ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Recommendations for screening in Turner syndrome (excluding cardiac and neuropsychological screening recommendations)

Recommendations for screening in Turner syndrome (excluding cardiac and neuropsychological screening recommendations)
  At diagnosis After diagnosis (childhood) After diagnosis (adults)
Weight/BMI Yes Every visit Every visit
Blood pressure Yes Every visit Every visit
Thyroid function tests (TSH and T4 or free T4) Yes Annually, beginning around 4 years of age Annually
Lipids     Annually if at least 1 cardiovascular risk factor* or regional recommendation
Liver enzymes (ALT, AST, GGTP, and alkaline phosphatase)   Annually after 10 years of age Annually
HbA1c with or without fasting plasma glucose   Annually after 10 years of age Annually
25-hydroxyvitamin D   Every 2 to 3 years after 9 to 11 years of age Every 3 to 5 years
Celiac screen   Starting at 2 years; thereafter, every 2 years With suggestive symptoms
Renal ultrasound Yes    
Audiometric evaluation Yes Every 3 years Every 5 years
Ophthalmologic examination YesΔ Every 3 years   
Dental evaluation Yes, if no previous care has been established    
Clinical investigation for congenital hip dysplasia Yes, in newborns    
Skin examination Yes Annually Annually
Bone mineral density     Every 5 years and when discontinuing estrogen
Skeletal assessment   Spine radiographs at 5 to 6 years and at 12 to 14 years of age  
The recommendations are for screening only. A clinical suspicion of active disease should always lead to relevant investigation. For details, please refer to UpToDate topic text, or to the guideline cited below.
BMI: body mass index; TSH: thyroid-stimulating hormone; T4: thyroxine; ALT: alanine aminotransferase; AST: aspartate aminotransferase; GGTP: gamma-glutamyl transpeptidase; HbA1c: hemoglobin A1c.
* Cardiovascular risk factors: hypertension, overweight, tobacco use, diabetes, and physical inactivity.
¶ When 9 to 12 months old.
Δ When 12 to 18 months old.
Reproduced with permission from: Gravholt CH, Anderson NH, Conway GS, et al. Clinical practice guidelines for the care of girls and women with Turner syndrome: Proceedings from the 2016 Cincinnati International Turner Syndrome Meeting. Eur J Endocrinol 2017; 177:G1. Copyright © 2017 BioScientifica Ltd.
Graphic 116803 Version 6.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟