
Monosomy X (Turner Syndrome) (2n = 44,XO)
Monosomy
X (AKA Turner
Syndrome) is a karyotypic condition caused by
non-disjunction of X
chromosomes at Meiosis I
or II. It occurs in
about 1/2000 live female births: a large proportion of
monosomic X fetuses
are aborted spontaneously in the first trimester. The second
X is completely
absent in about 50% of cases, partially deleted in about 30%, and instances of
tissue mosaicism (mixtures of XO and XX
cells) are also known.
The most obvious indications are very
short stature (4'8" = 141cm in untreated adults, correctable
with hormone replacement), webbing at the neck (not always
present), characteristic facial features (compare the
drawing and the girl in the first photo, but highly variable
as in the remainder of the gallery), and a variety of
secondary medical conditions. Girls with Turner Syndrome
typically do not experience puberty without estrogen
therapy, and there is a trade-off between height gain and
early induction of sexual maturity. Ovaries are typically
undeveloped and ova rare, but some cases of successful
reproduction are reported, apparently from mosaic
individuals.
Contrary to statements in some textbooks,
the range of intellectual development is normal, though
there seem to be difficulties with specific skill sets,
particularly math. The principal difficulty is acceptance by
the peer group. Most women with Turner Syndrome lead typical
lives, including normal family relationships. For further
information, see [http://www.tss.org.uk]
and [http://www.turner-syndrome-us.org].
Figure ©2002 by Griffiths et al.; all text material
©2011 by Steven M. Carr