Turner Syndrome

Turner Syndrome
Photo by Tolgahan Akbulut / Unsplash

Genotype: XO

Phenotype: Female

Characteristics

  • Streak ovaries - No 2nd X chromosome (Menopause before menarche)
    • Primary amenorrhea
    • Lack of secondary sex characteristics
  • Has a uterus
    • Absent in Mularian agenesis
  • Disruption of normal rib cartilage and bone development
    • Short stature
    • Shield chest
    • Bicuspid aortic valve -> Increased risk for stenosis/calcification
    • Aortic coarctation
  • Cystic hygroma
    • Tumor causes a blockage of lymph drainage during development which causes a buildup of lymph
    • The missing X chromosome can therefore disrupt the proper formation of lymphatic vessels
  • Webbed neck
    • The webbed neck results from persistent lateral cervical folds or remnants of a regressed cystic hygroma. As these hygromas regress in utero, they leave behind redundant skin and soft tissue folds on the neck, creating the "webbed" appearance.
  • Horseshoe kidney
    • The inferior poles of the developing kidneys may fuse in the midline, forming a horseshoe-shaped structure.
    • This fused kidney gets trapped under the inferior mesenteric artery (IMA) during its ascent, preventing it from reaching the normal anatomical position.
    • Due to the loss of X chromosome, there is a higher chance for errors in renal migration during development
  • Lymphedema
    • maldevelopment or hypoplasia of major lymphatic channels
  • Melanocytic nevi

Labs

  • Decreased estrogen - dysfunctional ovaries
  • Increased LH - Not enough estrogen to cause feedback inhibition
  • Increased FSH - Not enough estrogen to cause feedback inhibition