title: Turner syndrome in adolescence.
abstract: The management of a patient with Turner syndrome is complex and multi-faceted. It is best accomplished by an interdisciplinary approach. Initial diagnosis is generally prenatal or suggested by physical characteristics. Diagnosis should include karyotype analysis and potentially a probe for Y-chromosome centromeric material to assess the risk for the development of germ cell tumors. At the time of initial diagnosis, the patient should be thoroughly investigated for associated medical conditions. Ongoing surveillance for the development of complications is of paramount importance. The interdisciplinary team should include an endocrinologist; cardiologist; nephrologist; reproductive endocrinologist; audiological physician; ear, nose and throat surgeon; plastic surgeon; dentist; and psychologist . It is important to provide to girls and women with Turner syndrome, and their families, comprehensive information about the syndrome and to advise them about the availability of Turner syndrome societies that can provide information and support.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Hamilton Health Sciences Corporation, McMaster University Medical Centre, 1200 Main Street West, Room 3N52B, Hamilton, ON, Canada L8N 3Z5. karnism@mcmaster.ca
authors.forename: Megan Freebury
authors.initials: MF
authors.lastname: Karnis
authors.forename: Richard H
authors.initials: RH
authors.lastname: Reindollar
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006128:Growth; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010053:Ovary / Q000503:physiopathology; D011247:Pregnancy; D011296:Prenatal Diagnosis; D011627:Puberty; D014424:Turner Syndrome / Q000150:complications / Q000175:diagnosis / Q000235:genetics / Q000503:physiopathology