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Case Report

Hypothyroidism and growth hormone deficiency as a complication of Turner Syndrome: Case Report

By
Homero Abel Chacho Aucay ,
Homero Abel Chacho Aucay

Ministerio de Salud Pública del Ecuador, Médico General por la Universidad Católica de Cuenca, Facultad de Medicina, Campus Cuenca, Azuay, Ecuador

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Manuel Patricio Naula Naula ,
Manuel Patricio Naula Naula

Ministerio de Salud Pública del Ecuador, Médico General por la Universidad Católica de Cuenca, Especialista en Medicina Familiar por la Universidad de Cuenca, Ecuador

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Gabriela Estefanía Peralta Lata ,
Gabriela Estefanía Peralta Lata

Ministerio de Salud Pública del Ecuador, Médico General por la Universidad Católica de Cuenca, Facultad de Medicina, Campus Cuenca, Azuay, Ecuador

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María Emilia Tenorio Córdova ,
María Emilia Tenorio Córdova

Ministerio de Salud Pública del Ecuador, Médico General por la Universidad Católica de Cuenca, Facultad de Medicina, Campus Cuenca, Azuay, Ecuador

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María Rosa Chimborazo Guaman ,
María Rosa Chimborazo Guaman

Ministerio de Salud Pública del Ecuador, Médico General por la Universidad Católica de Cuenca, Facultad de Medicina, Campus Cuenca, Azuay, Ecuador

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Angela del Rosario Guncay Salazar ,
Angela del Rosario Guncay Salazar

Ministerio de Salud Pública del Ecuador, Licenciada en Enfermería por la Universidad Católica de Cuenca, Facultad de Medicina, Campus Cuenca, Azuay, Ecuador

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Tania Mariela Guzmán Nugra ,
Tania Mariela Guzmán Nugra

Ministerio de Salud Pública del Ecuador, Médico General por la Universidad Católica de Cuenca, Facultad de Medicina, Campus Cuenca, Azuay, Ecuador

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Abstract

Turner syndrome is a rare disease with a global prevalence of 64 per 100 000 live births, due to the total or partial loss of a sex chromosome of the 45X pair, mosaic karyotype. It is associated with multiple complications such as hypothyroidism, growth hormone deficiency and other endocrine disorders.
Case presentation: Female patient, 27 years old, who since childhood presented severe growth problems, in addition to psychomotor problems; with the passage of time there was no improvement in her height for age, so a genetic disorder was suspected. At 9 years of age, a genetic karyotype test was performed and the diagnosis of Turner Syndrome was confirmed. To this diagnosis was added: hypothyroidism, hypogonadism and osteopenia of the hip and spine. Therefore, her treatment was mainly based on hormone replacement therapy with estrogen and progesterone derivatives, such as estradiol and medroxyprogesterone acetate until she was 16 years old; in addition to growth hormone. Over the years her clinical picture improved significantly, especially in her growth, reaching her final height of 1.49 cm.
Conclusion: Currently the patient remains stable with a lucid neurological condition, continues with her hormone replacement therapy for hypothyroidism and osteopenia.

How to Cite

1.
Chacho Aucay HA, Naula Naula MP, Peralta Lata GE, Tenorio Córdova ME, Chimborazo Guaman MR, Guncay Salazar A del R, Guzmán Nugra TM. Hypothyroidism and growth hormone deficiency as a complication of Turner Syndrome: Case Report. Salud, Ciencia y Tecnología [Internet]. 2023 Oct. 10 [cited 2024 Jun. 16];3:438. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/438

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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