Paediatric Growth Workbook

Case 4

Diagnosis

Turner's Syndrome

  • Genetic abnormality with a 45 XO Karyotype, occuring with a 1 in 2500 frequency
  • Huge amount of phenotypical variation, in part because approximately 45% of cases show mosaicism
  • Almost invariably short, mean height approximately 143cm
  • Most have normal IQ

Other features:

Ovarian dysgenesis (>90%), congenital lymphoedema (80%), low posterior hair line (>80%), neck webbing (50%), ear abnormalities (80%), deafness (50%), broad chest with widely spaced nipples (80%), cubitus valgus (70%), hypoplastic nails (>70%), renal abnormalities (>60%) and cardiac abnormalities (30%).


The image to the left illustrates the short stature, web-necked, broad chest, widely spaced nipples and cubitus valgus - the increased angle as the forearms come away from the body in the anatomical position.


Image from Pharmacia & Upjohn teaching resources