Patient's question:
I am 33 years old and have a daughter. Nine days before confirming the conception, I underwent machine-assisted weight loss because I was unaware of my pregnancy. Around the fifth month of pregnancy, I was found to have excessive amniotic fluid. At the time, I was examined at the best hospital in my city, and the doctors had no objections. At 38 weeks and 4/7, the baby did not engage in the pelvis, and induction of labor failed, leading to a cesarean section. The baby was born with jaundice, weighing 2.8 kg and measuring 50 cm in height. I insisted on breastfeeding (though my milk supply was poor), and after the baby was discharged from the hospital, their weight increased to 3.1 kg and height to 52.5 cm. The pediatrician thought it was due to poor feeding and did not conduct any further tests. The child's height and weight have consistently been in the lower-middle and lower ranges. Their intellectual development is also below average. Thyroid function was checked and found to be normal, but growth hormone deficiency was only diagnosed at 3 years and 7 months. The bone age was only less than 1 year and 6 months. Growth hormone injections were started at 3 years and 8 months, and after one year, the child grew 11 cm taller.Doctor's answer:
Hello! Thank you for your trust! Is it Turner's, an experienced doctor may find some signs through a physical examination or bone age X-ray, but the absence of these signs does not rule it out. In women with short stature, the incidence of Turner's accounts for nearly 10%, hence, according to the diagnostic and treatment guidelines for short stature, it is recommended to check chromosomes in as many women with short stature as possible. Based on your daughter's symptoms such as "short neck," "large bust circumference," and "small moles on her body," there is a possibility of Turner's, and it is advised to check her chromosomes as soon as possible. Although the chromosome test requires waiting for a period of time to obtain the results after the examination, it is not very painful—just a small blood sample is needed.