Normal US appearance of ovaries and uterus in four patients with Turner's syndrome and 45,X karyotype

Boechat, M. Ines; Westra, S. J.; Lippe, Barbara

doi:10.1007/bf01403702

Cited by 24 publications

(19 citation statements)

References 12 publications

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“…US will show signs of early puberty. In rare cases, the causes may be ovarian [13] (gonadal dysgenesis in Turner's syndrome), hypothalamic (de Morsier's syndrome) or pineal (tumour). In such cases US will show impubescent internal genitalia.…”

Section: Delay In Puberty and Amenorrheamentioning

confidence: 98%

Sonographic imaging of the paediatric female pelvis

2005

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Several conditions necessitate a pelvic ultrasound in their management. In this paper, we will first review the embryology of the female genital system and the normal morphology of the uterus and ovaries from birth to puberty. Thereafter, this paper aims to categorise pelvic pathologies based on their clinical presentations. We will consider successively ambiguous genitalia, precocious puberty, delayed puberty and amenorrhea, gynaecological masses and, finally, pelvic pain of gynaecological origin. Ultrasound is the key screening tool and often the only examination indicated. The appropriateness of other modalities, such as computed tomography and magnetic resonance imaging, will be discussed. The aim of this article is to help radiologists form a sensible imaging plan when presented with a diagnostic dilemma involving the pelvis in female children.

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Section: Delay In Puberty and Amenorrheamentioning

confidence: 98%

Sonographic imaging of the paediatric female pelvis

2005

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“…Although up to 30% of girls with TS undergo some degree of spontaneous pubertal development (125,126), and 2-5% may achieve spontaneous pregnancy (127), ultimately, over 90% have follicular atresia resulting in gonadal failure.…”

Section: Puberty/fertility In Transition Timementioning

confidence: 99%

TRANSITION IN ENDOCRINOLOGY: Treatment of Turner's syndrome during transition

Gawlik

Małecka-Tendera

2014

European Journal of Endocrinology

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Transition in health care for young patients with Turner's syndrome (TS) should be perceived as a staged but uninterrupted process starting in adolescence and moving into adulthood. As a condition associated with high risk of short stature, cardiovascular diseases, ovarian failure, hearing loss and hypothyroidism, TS requires the attention of a multidisciplinary team. In this review paper, we systematically searched the relevant literature from the last decade to discuss the array of problems faced by TS patients and to outline their optimal management during the time of transfer to adult service. The literature search identified 233 potentially relevant articles of which 114 were analysed. The analysis confirmed that all medical problems present during childhood should also be followed in adult life. Additionally, screening for hypertension, diabetes mellitus, dyslipidaemia, and osteoporosis is needed. After discharge from the paediatric clinic, there is still a long way to go.

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“…In most normal girls puberty starts around the age of 12 years. However, since up to 30% of girls with TS will undergo some spontaneous pubertal development and 2 -5% will have spontaneous menses and may have the potential to achieve pregnancy without medical intervention (45,48,49), signs of puberty should be looked for before starting estrogen therapy. When FSH and LH are clearly elevated, and clinical signs of puberty are missing, pubertal induction should be started.…”

Section: Function Of the Pituitary-ovarian Axismentioning

confidence: 99%

Epidemiological, endocrine and metabolic features in Turner syndrome

2004

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Turner syndrome is one of the more common genetic disorders, associated with abnormalities of the X chromosome, and occurring in about 50 per 100 000 liveborn girls. Turner syndrome is usually associated with reduced adult height, gonadal dysgenesis and thus insufficient circulating levels of female sex steroids, and infertility. A number of other signs and symptoms are seen more frequently with the syndrome. Morbidity and mortality are increased. The average intellectual performance is within the normal range. A number of recent studies have provided new insights with respect to epidemiology, cardiology, endocrinology and metabolism. Treatment with GH during childhood and adolescence allows a considerable gain in adult height, although verylong-term consequences of this treatment are not clear. Puberty has to be induced in most cases, and female sex hormone replacement therapy is given during the adult years. The proper dose of hormone replacement therapy (HRT) has not been established, and, likewise, benefits and/or drawbacks from HRT have not been thoroughly evaluated. Since the risk of cardiovascular and endocrinological disease is clearly elevated, proper care during adulthood is emphasized. In summary, Turner syndrome is a condition associated with a number of diseases and conditions which are reviewed in the present paper.

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Normal US appearance of ovaries and uterus in four patients with Turner's syndrome and 45,X karyotype

Cited by 24 publications

References 12 publications

Sonographic imaging of the paediatric female pelvis

Sonographic imaging of the paediatric female pelvis

TRANSITION IN ENDOCRINOLOGY: Treatment of Turner's syndrome during transition

Epidemiological, endocrine and metabolic features in Turner syndrome

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