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The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 7 3061-3069
Copyright © 2001 by The Endocrine Society

Endocrine Care

Recommendations for the Diagnosis and Management of Turner Syndrome1

P. Saenger, K. Albertsson Wikland, G. S. Conway, M. Davenport, C. H. Gravholt, R. Hintz, O. Hovatta, M. Hultcrantz, K. Landin-Wilhelmsen, A. Lin, B. Lippe, A. M. Pasquino, M. B. Ranke, R. Rosenfeld and M. Silberbach

Division of Pediatric Endocrinology, Montefiore Medical Center/Albert Einstein College of Medicine (P.S.), Bronx, New York 10467; Goteborg Pediatric Growth Research Center, Department of Pediatrics, University of Goteborg (K.A.W.), SE-416 85 Goteborg, Sweden; Department of Endocrinology, Middlesex Hospital (G.S.C.), London, United Kingdom W1N 8AA; Division of Pediatric Endocrinology, University of North Carolina (M.D.), North Carolina 27599; Medical Department M, Aarhus University Hospital (C.H.G.), 8000 Aarhus C, Denmark; Department of Pediatrics, Stanford University Medical Center (R.H.), Stanford, California 94305; Department of Obstetrics and Gynecology, Karolinska Institute, Huddinge University Hospital (O.H.), SE-141 86 Huddinge, Sweden; Department of Otorhinolaryngology, Karolinska Hospital (M.H.), SE-171 76 Stockholm, Sweden; Research Center for Endocrinology and Metabolism, Department of Internal Medicine, Sahlgrenska University Hospital (K.L.-W.), SE-413 45 Goteborg, Sweden; Genetics and Teratology Unit, Massachusetts General Hospital (A.L.), Boston, Massachusetts 02114; Peptide Hormones, Pharmacia Corporation (B.L.), Los Angeles, California 90010-3824; Istituto di Clinica Pediatrica, Università degli Studi di Roma La Sapienza, I Facoltà Policlinico Umberto I (A.M.P.), 00161 Rome, Italy; Pediatric Endocrine Section, University Children’s Hospital (M.B.R.), 72070 Tubingen, Germany; Department of Pediatrics, Oregon Health Sciences University School of Medicine (R.R.), Portland, Oregon 97201; and Division of Cardiology, Department of Pediatrics, Oregon Health Sciences University School of Medicine (M.S.), Portland, Oregon 97201

Address all correspondence and requests for reprints to: Dr. Paul Saenger, Division of Pediatric Endocrinology, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th St, Bronx, New York 10467. E-mail: phsaenger{at}aol.com

Abstract

Comprehensive recommendations on the diagnosis of Turner syndrome (TS) and the care of affected individuals were published in 1994. In the light of recent advances in diagnosis and treatment of TS, an international multidisciplinary workshop was convened in March 2000, in Naples, Italy, in conjunction with the Fifth International Symposium on Turner Syndrome to update these recommendations. The present paper details the outcome from this workshop. The genetics and diagnosis of the syndrome are described, and practical treatment guidelines are presented.




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