title: [Late diagnosis of Turner syndrome: therapeutic implications].
abstract: We report the case of a patient with Turner's syndrome, whose special peculiarity is that its clinical signs have gone unnoticed despite the presence of several morphological features and functional disorders which must have induced it precociously. It's about a 58 years old patient with an aortic metalic valve in treatment with dicumarinics, who came to emergencies with a severe anemic syndrome because of a peptic ulcer propitiated by the hypoprotrombinaemia. In the physical examination some typical signs of the syndrome were detected. The karyotype verified the existance of Turner (45X0). We insist on the need of an early diagnosis, in order to prevent the short stature and to offer a satisfactory sexual development, and we include an actualization of the different approachments in the therapy and management of the disease.
authors.affiliation: Servicio de Medicina Interna II, Hospital Universitario San Carlos, Universidad Complutense, Madrid.
authors.forename: F J
authors.initials: FJ
authors.lastname: Candel González
authors.forename: M
authors.initials: M
authors.lastname: Matesanz David
authors.forename: R
authors.initials: R
authors.lastname: Vivancos Velasco
authors.forename: L A
authors.initials: LA
authors.lastname: Samaniego Olano
authors.forename: R
authors.initials: R
authors.lastname: Sanz de Barros
authors.forename: I
authors.initials: I
authors.lastname: Candel Monserrate
authors.forename: M
authors.initials: M
authors.lastname: Serrano Ríos
mesh_terms: D005260:Female; D006801:Humans; D007621:Karyotyping; D008875:Middle Aged; D013997:Time Factors; D014424:Turner Syndrome / Q000175:diagnosis* / Q000235:genetics / Q000628:therapy*