RT Journal Article SR Electronic T1 Trends in age at diagnosis of Turner syndrome JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 267 OP 268 DO 10.1136/adc.2004.049817 VO 90 IS 3 A1 Massa, G A1 Verlinde, F A1 De Schepper, J A1 Thomas, M A1 Bourguignon, J P A1 Craen, M A1 de Zegher, F A1 François, I A1 Du Caju, M A1 Maes, M A1 Heinrichs, C A1 , YR 2005 UL http://adc.bmj.com/content/90/3/267.abstract AB The age at diagnosis of 242 girls with Turner syndrome (TS) treated in Belgium with growth hormone between 1991 and 2002 was evaluated. The median (range) age at diagnosis was 6.6 (0–18.3) years. Patients with 45,X karyotype were diagnosed earlier than patients with other karyotypes. Compared to a previous survey, performed on 100 patients 12 years earlier, more patients were diagnosed during infancy and childhood, and less during adolescence. However, in 22% of the girls the diagnosis was made after the age of 12 years; these girls showed the largest height deficit. As early diagnosis has several potential advantages we recommend that a cytogenetic analysis should be considered in all girls with unexplained short stature with height below –2 SD of the mean for age or below the parent specific lower limit of height.