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Lancet Diabetes Endocrinol. 2014 Apr;2(4):333-8. doi: 10.1016/S2213-8587(13)70153-0. Epub 2013 Dec 6.

Turner's syndrome: challenges of late diagnosis.

Author information

1
Institute for Women's Health, University College London, London, UK. Electronic address: marilyn1903@gmail.com.
2
Institute for Women's Health, University College London, London, UK.

Abstract

Girls and women with Turner's syndrome who come to medical attention older than 12 years present a challenge of medical management. Puberty is already delayed and some compromises have to be made in adjusting the timing of artificially induced puberty to optimise overall outcome with respect to stature, secondary sex characteristics, and psychosocial endpoints. Additionally, individuals who present with primary amenorrhoea to adult services might miss the opportunity for effective growth hormone treatment. Further, induction of puberty regimens lack an evidence base or even clear guidelines for the timing and dose of oestrogen replacement. We have searched the scientific literature to inform management of Turner's syndrome.

PMID:
24703051
DOI:
10.1016/S2213-8587(13)70153-0
[Indexed for MEDLINE]

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