Munson Health
 
Turner Syndrome

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by Rosenblum L

(Monosomy X)

 

Treatment

There is no known cure for Turner syndrome. However, there are treatments for many of the associated problems. These include:

Growth Hormone

If given early enough in childhood, growth hormone can improve growth and increase final adult height by a few inches. However, not all children have a good response to growth hormone. Bone-lengthening surgery can increase the final height of children with Turner syndrome who have not responded adequately to growth hormone. However, this lengthy treatment requires multiple surgeries, long periods of disability, and many potential complications.

Estrogen Replacement Therapy

Estrogen replacement therapy induces the normal physical changes of adolescence, including breast growth and menstrual periods. Women with Turner syndrome usually take estrogen-progesterone treatment until at least menopause to protect their bones from osteoporosis.

Treatment for Other Medical Conditions

Other medical problems are carefully monitored and treated, including:
Other recommendations for life-long management of this disorder include:
  • Cardiac evaluation including both echocardiography and magnetic resonance angiography should be performed.
  • Puberty should be induced at an age-appropriate time and should not be delayed in hopes of achieving greater adult height.
  • Comprehensive psychological evaluation should be done to detect learning disorders.
  • Lifetime surveillance should be carried out looking for hearing problems, thyroid disease, hypertension , diabetes, and cholesterol elevation.
 

RESOURCES

American Academy of Pediatrics
http://www.healthychildren.org

Turner Syndrome Society of the United States
http://www.turnersyndrome.org

 

CANADIAN RESOURCES

Caring for Kids
The Canadian Paediatric Society
http://www.caringforkids.cps.ca

Turner's Syndrome Society of Canada
http://www.turnersyndrome.ca/

 

References


Bondy C. Care of girls and women with Turner syndrome: a guideline of the Turner syndrome study group. J Clin Endocrinol Metab. 2006 Oct 25.


Hahn SB, Park HW, Park HJ, Seo YJ, Kim HW. Lower limb lengthening in Turner dwarfism. Yonsei Med J . 2003 Jun 30;44(3):502-7.


Turner Syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated May 24, 2013. Accessed July 24, 2013.


Turner syndrome. National Institute of Child Health and Human Development website. Available at: http://turners.nichd.nih.gov/ . Accessed July 24, 2013.


Turner syndrome. Nemours' KidsHealth website. Available at: http://kidshealth.org/parent/medical/sexual/turner.html#a%5FHelping%5FYour%5FDaughter . Updated September 2011. Accessed July 24, 2013.

 

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