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Turner Syndrome. By: Chuan Tran. SBI3U. Definition. Chromosomal disorder affecting females one of the two x chromosomes is defective or completely absent. History. Named after a U.S. physician Henry H. Turner (born 1892) First identified as a disorder in 1928
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Turner Syndrome By: Chuan Tran SBI3U
Definition • Chromosomal disorder affecting females • one of the two x chromosomes is defective or completely absent
History • Named after a U.S. physician Henry H. Turner (born 1892) • First identified as a disorder in 1928 • First described features in 1930s
Information • 1/2500 live female births • 99% spontaneously abort during first trimester of pregnancy • More common to miscarriage • Other names monosomy x, TS, Turner’s syndrome, Ullrich-Turner Syndrome, 45,X, Gonadal Dysgenesis • Rare to occur in more than one child in the same family
Causes • Genetic disorder • Chromosome defect • Chromosomes in the nucleus of every cell that contain genetic information necessary to direct growth, normal function of systems and cells in the body • Normal human contains 46 chromosomes in each cell
2 of 46 that determine gender • In females XX • Males XY • TS patients are born with 45, with a missing X or structurally altered
Forms of Turner Syndrome • Monosomy X • Mosaic
Monosomy X • accident in the division of sex chromosomes (nondisjunction) • Patients have only one X chromosome in each body cell • 60% of patients have Monosomy X This girl has Monosomy x http://medgen.genetics.utah.edu/photographs/diseases/high/611.gif
Mosaic • Absent X chromosomes only in some body cells • Accident during cell division • Some cells have XX and some have X • Both forms are not inherited
Symptoms • Small stature • Infertility • Low posterior hairline • Low set ears • Broad chest • Webbing of the neck • Wide spread nipples
Puffy Feet/Hands • Arms turned out at the elbows • Slight droop to eyes • Scoliosis • Slight breast development
Some symptoms shown on this baby that has Turner Syndrome http://www.lucinafoundation.org/assets/turner-syndrome.jpg
Effects • Delayed growth • Increased incidence of fractures, chance of diabetes and heart diseases/defects • Some learning disabilities (vary among individuals) • Cardiovascular malformations • Verbal IQ is higher than non-verbal IQ
Juvenile arthritis • Rarely mature without hormone treatment • Fertility cannot be restored • Urinary tract malformations (kidney problems) • Normal menstrual periods do not occur
Diagnosis • Prenatal diagnosis • Ultra sound • Kidneys and reproductive organs • Alpha-fetoprotein • Amniocentesis • MRI of the chest • Pelvic exam • No significant relation between mothers age and turner syndrome
Genetic analysis of chromosomes • Chromosome count in white blood cells for abnormalities • Karyotype • Normal 46,XX or XY • TS – 45,X http://www.childrensdayton.org/images/turners.gif This karyotype has a total of 45 chromosomes and it is missing an X chromosome.
Treatment • Female hormone therapy to promote development of secondary sexual characteristics and menstruation • Aortic dissection • Reproductive technology have also been used to help woman with TS become pregnant with a donar egg • Plastic surgery to current webbing of the neck
Future Outlooks/Research • Capable of marriage • Raise a family through adoption • When carefully monitored they are able to have normal life expectancies • Normal intelligence • Full productive lives • No known way to prevent TS
Bibliography • Griffith, Andrew. (2005). Turner Syndrome – The basics. Retrieved on May 14, 2009, from http://www.turnersyndrome.org/index.php?option=com_content&task=view&id=40&Itemid=57 • James Wynbrandt (1991). Genetic Disorders and Birth defects. New York: Facts on file, Inc. • ____. (may 2008). Turner Syndrome. Retrieved on May 13, 2009, from http://ghr.nlm.nih.gov/condition=turnersyndrome • Narins, Brigham. (2001). Turner Syndrome. The Gale Encyclopaedia of genetic disorders (vol. 2, pp 1297 – 1300). Farmington Hills: Thomson Gale. • Peirce, Benjamin A. (1950). The family Genetic Source book. Canada: John Wiley & Sons, Inc. • ____. (September 26, 2007). Turner Syndrome. Retreived on May 14, 2009, from http://www.nlm.nih.gov/medlineplus/ency/article/000379.htm