Cardiovascular and renal anomalies in Turner syndrome
OBJECTIVE: To evaluate the frequency and type of cardiovascular (CV) and renal/collecting system (R/CS) abnormalities seen in a sample of patients with Turner Syndrome (TS) and to verify the proportion of those anomalies detected only after diagnosis was established. METHODS: Retrospective study of 130 patients with TS diagnosed in an outpatient setting between 1989 and 2006. The mean age at diagnosis was 11.9 years. Data were obtained by personal history of CV and R/CS disorders and by results of echocardiogram and ultrasonography of the kidneys and collecting system performed after diagnosis. RESULTS: 25.6% of patients who underwent echocardiograms presented CV abnormalities. Among them, mitral regurgitation (21.4%), bicuspid aortic valve (19%) and aortic coarctation (19%) were the most frequent. R/CS anomalies were found in 29.3% of patients who underwent ultrasonography. Among them, duplication of the collecting system and hydronephrosis (25% each) and horseshoe kidney (21.2%) were the most frequent. In about 80% of cases there was no previous knowledge of these anomalies. CONCLUSION: The frequency of CV and R/CS abnormalities found in this study was similar to that of previous studies, but most were found in routine exams after TS diagnosis. Thus, early detection of associated anomalies depends on early detection of TS.
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Associação Médica Brasileira
2010
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oai:scielo:S0104-423020100006000122011-01-26Cardiovascular and renal anomalies in Turner syndromeCarvalho,Annelise BarretoGuerra Júnior,GilBaptista,Maria Tereza MatiasFaria,Antonia Paula Marques deMarini,Sofia Helena Valente de LemosGuerra,Andréa Trevas Maciel Congenital abnormalities Heart Defects, Congenital Kidney diseases Turner syndrome OBJECTIVE: To evaluate the frequency and type of cardiovascular (CV) and renal/collecting system (R/CS) abnormalities seen in a sample of patients with Turner Syndrome (TS) and to verify the proportion of those anomalies detected only after diagnosis was established. METHODS: Retrospective study of 130 patients with TS diagnosed in an outpatient setting between 1989 and 2006. The mean age at diagnosis was 11.9 years. Data were obtained by personal history of CV and R/CS disorders and by results of echocardiogram and ultrasonography of the kidneys and collecting system performed after diagnosis. RESULTS: 25.6% of patients who underwent echocardiograms presented CV abnormalities. Among them, mitral regurgitation (21.4%), bicuspid aortic valve (19%) and aortic coarctation (19%) were the most frequent. R/CS anomalies were found in 29.3% of patients who underwent ultrasonography. Among them, duplication of the collecting system and hydronephrosis (25% each) and horseshoe kidney (21.2%) were the most frequent. In about 80% of cases there was no previous knowledge of these anomalies. CONCLUSION: The frequency of CV and R/CS abnormalities found in this study was similar to that of previous studies, but most were found in routine exams after TS diagnosis. Thus, early detection of associated anomalies depends on early detection of TS.info:eu-repo/semantics/openAccessAssociação Médica BrasileiraRevista da Associação Médica Brasileira v.56 n.6 20102010-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302010000600012en10.1590/S0104-42302010000600012 |
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Carvalho,Annelise Barreto Guerra Júnior,Gil Baptista,Maria Tereza Matias Faria,Antonia Paula Marques de Marini,Sofia Helena Valente de Lemos Guerra,Andréa Trevas Maciel |
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Carvalho,Annelise Barreto Guerra Júnior,Gil Baptista,Maria Tereza Matias Faria,Antonia Paula Marques de Marini,Sofia Helena Valente de Lemos Guerra,Andréa Trevas Maciel Cardiovascular and renal anomalies in Turner syndrome |
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Carvalho,Annelise Barreto Guerra Júnior,Gil Baptista,Maria Tereza Matias Faria,Antonia Paula Marques de Marini,Sofia Helena Valente de Lemos Guerra,Andréa Trevas Maciel |
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Carvalho,Annelise Barreto |
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Cardiovascular and renal anomalies in Turner syndrome |
title_short |
Cardiovascular and renal anomalies in Turner syndrome |
title_full |
Cardiovascular and renal anomalies in Turner syndrome |
title_fullStr |
Cardiovascular and renal anomalies in Turner syndrome |
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Cardiovascular and renal anomalies in Turner syndrome |
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cardiovascular and renal anomalies in turner syndrome |
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OBJECTIVE: To evaluate the frequency and type of cardiovascular (CV) and renal/collecting system (R/CS) abnormalities seen in a sample of patients with Turner Syndrome (TS) and to verify the proportion of those anomalies detected only after diagnosis was established. METHODS: Retrospective study of 130 patients with TS diagnosed in an outpatient setting between 1989 and 2006. The mean age at diagnosis was 11.9 years. Data were obtained by personal history of CV and R/CS disorders and by results of echocardiogram and ultrasonography of the kidneys and collecting system performed after diagnosis. RESULTS: 25.6% of patients who underwent echocardiograms presented CV abnormalities. Among them, mitral regurgitation (21.4%), bicuspid aortic valve (19%) and aortic coarctation (19%) were the most frequent. R/CS anomalies were found in 29.3% of patients who underwent ultrasonography. Among them, duplication of the collecting system and hydronephrosis (25% each) and horseshoe kidney (21.2%) were the most frequent. In about 80% of cases there was no previous knowledge of these anomalies. CONCLUSION: The frequency of CV and R/CS abnormalities found in this study was similar to that of previous studies, but most were found in routine exams after TS diagnosis. Thus, early detection of associated anomalies depends on early detection of TS. |
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Associação Médica Brasileira |
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2010 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302010000600012 |
work_keys_str_mv |
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