Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risks

Patients with Turner syndrome (TS) require close medical follow-up and management for cardiac abnormalities, growth and reproductive issues. This review summarizes current controversies in this condition, including: 1) the optimal genetic testing for Turner syndrome patients, particularly with respe...

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Main Authors: Amanda Ackermann, Vaneeta Bamba
Format: Article
Language:English
Published: Elsevier 2014-09-01
Series:Journal of Clinical & Translational Endocrinology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214623714000179
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author Amanda Ackermann
Vaneeta Bamba
author_facet Amanda Ackermann
Vaneeta Bamba
author_sort Amanda Ackermann
collection DOAJ
description Patients with Turner syndrome (TS) require close medical follow-up and management for cardiac abnormalities, growth and reproductive issues. This review summarizes current controversies in this condition, including: 1) the optimal genetic testing for Turner syndrome patients, particularly with respect to identification of Y chromosome material that may increase the patient's risk of gonadoblastoma and dysgerminoma, 2) which patients should be referred for bilateral gonadectomy and the recommended timing of such referral, 3) options for assisted reproduction in these patients and associated risks, 4) the increased risk of mortality associated with pregnancy in this population, and 5) how best to assess and monitor cardiovascular risks.
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spelling doaj.art-72be4dbcd84b491a8a889898d4146ed12022-12-22T01:15:33ZengElsevierJournal of Clinical & Translational Endocrinology2214-62372014-09-0113616510.1016/j.jcte.2014.05.003Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risksAmanda AckermannVaneeta BambaPatients with Turner syndrome (TS) require close medical follow-up and management for cardiac abnormalities, growth and reproductive issues. This review summarizes current controversies in this condition, including: 1) the optimal genetic testing for Turner syndrome patients, particularly with respect to identification of Y chromosome material that may increase the patient's risk of gonadoblastoma and dysgerminoma, 2) which patients should be referred for bilateral gonadectomy and the recommended timing of such referral, 3) options for assisted reproduction in these patients and associated risks, 4) the increased risk of mortality associated with pregnancy in this population, and 5) how best to assess and monitor cardiovascular risks.http://www.sciencedirect.com/science/article/pii/S2214623714000179Turner syndromeGenetic testingGonadoblastomaCardiac MRIInfertilityAortic dissection
spellingShingle Amanda Ackermann
Vaneeta Bamba
Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risks
Journal of Clinical & Translational Endocrinology
Turner syndrome
Genetic testing
Gonadoblastoma
Cardiac MRI
Infertility
Aortic dissection
title Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risks
title_full Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risks
title_fullStr Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risks
title_full_unstemmed Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risks
title_short Current controversies in turner syndrome: Genetic testing, assisted reproduction, and cardiovascular risks
title_sort current controversies in turner syndrome genetic testing assisted reproduction and cardiovascular risks
topic Turner syndrome
Genetic testing
Gonadoblastoma
Cardiac MRI
Infertility
Aortic dissection
url http://www.sciencedirect.com/science/article/pii/S2214623714000179
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