Turner syndrome: a pattern of early growth failure |
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| Authors: | ML Davenport N Punyasavatsut D Gunther L Savendahl PW Stewart |
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| Affiliation: | Pediatric Endocrinology Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, Pediatric Endocrinology;Department of Pediatrics, University of Washington, Seattle, Washington, USA;Department of Women and Child Health Pediatric Endocrinology Unit, Karolinska Institute, Stockholm, Sweden,;Department of Biostatistics School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA |
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| Abstract: | The purpose of this study was to determine the pattern of early growth in girls with Turner syndrome. Analysis was performed on a total of 464 longitudinal measurements of height, obtained from birth to 8 years of age from 37 girls with Turner syndrome who did not have significant cardiac disease or autosomal abnormalities. All data were obtained prior to the initiation of any hormonal therapy. Mean height SDS fell from -0.5 at birth to -1.5 at age 1 year and -1.8 at age 1.5 years. Growth curves fitted using the first two components of the infancy-childhood-puberty model of growth revealed that growth failure was due to (a) mild growth retardation in utero , (b) slow growth during infancy, (c) delayed onset of the childhood component of growth and (d) slow growth during childhood. Physicians should consider the diagnosis of Turner syndrome in any girl with an unexplained failure to thrive or with short stature, even during the first 2 years of life. |
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| Keywords: | Chromosome abnormalities genetic disease growth growth disorders growth failure height karyotype linear growth sex chromosomes short stature Turner Syndrome |
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