Turner syndrome differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Turner syndrome}} | {{Turner syndrome}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{EG}} | ||
==Overview== | ==Overview== | ||
[[Turner's syndrome]] must be differentiated from other [[diseases]] that cause latency in [[secondary sexual characteristics]] development, such as [[constitutional delay of puberty]], [[hypopituitarism]], [[delayed puberty]], and [[chromosomal abnormalities]]. [[Chromosomal abnormalities|Chromosomal abnormality]] is [[Noonan's syndrome]]. | [[Turner's syndrome]] must be differentiated from other [[diseases]] that cause latency in [[secondary sexual characteristics]] development, such as [[constitutional delay of puberty]], [[hypopituitarism]], [[delayed puberty]], and [[chromosomal abnormalities]]. [[Chromosomal abnormalities|Chromosomal abnormality]] is [[Noonan's syndrome]]. |
Revision as of 17:24, 14 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Turner's syndrome must be differentiated from other diseases that cause latency in secondary sexual characteristics development, such as constitutional delay of puberty, hypopituitarism, delayed puberty, and chromosomal abnormalities. Chromosomal abnormality is Noonan's syndrome.
Differentiating Turner's syndrome from other diseases
- Turner's syndrome must be differentiated from other diseases that cause latency in secondary sexual characteristics development, such as constitutional delay of puberty, hypopituitarism, delayed puberty, and chromosomal abnormalities. Chromosomal abnormality is Noonan's syndrome.[1]
Diseases | Laboratory Findings | Physical examinations | Other Findings | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
GnRH | LH | FSH | Estradiol | Testosterone | Lack of secondary sexual characteristics | Amenorrhea | Webbed neck | Final height | |||
Turner's syndrome | ↓ | ↑ | ↑ | ↓ | - | + | + | + | ↓ | Bicuspid aortic valve | |
Delayed puberty | Primary hypogonadism | ↑ | ↑ | ↑ | ↓ | ↓ | + | + | - | ↓ | - |
Secondary hypogonadism | ↓ | ↓ | ↓ | ↓ | ↓ | + | + | - | ↓ | - | |
Constitutional delay of puberty | Nl | Nl | Nl | Nl | Nl | + | + | - | Nl | Normal puberty, finally | |
Hypopituitarism | ↑ | ↓ | ↓ | ↓ | ↓ | + | + | - | ↓ | - | |
Noonan's syndrome | ↓ | ↑ | ↑ | - | ↓ | + | - | + | Nl | Mitral valve prolapse | |
Outflow tract obstruction | Nl | Nl | Nl | Nl | Nl | - | + | - | Nl | Imperforate hymen
Bulging hymen with hematocolpos | |
Mayer-Rokitansky-Kuster-Hauser syndrome | Nl | Nl | Nl | Nl | Nl | - | + | - | Nl | Variable absence of Mullerian structures in pelvic ultrasound |