (idic(Xq)) is found in 15% of structural variants in Turner syndrome
- SHOX gene haploinsufficiency due to Xp deletion causes short stature in 90-95% of Turner cases
- Mosaicism involving 45,X/46,XX is present in 15-20% of Turner syndrome patients
- Girls with Turner syndrome have an average adult height of 143 cm (4 ft 8 in) without treatment
- Webbed neck (pterygium colli) is observed in 40-50% of Turner syndrome patients at birth
- Bicuspid aortic valve occurs in 30% of Turner syndrome cases, increasing to 50% with coarctation
- Coarctation of the aorta in 10-15% of TS newborns
- Karyotyping confirms diagnosis in 100% of classic cases but requires 20-30 cell analysis
- Prenatal ultrasound detects increased nuchal translucency in 70-80% of TS fetuses
- GH therapy started after karyotype confirmation, height velocity increases 3-4 cm/yr
- Oxandrolone adjunct boosts final height by additional 2-3 cm in 70% of TS girls
- Estrogen replacement at 11-12 years induces puberty, breast Tanner 2 in 6-12 months
Turner syndrome affects one in every two thousand newborn girls globally.
Diagnosis and Screening
Diagnosis and Screening Interpretation
Genetic and Molecular Aspects
Genetic and Molecular Aspects Interpretation
Physical and Clinical Manifestations
Physical and Clinical Manifestations Interpretation
Prevalence and Epidemiology
Prevalence and Epidemiology Interpretation
Treatment and Management
Treatment and Management Interpretation
Sources & References
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