Turner Syndrome

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Turners

Syndrome

CHROMOSOMAL ABNORMALITY
The condition of having an abnormal number of
chromosomes, or having chromosomes with
missing or extra pieces.

Turners Syndrome
Turners Syndrome is caused by nondisjunction.
Turner syndrome is a chromosomal condition
related to the X chromosome also called X0
syndrome.
Females who have Tuners Syndrome are
missing one of their X chromosomes in each cell.

Who is Generally Affected


Only women can have Turners
Syndrome.
Often occurs in 1 out of 2,500
women everywhere.

History of turner syndrome


It was first described in 1938 by
Dr. Henry Turner who observed a
set of common physical features
in some of his patients.

Causes of turner syndrome


Turner syndrome is caused by a
missing or incomplete X
chromosome.
The genes affected are involved in
growth and sexual development.

Causes of turner syndrome


Researchers have identified one gene
called SHOX that is important for
bone development and growth.
The loss of one copy of this gene
likely causes short stature and
skeletal abnormalities in women with
Turner syndrome.

Is Turner syndrome inherited?


Most cases of Turner syndrome are not inherited.
An error in cell division called nondisjunction can
result in reproductive cells with an abnormal number
of chromosomes.

Types of Turner syndrome


1. X-Chromosome Monosomy/classic
turner syndrome
2. X-Chromosome Mosaicism

X-Chromosome Monosomy
About 50 percent of individuals
with Turner syndrome have
Monosomy X, which means each
cell in the individual's body has
only one copy of the X
chromosome instead of the usual
two sex chromosomes.

X-Chromosome Mosaicism
About 30 percent of girls with the disorder are
missing the X chromosome in just some of their cells.
This mixed chromosome pattern is known as Turner
mosaic. [46XX/45XO]
Girls with this pattern may have fewer symptoms
because they still have some normal (XX) cells.

Normal, fertilized egg

Normal Mitosis

X chromosome lost from developing embryo

SIGNS AND SYMPTOMS


BY SADAF ISHAQ

Symptoms
Before birth:
Large fluid collection on the back
of the neck or other abnormal fluid
collections
Heart abnormalities
Abnormal kidneys

Symptoms

Symptoms
Growth:
Babies with Turner syndrome may grow at a normal
rate until three years of age. After this age, their growth
slows down.
Ovaries:
they may not start their monthly periods normally.
Its likely they will be infertile (unable to have a
baby) without assistance.

Associated conditions:
heart murmur
kidney and urinary tract
problems
Underactive thyroid gland
high blood pressure
osteoporosis
scoliosis (abnormal curvature of
the spine)
obesity
lymphoedema

Learning difficulties:
Most girls with Turner syndrome have good language
and reading skills.
Social intelligence:
About a third of girls with Turner syndrome have
problems understanding social relationships.

Attention and hyperactivity problems:


physical over activity, such as constant
fidgeting and restlessness
acting impulsively, such as breaking
rules or having no sense of danger

TREATMENT OF TURNER SYNDROME


BY RUBEENA ASLAM

Treatments for Turners Syndrome


In some individuals, growth hormone
injections are beneficial.
Estrogen replacement therapy and later
on in both estrogen and progesterone
injections are given.
Medication for high-blood pressure.
Regular health checks are important!

Treatments for Turners Syndrome


Pregnancy and fertility
treatment
Some women with Turner
syndrome can become pregnant
with the donation of an egg or
embryo
Psychological therapy
Psychological therapy, such
as counselling or cognitive
behavioral therapy (CBT), may be
recommended.

Lifestyle with Turners Syndrome


Frequent trips to the doctor.
Follow your hormone-shot schedule.
Periodic follow-up with a heart
specialist.
Healthy lifestyle habits, such as
maintaining proper weight and
exercising regularly.

Treatments for Turners Syndrome


Learning difficulties
Affected women can speak to her health visitor, or the
teacher at your child's school or nursery.

Thank you

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