Criteria

The following criteria are used in the diagnosis of Turner syndrome, based on a 2017 consensus guideline:[5]

Complete or partial absence of the second sex chromosome in a phenotypic female with one or more typical clinical features of Turner syndrome such as:

Characteristic facial features

  • These include narrow palate; short, broad neck; webbing; and low-set, anomalous pinnae.

Short stature

  • Height less than 2.5th percentile for age-matched girls or greater than 2 standard deviations below expected for mid-parental target height.

Premature ovarian failure

  • Absence of pubertal development or early menopause with elevated gonadotrophins (hypergonadotrophic hypogonadism).

Congenital heart defects

  • Common cardiovascular defects include bicuspid aortic valve and aortic coarctation.

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