Turner Syndrome

Turner syndrome, a condition that is present at birth and only affects females, is caused by the complete or partial absence of one of the two X chromosomes. This condition generally causes an array of features and symptoms, including short stature, infertility, and heart defects. Because Turner syndrome is a problem with the chromosomes, there is no cure for this condition, and treatments focus on controlling the features and symptoms of the disorder.

 

What Is Turner Syndrome?

Turner syndrome is a condition that is present at birth and only affects females. The cause of Turner syndrome is the complete or partial absence of one of the two X chromosomes. Turner syndrome can cause a broad array of features and symptoms, from minor cosmetic issues to major heart defects. The amount of features and symptoms is different for each woman. Almost all women with Turner syndrome have short stature and loss of ovarian function.
 

How Common Is Turner Syndrome?

Turner syndrome occurs in about 1 in 2,500 female births worldwide, but is much more common among pregnancies that do not survive to term (miscarriages and stillbirths). Prenatal testing has probably decreased the number of diagnosed cases of Turner syndrome.
 

Cause of Turner Syndrome

The cause of Turner syndrome is the complete or partial absence of one of the two X chromosomes (sex chromosomes).
 
About half of the individuals with Turner syndrome have monosomy X, which means each cell in the individual's body has only one copy of the X chromosome instead of the usual two sex chromosomes (see X Chromosome Monosomy).
 
Turner syndrome can also occur if one of the sex chromosomes is partially missing or rearranged, rather than completely missing (see Turner Syndrome and X Chromosome Defects).
 
Some women with Turner syndrome have a chromosomal change in only some of their cells, which is known as X chromosome mosaicism (see Mosaic Turner Syndrome).
 

Symptoms of Turner Syndrome

Symptoms of Turner syndrome vary among individual women. Symptoms can range from minor cosmetic issues to major heart defects. Some women may have many symptoms of Turner syndrome, while others may only have a few.
 
Symptoms of Turner syndrome can include:
 
  • Short stature
  • Extra skin on the neck (webbed neck)
  • Puffiness or swelling (lymphedema) of the hands and feet
  • A low hairline at the back of the neck
  • Low-set ears
  • Hands and feet swollen or puffy at birth
  • Soft nails that turn upward at the ends when at an older age
  • Colored spots on the skin
  • Problems with breast development
  • Infertility
  • Short fingers and toes
  • Irregular rotation of wrist and elbow joints.
     

Turner Syndrome and Other Medical Conditions

People with Turner syndrome are at increased risk for developing:
 
Because of these increased risks, the doctor will recommend regular screening appointments to check for these conditions. By diagnosing and treating these conditions early, the impact Turner Syndrome has on a woman can be lessened.
 

Diagnosis of Turner Syndrome

A doctor can suspect that a person has Turner syndrome based on the presence of Turner syndrome features or symptoms. A diagnosis of Turner syndrome is confirmed with special blood tests.
 
When a Turner syndrome diagnosis is made, it will vary based on the severity of the patient's condition. A diagnosis of Turner syndrome can be made during prenatal testing. Girls with several Turner syndrome features may be diagnosed with Turner syndrome during infancy or early childhood. For women with milder Turner syndrome, a diagnosis of Turner syndrome may occur later in life.
 
Any girl who is very short for her age or who is growing at less than two inches per year should be checked for Turner syndrome.
 

Treatments for Turner Syndrome

Because Turner syndrome is a problem with the chromosomes, there is no cure. Therefore, treatments for Turner syndrome focus on controlling the features and symptoms of the disorder.
 
Turner syndrome treatment may include:
 
  • Regular screening
  • Medications
  • Surgery
  • Counseling and support.
     

Prognosis for Turner Syndrome

The prognosis for Turner syndrome can be good with careful and consistent monitoring of the person's health and early treatment of problems that can occur. Many women with Turner syndrome lead full and active lives and can expect a normal lifespan.
 
Many factors can affect a person's prognosis, including:
 

History of Turner Syndrome

Turner Syndrome is named after an endocrinologist from Oklahoma, named Henry Turner, who described Turner Syndrome in the 1940s. In Europe, Turner syndrome often goes by other names, to give credit to earlier cases described by European doctors. These names include Ullrich-Turner syndrome and Bonnevie-Ullrich-Turner syndrome.
 

Other Names for Turner Syndrome

Other names used for Turner Syndrome include:
 
  • Bonnevie-Ullrich Syndrome
  • Monosomy X
  • TS
  • Turner's syndrome
  • Ullrich-Turner syndrome
  • 45,X.
     
Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD