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syndrome

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Mar 8, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    what is your medical diagnosis ?

    Syndrome.jpg
     

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  2. behcet's d.

    behcet's d. Well-Known Member

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    turner s.
     

  3. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Turner syndrome.
     

  4. neo_star

    neo_star Moderator

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    Yes, this is Turner's syndrome.

    This girl may have been brought in by her parents for an evaluation of primary ammenorrhea and she doesn't seem to have pubic or axillary hair. Should it have been a surprise, if she had some pubic or axillary hair ?

    Ans No

    Because, part of the stimulus ( read - hormones ) comes from the adrenal gland ( coinciding with the development of the zona reticularis ), technically called - 'Adrenarche' and it's independent of the pituitary - ovarian axis. She will have the onset of adrenarche sooner or later and will have some pubic and axillary hair, albeit a little less. I know that she has bigger problems on her hand, but I mentioned it becos, it's often a confounding factor thrown into many mcqs on "Intersexuality"

    ref - http://en.wikipedia.org/wiki/Adrenarche
     

  5. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer: Turner Syndrome
     

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