Deficient Medical Care for Adults with the Turner Syndrome

Letters5 December 2006Deficient Medical Care for Adults with the Turner SyndromeCarolyn Bondy, MD, Vladimir K. Bakalov, MD, Eileen Dunn Lange, RN, and Irene Ceniceros, MSCarolyn Bondy, MDFrom National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland., Vladimir K. Bakalov, MDFrom National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland., Eileen Dunn Lange, RNFrom National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland., and Irene Ceniceros, MSFrom National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-145-11-200612050-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: The Turner syndrome is due to complete or partial absence of 1 sex chromosome in a phenotypic female, occurring in approximately 1 in 2500 live female births (1). Individuals with the disorder are at increased risk for congenital heart defects, including bicuspid aortic valve, aortic coarctation, and dilation of the aorta (2, 3). These cardiovascular defects require timely diagnosis, monitoring or treatment to prevent aortic valve deterioration, endocarditis, and aortic dissection (2). Many patients have renal defects and progressive hearing loss. Good clinical practice recommends screening for these problems with echocardiography, renal ultrasonography, and audiology at the time of ...References1. Nielsen J, Wohlert M. Sex chromosome abnormalities found among 34, 910 newborn children: results from a 13-year incidence study in Arhus, Denmark. Birth Defects Orig Artic Ser. 1990;26:209-23. [PMID: 2090319] MedlineGoogle Scholar2. Lin AE, Lippe B, Rosenfeld RG. Further delineation of aortic dilation, dissection, and rupture in patients with Turner syndrome. Pediatrics. 1998;102:12. [PMID: 9651464] CrossrefMedlineGoogle Scholar3. Ostberg JE, Brookes JA, McCarthy C, Halcox J, Conway GS. A comparison of echocardiography and magnetic resonance imaging in cardiovascular screening of adults with Turner syndrome. J Clin Endocrinol Metab. 2004;89:5966-71. [PMID: 15579745] CrossrefMedlineGoogle Scholar4. Saenger P, Wikland KA, Conway GS, Davenport M, Gravholt CH, Hintz R, et al. Recommendations for the diagnosis and management of Turner syndrome. J Clin Endocrinol Metab. 2001;86:3061-9. [PMID: 11443168] MedlineGoogle Scholar5. Bakalov VK, Chen ML, Baron J, Hanton LB, Reynolds JC, Stratakis CA, et al. Bone mineral density and fractures in Turner syndrome. Am J Med. 2003;115:259-64. [PMID: 12967689] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.Grant Support: By the intramural research program of the National Institute of Child Health and Human Development.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByPatient‐parent perceptions of transition readiness in Turner syndrome and associated factorsTransition-Related Discussions Among Adolescent Females With Turner Syndrome: Current Practices and Associated FactorsTransition Considerations for Turner SyndromeIncreased detection of co-morbidities with evaluation at a dedicated adult Turner syndrome clinicCardiac Magnetic Resonance Imaging in Pediatric Turner SyndromeMultimodality cardiac imaging in Turner syndromeJunge Frauen mit Ullrich-Turner-SyndromTransition von jungen Frauen mit Ullrich-Turner-Syndrom in die ErwachsenenmedizinCarotid intima-media thickness is increased in Turner syndrome: multifactorial pathogenesis depending on age, blood pressure, cholesterol and oestrogen treatmentCardiovascular Phenotype in Turner Syndrome—Integrating Cardiology, Genetics, and EndocrinologyCardiovascular findings and management in Turner syndrome: insights from a French cohortManagement of Turner's syndrome in adult life: case-series and systematic reviewStandardized Multidisciplinary Evaluation Yields Significant Previously Undiagnosed Morbidity in Adult Women with Turner SyndromeHealth management of adults with Turner Syndrome: An attempt at multidisciplinary medical care by gynecologists in cooperation with specialists from other fieldsTurner SyndromeManagement of cardiovascular disease in Turner syndromeDeterminants of Medical Care for Young Women with Turner SyndromeAdult Care of Pediatric Conditions: Lessons from Turner's SyndromeHormonal replacement therapy in women with Turner's syndrome in Poland: Analysis of 176 casesTurner syndrome in childhood and adolescenceAortic Valve Disease in Turner SyndromeCongenital Cardiovascular Disease in Turner Syndrome 5 December 2006Volume 145, Issue 11Page: 866-867KeywordsAortaAortic valveAudiologyEchocardiographyEndocarditisHealth insuranceHearingMedical educationTurner syndromeUltrasound imaging ePublished: 5 December 2006 Issue Published: 5 December 2006 CopyrightCopyright © 2006 by American College of Physicians. 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