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         Male Turner Syndrome:     more detail

41. Turner Syndrome
monosomy X, Ullrichturner syndrome, 45,X gonadal dysgenesis Definition One of these 23 pairs determines whether a person will be a male or a female.
http://www.northmemorial.com/healthencyclopedia/content/2748.asp
Turner syndrome
Alternative Names

monosomy X, Ullrich-Turner syndrome, 45,X gonadal dysgenesis
Definition
Turner syndrome is a genetic disorder caused by the lack of an X chromosome.
What is going on in the body?
Turner syndrome only affects females. Because females with Turner syndrome don't have the normal number of chromosomes, the body's natural balance is upset. This results in underdevelopment of the ovaries, breasts, uterus and vagina. Females with this disorder are infertile.
Women with Turner syndrome are shorter than average, usually under 5' tall. This disorder usually does not cause mental retardation , but some affected females have learning disabilities. They also may have confusion about space and distances.
What are the signs and symptoms of the condition?
The most common features of Turner syndrome are:
  • short stature failure to develop sexually puffiness of the backs of the hands and feet at birth congenital heart disease low hairline on the back of the neck excess skin or webbing of the neck pigmented mole-like lesions on the skin kidney defects short fourth fingers inability to fully extend the elbows
What are the causes and risks of the condition?

42. Turner Syndrome - Talk Medical
Reliable medical information on turner syndrome. One of these 23 pairsdetermines whether a person will be a male or a female.
http://www.talkmedical.com/diseases-disorders/941/Turner-Syndrome

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Turner Syndrome
Turner syndrome is a genetic disorder caused by the lack of an X chromosome.
What is going on in the body?
Turner syndrome only affects females. Because females with Turner syndrome don't have the normal number of chromosomes, the body's natural balance is upset. This results in underdevelopment of the ovaries, breasts, uterus and vagina. Females with this disorder are infertile. Women with Turner syndrome are shorter than average, usually under 5' tall. This disorder usually does not cause mental retardation, but some affected females have learning disabilities. They also may have confusion about space and distances.
What are the signs and symptoms of the condition?
The most common features of Turner syndrome are: short stature failure to develop sexually puffiness of the backs of the hands and feet at birth congenital heart disease low hairline on the back of the neck excess skin or webbing of the neck pigmented mole-like lesions on the skin kidney defects short fourth fingers inability to fully extend the elbows
What are the causes and risks of the condition?

43. ICD-10: Block Q90-Q99
Q96.8, Other variants of turner s syndrome. Q96.9, turner s syndrome, unspecified Q98.1, Klinefelter s syndrome, male with more than two X chromosomes
http://www3.who.int/icd/vol1htm2003/gq90.htm
Chapter XVII
Congenital malformations, deformations and chromosomal abnormalities
Chromosomal abnormalities, not elsewhere classified
Down's syndrome Trisomy 21, meiotic nondisjunction Trisomy 21, mosaicism (mitotic nondisjunction) Trisomy 21, translocation Down's syndrome, unspecified Trisomy 21 NOS
Edwards' syndrome and Patau's syndrome Trisomy 18, meiotic nondisjunction Trisomy 18, mosaicism (mitotic nondisjunction) Trisomy 18, translocation Edwards' syndrome, unspecified Trisomy 13, meiotic nondisjunction Trisomy 13, mosaicism (mitotic nondisjunction) Trisomy 13, translocation Patau's syndrome, unspecified Other trisomies and partial trisomies of the autosomes, not elsewhere classified Includes: unbalanced translocations and insertions
Excludes: trisomies of chromosomes 13, 18, 21
Whole chromosome trisomy, meiotic nondisjunction Whole chromosome trisomy, mosaicism (mitotic nondisjunction) Major partial trisomy Whole arm or more duplicated. Minor partial trisomy Less than whole arm duplicated. Duplications seen only at prometaphase Duplications with other complex rearrangements Extra marker chromosomes Triploidy and polyploidy Other specified trisomies and partial trisomies of autosomes Trisomy and partial trisomy of autosomes, unspecified

44. Abnormal Sex Differentiaton - Specific Syndromes Of Sex Differentiation
associated with turner syndrome compared to those of unaffected males andfemales. Normal Female Development, turner syndrome, Normal male Development
http://www.hopkinschildrens.org/specialties/categorypages/intersex/sd4.html
Contents
  • Title Page
  • Introduction
  • Normal Sex Differentiation
  • Disorders of Sex Differentiation ... Return to Pediatric Endocrine
    IV. Specific Syndromes of Sex Differentiation
    1. Androgen Insensitivity Syndrome (AIS)
    Androgen Insensitivity Syndrome occurs when an individual, due to a mutation of the androgen receptor gene, is incapable of responding to androgens. Two forms of AIS exist, Complete AIS (CAIS) and Partial AIS (PAIS).
    CAIS
    CAIS affects 46,XY individuals. CAIS patients have normal appearing female external genitalia due to the their complete inability to respond to androgens. This is because the genital tubercle, genital swellings, and genital folds can not masculinize in these patients despite the presence of functional testes located in the abdomen. Similarly, Wolffian duct development does not occur because the Wolffian duct structures can not respond to androgens produced by CAIS patients. Mullerian duct development is inhibited in CAIS individuals because MIS is secreted by the testes. In addition to possessing normal female external genitalia, CAIS individuals also experience normal female breast development along with sparse pubic and axillary hair growth at puberty. The following chart illustrates the steps of sex differentiation associated with CAIS compared to those of unaffected males and females.

45. Whitehead Institute - New Picture Of Y Chromosome
Study Paints New Picture of Y Chromosome as a Safe Haven for male Fertility Genetic analyses of turner syndrome patients has led to the discovery of two
http://www.wi.mit.edu/news/archives/1997/dp_1024.html
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research news search news archives 1997 news stories
Study Paints New Picture of Y Chromosome as a Safe Haven for Male Fertility Genes
These results are not only generating a new respect for the Y chromosome but also could lead to novel diagnostic techniques for thousands of infertile men. The results also have profound implications for understanding the genetic differences between men and women and the genetic underpinnings of chromosomal disorders such as Turner syndrome. "These results show that the Y chromosome is functionally coherent; it has a short list of missions to which it is dedicated. By contrast, other human chromosomes contain motley assortments of genes with no theme or unifying purpose apparent. The human Y chromosome is a striking exception," says Dr. Page.
New Picture of Y
"As recently as ten years ago, many biologists assumed that the Y chromosome was a genetic wasteland except for one important gene, the sex-determining gene, " says Dr. Page. "Even when we and others did find other genes on the Y, they generally turned out to be copies of genes found on the X, which only supported the wasteland model of the Y chromosome." Although these notions started to change when Dr. Page and others began discovering the genes related to male fertility on the Y, scientists continued to regard the rest of the Y chromosome as functionally inert. So Drs. Page and Lahn conducted a systematic search for a broad, representative sampling of genes on the Y to help form meaningful generalizations about the NRY's gene content.

46. Science Netlinks: Science Updates
Every summer, the male midshipman fish serenades potential mates with this But the fact that turner s syndrome, a genetic condition that causes estrogen
http://www.sciencenetlinks.org/sci_update.cfm?DocID=229

47. Entrez PubMed
turner syndrome (45x) with clitoromegaly. Haddad NG, Vance GH, Eugster EA, DavisMM, Kaefer M. Female; Humans; male; turner syndrome/complications*
http://www.reproductive-health-journal.com/pubmed/14501769
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48. Dorlands Medical Dictionary
turner s syndrome, male, Noonan s s. twiddler s syndrome, dislodgement, breakdown,or other malfunction of an artificial cardiac pacemaker,
http://www.merckmedicus.com/pp/us/hcp/thcp_dorlands_content.jsp?pg=/ppdocs/us/co

49. Journal Of Sex Research: How Common Is Intersex? A Response To Anne Fausto-Sterl
Babies born with Klinefelter syndrome (47,XXY) have normal male genitalia. turner syndrome. Among the most salient features of turner syndrome (45,X)
http://www.findarticles.com/p/articles/mi_m2372/is_3_39/ai_94130313/pg_2
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Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Continued from page 1.
Complete Androgen Insensitivity Syndrome These individuals are genetically male (XY), but owing to a defect in the androgen receptor, their cells do not respond to testosterone or other androgens (Boehmer et al., 2001). As a result, these individuals do not form male genitalia. Genetically male (XY) babies with this condition typically are born with a vaginal opening and clitoris indistinguishable from those seen in normal female (XX) babies. In almost all cases, the diagnosis is not suspected until puberty, when these "girls" are brought to medical attention because they have never menstruated. Investigation at that point will invariably reveal that these "girls" are in fact genetically male, that they have undescended testicles, and that neither the uterus nor the ovaries are present. These individuals are genotypically male, but phenotypically female.

50. Male, Female, Other By Simon LeVay This Is The Tale Of Two
Anatomically male but infertile. turner s syndrome Affected individuals haveone X and no Y chromosome. Ovaries degenerate during fetal life,
http://www.nerve.com/dispatches/levay/intersex/main.asp
T his is the tale of two children, born with the outward appearance of girls, but lacking the inner passageways of either sex: no cervix, uterus or fallopian tubes, and no seminal vesicles, vasa deferentia or prostate either. They did have gonads, though: one had a boy's testes, the other had a girl's ovaries.
That's obvious, you'll say: the child with the ovaries became a woman, and the child with the testes became a man. Hormones, after all, are the ultimate arbiters of our sexual fate, so how could it be otherwise?
Well, it was otherwise. The child with the testes became a woman, and the child with the ovaries became a man. This is the story of how that happened. And, more generally, it's about the biological complexity, the emotional turmoil and the medical politics of intersexes
S herri Groveman, a forty-one-year-old tax lawyer, lives alone in a ranch-style home in a sun-baked suburb of San Diego. She's a pleasant, forthright, freckle-faced, womanly
Sherri has a medical condition known as androgen insensitivity syndrome

51. THE MERCK MANUAL, Sec. 19, Ch. 261, Congenital Anomalies
The phenotype varies from that of a typical turner syndrome to normal. Klinefelter syndrome occurs in about 1/800 live male births.
http://www.merck.com/mrkshared/mmanual/section19/chapter261/261l.jsp

52. Male Infertility Overview
Noonan s syndrome (male turner s syndrome). Myotonic dystrophy. - Bilateralanorchia (vanishing testes syndrome). - Sertoli-cell-only syndrome (germinal
http://www.ivf.com/shaban.html
Male Infertility Overview
Assessment, Diagnosis, and Treatment Stephen F. Shaban, M.D. Clinical Assistant Professor
Department of Surgery, Division of Urology
University of North Carolina School of Medicine
Chapel Hill, NC.
ASSESSMENT Male Infertility - Overview
Approximately 15% of couples attempting their first pregnancy meet with failure. Most authorities define these patients as primarily infertile if they have been unable to achieve a pregnancy after one year of unprotected intercourse. Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the male factor is at least partly responsible in about 50% of infertile couples. MALE REPRODUCTIVE PHYSIOLOGY The Hypothalamic-Pituitary-Gonadal Axis
The hypothalamus is the integrative center of the reproductive axis and receives messages from both the central nervous system and the testes to regulate the production and secretion of gonadotropin releasing hormone (GnRH) . Neurotransmitters and neuropeptides have both inhibitory and stipulatory influence on the hypothalamus. The hypothalamus releases GnRH in a pulsatile nature which appears to be essential for stimulating the production and release of both

53. HEART VIEWS - VOLUME 3 NO. 1 MARCH-MAY, 2002
Flavell G. Webbing of the neck with turner’s syndrome in the male. Br J Surg.1943;31150153. 15. Ullrich O. turner’s syndrome and status Bonnevie-Ullrich;
http://www.hmc.org.qa/hmc/heartviews/H-V-v3 N2/9.htm
VOLUME 3 NO. 2 JUNE- AUGUST 2002
EDITOR'S PAGE
CARDIOVASCULAR NEWS

FUTURE TRENDS

EDITORIAL
...
MEDICAL ETHICS

HISTORY OF MEDICINE
FILLER

EDITOR
HISTORY OF MEDICINE
NOONAN SYNDROME A HISTORICAL PERSPECTIVE
Jacqueline A. Noonan, M.D. Professor Emeritus, University of Kentucky, Department of Pediatric Cardiology Lexington, Kentucky, USA Introduction
Genetics of Noonan syndrome

Associated clinical findings: new insights

Short stature
... References
Introduction
Genetics of Noonan syndrome
Child with Noonan syndrome characterized by slight irides, hypertelorism and fleshy posteriorly rotated ears.The syndrome is commonly associated with valvular pulmonary stenosis. The gene PTPN-11 on chromosome 12 is responsible for the abnormality.
Associated clinical findings: new insights
Short stature
Mental development
Developmental delay is frequent. Part of this motor delay may be attributed to muscular hypotonia. In a study by van der Burgt (32) individual IQ scores varied between 48 –130. Some children clearly have some learning disability. Although the overall mean IQ is reduced, severe mental retardation is uncommon. Graduation from college and achievement of Ph.D. degrees have been reported.

54. California Wild Spring 1999 - Counterpoints
All human males have the Y chromosome of one male ( Adam ) who lived in Africa at This condition, called turner s syndrome, is one of those natural
http://www.calacademy.org/calwild/1999spring/stories/counterpoints.html
The Magazine of the CALIFORNIA ACADEMY OF SCIENCES CURRENT ISSUE SUBSCRIBE ...
CALIFORNIA WILD
counterpoints Why the Y Jerold Lowenstein Sex and politics make an intoxicating brew for the public and the paparazzi. Lately scientists have joined the cocktail party too, adding a shot of genetic snooping to the mix. Within a few short years, DNA fingerprinting has become a standard technique for determining paternity. Now, thanks to cutting-edge chromosomal research, prying geneticists have established that Thomas Jefferson fathered at least one son by his slave Sally Hemings. Sally herself was the daughter of Jefferson's father-in-law. Rumor and speculation about a sexual relationship between the author of the Declaration of Independence and his wife's half-sister has been rife for two centuries, but it took a molecular analysis of the Y chromosome, that icon of masculinity, to prove the case. The Y chromosomes of male descendants of the Jefferson and Hemings families are identical, which practically clinches Jefferson's paternity. Why use the Y chromosome for this historical outing?

55. Obstetrical & Gynecological Survey - UserLogin
About the turner syndrome, the authors note that the mammalian X and Y and point to a greater understanding of turner syndrome, male infertility,
http://www.obgynsurvey.com/pt/re/obgynsurv/fulltext.00006254-199804000-00016.htm
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56. Review Questions For Lecture 28
turner syndrome b. Kleinfelter syndrome c. Triple X female. d. XYY male. 17.Using nonlethal sex-linked markers, such as color blindness, devise genetic
http://www.colorado.edu/MCDB/MCDB2150Fall/rq00/rq0028.html
MCDB 2150 Fall 2000 Review Questions
Revised November 9, 2000 Lecture 28: Dosage Compensation, Sex-Limited, Sex-Influenced Inheritance 1. What is the Lyon hypothesis and how has its validity been demonstrated? 2. Describe the relationship among the following: Barr body, heterochromatin, late replication, dosage compensation, mosaicism. 3. Describe the major differences between dosage compensation in Drosophila and humans. 4. Describe three different types of human sex chromosome trisomy. What is the sex in each case? What are the major phenotypic traits in each case? Describe the genetic mechanisms that are responsible for the trisomy in each case. 5. Turner syndrome is the only viable human monosomy? a. How does Turner syndrome arise?
b. Speculate on why individuals with Turner syndrome are viable when all other human monosomies are lethal.
c. In view of your answer to part b, why do individuals with Turner syndrome enhibit any phenotypicdifferences from normal individuals. 6. What is a Barr body and what is its significance? 7. What mechanism makes human aneuploidies that involve sex chromosomes more viable than human aneuploidies that involve autosomes?

57. SBMJ | Beginner's Guide To Genetics: Sex And Genetics
Sex determination is the genetic events leading to male or female gonadal turner s syndrome is caused by a total or partial absence of one member of the
http://www.studentbmj.com/issues/04/11/education/400.php
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Beginner's guide to genetics: Sex and genetics
In the third part of our series, and colleagues explain the genetic bases of sexual development Throughout history, humans have tried to discover differences between men and women, and how this determines the nature of sex. In the last century, scientists began to unlock the molecular and genetic mechanisms of sexual development. This process has not been so simple, however; sexual development consists of an orchestrated, ordered, and interrelated cascade of events. The first step is the establishment of genetic sex (XX or XY). This results when a spermatozoid with an X or Y chromosome (genetic sex) fertilises an oocite, which carries an X chromosome. The second step is development of sex gonads. At the beginning of this step, regardless of genetic sex, embryos develop a bipotential primordiuma structure in the forming embryo that can turn into female or male gonad. This then differentiates to form the testis in XY embryos or the ovary in XX embryos, thereby defining gonadal sex. The last step is phenotypical sexual differentiation, when sexual external and internal genitalia develop due to hormones secreted by the gonad, resulting in the physical characteristics of each specific sex.

58. By: Simon Ewins To: Johnny Mckinney Re: Check It Out... JM+gt; This Is A More Ki
males suffering from Klinefelter s syndrome have both the male (XY) and the female turner s syndrome females have only one X chromosome instead of two.
http://www.skepticfiles.org/gay/gender.htm
By: Simon Ewins To: Johnny Mckinney Re: Check It Out... JM+gt; This is a more kinder way o
givecookie("BodyThetans", "Skeptic Tank Archives") E-Mail Fredric L. Rice / The Skeptic Tank

59. Science Blog -- Study Paints New Picture Of Y Chromosome As A Safe Haven For Mal
Study Paints New Picture Of Y Chromosome As A Safe Haven For male Fertility Genes First Evolutionary Strategy Implications for turner syndrome
http://www.scienceblog.com/community/older/1997/B/199702067.html
From: Whitehead Institute for Biomedical Research
Study Paints New Picture Of Y Chromosome As A Safe Haven For Male Fertility Genes
For decades scientists thought that the human Y chromosome, the male sex chromosome, was nothing more than a smaller, less stable version of its partner, the X (the sex chromosome present in both females and males). However, new research led by Dr. David Page, member of the Whitehead Institute for Biomedical Research, and associate investigator of the Howard Hughes Medical Institute, reverses this unflattering picture of the Y and reveals it as a crucial player in the evolution of sex chromosomes and also as a safe haven for male fertility genes. These results are not only generating a new respect for the Y chromosome but also could lead to novel diagnostic techniques for thousands of infertile men. The results also have profound implications for understanding the genetic differences between men and women and the genetic underpinnings of chromosomal disorders such as Turner syndrome. In the October 24 issue of Science, Dr. Page and first author Dr. Bruce Lahn report that a systematic search of the Y chromosome yielded 12 novel genes in the non-recombining region of the Y (NRY)a region of the Y, that unlike other chromosomes, does not undergo recombination, or exchange genetic material with its partner, the X. Along with eight previously identified genes, the 12 novel genes compose a substantial, nearly comprehensive catalog of genes found in the NRY (which constitutes 95 percent of the Y chromosome). The scientists found that the 12 genes they discovered could readily be sorted into two categories. Genes in the first group are expressed in many organs, are copies of genes found in the X, and perform housekeeping functions. The second group consisted of genes that are expressed only in the testes, are exclusive to the Y, and probably are responsible for enhancing male fertility.

60. Noonan Syndrome - Turner Syndrome, Male - Information Page With HONselect
A multifaceted disorder characterized by short stature, webbed neck, ptosis, ske
http://www.hon.ch/HONselect/RareDiseases/EN/C05.660.207.690.html
InitBulle("navy","#F8F8F8","#000066",1); HONcode sites All Web sites HONselect News ... Images HONselect Search English French German Spanish Portuguese
the word the part of word in MeSH term in MeSH term and description Information on "Noonan Syndrome": Medical hierarchy and definition Research Articles Web resources Medical Images Medical News Medical Conferences Clinical Trials Hierarchy English French German Spanish Portuguese
Noonan Syndrome Definition: A multifaceted disorder characterized by short stature, webbed neck, ptosis, skeletal malformations, hypertelorism, hormonal imbalance, CRYPTORCHIDISM , multiple cardiac abnormalities (most commonly including PULMONARY VALVE STENOSIS ), and some degree of MENTAL RETARDATION . The phenotype bears similarities to that of TURNER SYNDROME that occurs only in females and has its basis in a 45, X karyotype abnormality. However, Noonan syndrome occurs in both males and females with a normal sex chromosome constitution (46,XX and 46,XY). NS1 is due to mutations at chromosome location 12q24.1, in PTPN11, a gene encoding the non-receptor type 11 PROTEIN TYROSINE PHOSPHATASE. LEOPARD SYNDROME , a disorder that has clinical features overlapping those of Noonan Syndrome, is also due to mutations in PTPN11. In addition, there is a syndrome called neurofibromatosis-Noonan syndrome. Both the PTPN11 and NF1 (

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