TABLE 2.

Health Supervision Guidelines for Children With Turner Syndrome*

PrenatalNeonatalInfancy (<1 Year)Early Childhood (1–5 Years)Late Childhood (5–13 Years)Adolescence (13–21 Years)
0 Months2 Months4 Months6 Months9 Months12 Months24 Months3 Years4 Years5 YearsAnnuallyAnnually
At the time of diagnosis
 Refer to geneticist
 Refer to endocrinologist
 Refer to cardiologist
 Renal sonogram
Anticipatory guidance
 Review family supportTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
 Stress support groupsTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
 Long-term planningTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
Medical evaluation
 Growth failureTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
 Hip dysplasiaTBPTBPTBPTBPTBP
 LymphedemaTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
 Hypertension/coarctationTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
 Hearing lossOSSOSOSOSSSS
 StrabismusSSOOOOOOOOSS
 MalocclusionTBPTBPTBPTBPTBPTBP
 Thyroid dysfunctionTBPTBPTBP
 Scoliosis or kyphosisOOOO
 Pubertal delayTBPTBP
 NeviTBPTBP
Psychosocial evaluation
 Development and behaviorTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
 School performanceTBPTBPTBPTBPTBP
 SocializationTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBPTBP
 Sexual issuesTBPTBP
  • TBP indicates to be performed; S, subjective by history; O, objective by a standard testing method.

  • * Ensure compliance with the American Academy of Pediatrics Committee on Practice and Ambulatory Medicine. Recommendations for preventive pediatric health care. Pediatrics. 2000;105:645.

  • One routine evaluation by specialists during these intervals regardless of history or examination findings: formal audiology, ophthalmology, orthodontic, and psychoeducational examinations.