Shortening of all metacarpals in Turner syndrome

Case contributed by Dra Cristina Ferreira

Presentation

Turner syndrome.

Patient Data

Age: 35-year-old
Gender: Female

A woman 35 years of age have a conventional radiograph of the hand showing a reduction of all metacarpals.

Case Discussion

The patient has other diseases such as: type 1 diabetes mellitus, hypothyroidism and coeliac disease.

It is known that the shortening of the 4th and 5th metacarpals is seen in a variety of conditions including: idiopathic, post - traumatic, infectious post, Turner syndrome, pseudohypoparathyroidism, basal cell nevus syndrome - Gorlin syndrome, sickle cell disease with secondary infarction, hereditary exostosis multiple syndrome (1), homocystinuria and Langer- Giedion syndrome. In addition, the shortening of isolated 5th metacarpals has recently been described in a family of variant type 1 diabetes mellitus (2).

This patient is a particular case, which presents with all metacarpals shortening and not only the fourth and fifth, in association with a set of possible diseases that promote these shortenings metacarpals.

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Case information

rID: 44447
Case created: 21st Apr 2016
Last edited: 23rd Apr 2016
Tag: hands
Inclusion in quiz mode: Excluded

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