Skip to main content
Log in

Turner syndrome and female sex chromosome aberrations: deduction of the principal factors involved in the development of clinical features

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

Abstract

Although clinical features in Turner syndrome have been well defined, underlying genetic factors have not been clarified. To deduce the factors leading to the development of clinical features, we took the following four steps: (1) assessment of clinical features in classic 45,X Turner syndrome; (2) review of clinical features in various female sex chromosome aberrations (karyotype-phenotype correlations); (3) assessment of factors that could lead to Turner features; and (4) correlation of the clinical features with the effects of specific factors. The results indicate that the clinical features in 45,X and in other female sex chromosome aberrations may primarily be determined by: (1) degree of global non-specific developmental defects caused by quantitative alteration of a euchromatic or noninactivated region; (2) dosage effect of a pseudoautosomal growth gene(s), a Y-specific growth gene(s), and an Xp-Yp homologous lymphogenic gene(s); and (3) degree of chromosome pairing failure in meiocytes that are destined to develop as oocytes in the absence of SRY.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Allanson JE (1987) Noonan syndrome. J Med Gent 24:9–13

    Google Scholar 

  2. Ashworth A, Rastan S, Lovell-Badge R, Kay G (1991) X-chromosome inactivation may explain the difference in viability of XO humans and mice. Nature 351:406–408

    Google Scholar 

  3. Ballabio A, Willard HF (1992) Mammalian X-chromosome inactivation and the XIST gene. Curr Opin Genet Dev 2:439–447

    Google Scholar 

  4. Ballard RA (1991) Hydrops fetalis. In: Taeusch HW, Ballard RA, Avery ME (eds) Diseases of the newborn, 6th edn. WB Saunders, Philadelphia, pp 833–836

    Google Scholar 

  5. Boue J, Boue A, Lazar P (1975) Retrospective and prospective epidemiological studies of 1500 karyotyped spontaneous human abortions. Teratology 12:11–26

    Google Scholar 

  6. Brook CGD, Murset G, Zachmann M, Prader A (1974) Growth in children with 45,XO Turner's syndrome. Arch Dis Child 49:789–795

    Google Scholar 

  7. Brook CGD, Gasser T, Werder EA, Prader A, Vanderschueren-Lodewykx MA (1977) Height correlations between parents and mature offspring in normal subjects and in subjects with Turner's and Klinefelter's and other syndromes. Ann Hum Biol 4:17–22

    Google Scholar 

  8. Burgoyne PS, Baker TG (1984) Meiotic pairing and gametogenic failure. In: Evans CW, Dickinson (eds) Controlling events in meiosis. Company of Biologists, Cambridge, pp 349–362

    Google Scholar 

  9. Burgoyne PS, Baker TG (1985) Perinatal oocyte loss in XO mice and its implications for the aetiology of gonadal dysgenesis in XO women. J Reprod Fertil 75:633–645

    Google Scholar 

  10. Cattanach BM (1961) XXY mice. Genet Res 2:156–160

    Google Scholar 

  11. Cattanach BM (1962) XO mice. Genet Res 3:487–490

    Google Scholar 

  12. Chandley AC (1986) A model for effective pairing and recombination at meiosis based on early replication sites (R-bands) along chromosomes. Hum Genet 72:50–57

    Google Scholar 

  13. Chandley AC, Speed RM, McBeath S, Hargreave TB (1986) A human 9;20 reciprocal translocation associated with male infertility analyzed at prophase and metaphase I of meiosis. Cytogenet Cell Genet 41:145–153

    Google Scholar 

  14. Chervenak FA, Isaacson G, Blakemore KJ, Breg WR, Hobbins JC, Berkovitz RL, Tortora M, Mayden K, Mahponey MJ (1983) Fetal cystic hygroma: cause and natural history. N Engl J Med 309:822–825

    Google Scholar 

  15. Chitayat D, Kalousek DK, Bamforth JS (1989) Lymphatic abnormalities in fetuses with posterior cervical cystic hygroma. Am J Med Genet 33:352–356

    Google Scholar 

  16. Clark EB (1984) Neck web and congenital heart defects: a pathogenic association in 45 X-O Turner syndrome? Teratology 29:355–361

    Google Scholar 

  17. Court Brown WM, Harnden DG, Jacobs PA, Maclean N, Mantle DJ (1964) Abnormalities of the sex chromosome complement in man. (Medical Research Council, Special Report Series No. 305) John Blackburn, Leeds

    Google Scholar 

  18. Cunniff C, Jones KL, Benirschke K (1991) Ovarian dysgenesis in individuals with chromosome abnormalities. Hum Genet 86:552–556

    Google Scholar 

  19. Cuttler L, Vliet GV, Conte FA, Kaplan SL, Grumbach MM (1985) Somatomedin-C levels in children and adolescents with gonadal dysgensis: differences from age-matched normal females and effect of chronic estrogen replacement therapy. J Clin Endocrinol Metab 60:1087–1092

    Google Scholar 

  20. Daniel A (1979) Structural differences in reciprocal translocations: potential for a model of risk in Rcp. Hum Genet 51:171–182

    Google Scholar 

  21. Davis RM (1981) Localisation of male determining factors in man: a thorough review of structural anomalies of the Y chromosome. J Med Genet 18:161–195

    Google Scholar 

  22. Domar AD, Zuttermeister PC, Friedman R (1993) The psychological impact of infertility: a comparison with patients with other medial conditions. J Psychosom Obstet Gynaecol 14 [Suppl]:45–52

    Google Scholar 

  23. Dressler D, Potter H (1982) Molecular mechanisms of genetic recombination. Annu Rev Biochem 51:727–762

    Google Scholar 

  24. Ehrhardt AA, Meyer-Bahlburg HF (1975) Psychological correlates of abnormal pubertal development. Clin Endocrinol Metab 4:207–222

    Google Scholar 

  25. Epstein CJ (1990) Mechanisms leading to the phenotype of Turner syndrome. In: Rosenfeld RG, Grumbach ME (eds) Turner syndrome. Marcel Dekker, New York, pp 13–28

    Google Scholar 

  26. Esterly NB (1992) The skin. In: Behrman RE (ed) Nelson textbook of pediatrics, 14th edn. WS Saunders, Philadelphia, pp 1621–1688

    Google Scholar 

  27. Ferguson-Smith MA (1991) Genotype-phenotype correlations in individuals with disorders of sex determination and development including Turner's syndrome. Semin Dev Biol 2:265–276

    Google Scholar 

  28. Fisher EMC, Beer-Romero P, Brown LG, Ridley A, McNeil JA, Lawrence JB, Willard HF, Bieber FR, Page DC (1990) Homologous ribosomal protein genes on the human X and Y chromosomes: escape from X inactivation and possible implications for Turner syndrome. Cell 63:1205–1218

    Google Scholar 

  29. Frels W, Chapman VM (1979) Paternal X chromosome expression in extraembryonic membranes of XO mice. J Exp Zool 210:553–560

    Google Scholar 

  30. Gartler SM, Sparkes RS (1963) The Lyon-Beutler hypothesis and isochromosome X patients with the Turner syndrome. Lancet 1:411

    Google Scholar 

  31. Gartler SM, Liskay RM, Campbell BK, Sparkes R, Gant N (1972) Evidence for two functional X chromosomes in human oocytes. Cell Differ 1:215–218

    Google Scholar 

  32. Geerkens C, Just W, Vogel W (1994) Deletions of Xq and growth deficit: a review. Am J Med Genet 50:105–113

    Google Scholar 

  33. Gilbert EF, Opitz JM (1982) Developmental and other pathological changes in syndromes caused by chromosome abnormalities. Perspect Pediatr Pathol 7:1–63

    Google Scholar 

  34. Glenister TW (1956) Determination of sex in early human embryos. Nature 177:1135–1136

    Google Scholar 

  35. Goldman B, Polani PE, Daker MG, Angell RR (1982) Clinical and cytogenetic aspects of X-chromosome deletions. Clin Genet 21:36–52

    Google Scholar 

  36. Greenlee R, Hoyme H, Witte M, Crowe P, Witte C (1993) Developmental disorders of the lymphatic system. Lymphology 26:156–168

    Google Scholar 

  37. Grumbach MM, Conte FA (1992) Disorders of sexual differentiation. In: Wilson JD, Foster DW (eds) Williams textbook of endocrinology, 8th edn. WB Saunders, Philadelphia, pp 853–952

    Google Scholar 

  38. Harrison KB, Warburton D (1986) Preferential X-chromosome activity in human female placental tissues. Cytogenet Cell Genet 41:163–168

    Google Scholar 

  39. Hassold T, Benham F, Leppert M (1988) Cytogenetic and molecular analysis of sex-chromosome monosomy. Am J Hum Genet 42:534–541

    Google Scholar 

  40. Hemel JO van, Eussen B, Wesby-van Swaay E, Oostra BA (1992) Molecular detection of a translocation (Y;11)(q11.2;q24) in a 45,X male with signs of Jacobsen syndrome. Hum Genet 88:661–667

    Google Scholar 

  41. Hook EB, Warburton D (1983) The distribution of chromosomal genotypes associated with Turner's syndrome: livebirth prevalence rates and evidence for diminished fetal mortality and severity in genotypes associated with structural X abnormalities or mosaicism. Hum Genet 64:24–27

    Google Scholar 

  42. Hotta Y, Stern H (1981) Small nuclear RNA molecules that regulates nuclease accessibility in specific chromatin regions of meiotic cells. Cell 27:309–319

    Google Scholar 

  43. Hotta Y, Bennett MD, Toledo LA, Stern H (1979a) Regulation of R-protein and endonuclease activities in meiocytes by homologous chromosome pairing. Chromosoma 72:191–201

    Google Scholar 

  44. Hotta Y, Chandley AC, Stern H, Searle AG, Beechey CV (1979b) A disruption of pachytene DNA metabolism in male mice with chromosomally-derived sterility. Chromosoma 73:287–300

    Google Scholar 

  45. Jacobs PA, Betts PR, Cockwell AE, Crolla JA, Mackenzie MJ, Robinson DO, Youings SA (1990) A cytogenetic and molecular reappraisal of a series of patients with Turner's syndrome. Ann Hum Genet 54:209–223

    Google Scholar 

  46. Johnson R Jr, Rohrbaugh JW, Ross JL (1993) Altered brain development in Turner's syndrome: an event-related potential study. Neurology 43:801–808

    Google Scholar 

  47. Jones KL (1988) Smith's recognizable patterns of human malformation: genetic, embryonic and clinical aspects, 4th edn. WB Saunders, Philadelphia

    Google Scholar 

  48. Just W, Geekens C, Held KR, Vogel W (1992) Expression of RPS4X in fibroblasts from patients with structural aberrations of the X chromosome. Hum Genet 89:240–242

    CAS  PubMed  Google Scholar 

  49. Keats TE, Smith TH (1988) An atlas of normal developmental roentgen anatomy, 2nd edn. Year Book Medical Publishers, Chicago

    Google Scholar 

  50. Kennedy JF, Freeman MG, Benirschke KB (1977) Ovarian dysgenesis and chromosome abnormalities. Obstet Gynecol 50:13–20

    Google Scholar 

  51. Kirby ML, Waldo KL (1990) Role of neural crest in congenital heart disease. Circulation 82:332–340

    Google Scholar 

  52. Lacro RV, Jones KL, Benirschke K (1988) Coarctation of the aorta in Turner syndrome: a pathologic study of fetuses with nuchal cystic hygromas, hydrops fetalis, and female genitalia. Pediatrics 81:445–451

    Google Scholar 

  53. Lemli L, Smith DW (1963) The XO syndrome: a study of the differential phenotype in 25 patients. J Pediatr 63:577–588

    Google Scholar 

  54. Levilliers J, Quack B, Weissenbach J, Petit C (1989) Exchange of terminal portions of X- and Y-chromosomal short arms in human XY females. Proc Natl Acad Sci USA 86:2296–2300

    Google Scholar 

  55. Lippe BM (1990) Physical and anatomical abnormalities in Turner syndrome. In: Rosenfeld RG, Grumbach MM (eds) Turner syndrome. Marcel Dekker, New York, pp 183–196

    Google Scholar 

  56. Lorda-Sanchez I, Binkert F, Maechler M, Shinzel A (1992) Molecular study of 45,X conceptuses: correlation with clinical findings. Am J Med Genet 42:487–490

    Google Scholar 

  57. Loughlin SAR, Redha A, McIver J, Boyd A, Carothers A, Connor JM (1991) Analysis of the origin of Turner's syndrome using polymorphic DNA probes. J Med Genet 28:156–158

    Google Scholar 

  58. Lubin MB, Gruber HE, Rimoin DL, Lachman RS (1990) Skeletal abnormalities in the Turner syndrome. In: Rosenfeld RG, Grumbach ME (eds) Turner syndrome. Marcel Dekker, New York, pp 281–300

    Google Scholar 

  59. Madan K (1983) Balanced structural changes involving the human X: effect on sexual phenotype. Hum Genet 63:216–221

    Google Scholar 

  60. Marden PM, Smith DW, McDonald MJ (1964) Congenital anomalies in the newborn infant, including minor variations. J Pediatr 64:357–371

    Google Scholar 

  61. Mathur A, Stekol L, Schatz D, MacLaren NK, Scott ML, Lippe B (1991) The parental origin of the single X chromosome in Turner syndrome: lack of correlation with parental age or clinical phenotype. Am J Hum Genet 48:682–686

    Google Scholar 

  62. Mattei MG, Mattei JF, Giraud F (1982) X-autosome translocations: cytogenetic characteristics and their consequences. Hum Genet 61:295–309

    Google Scholar 

  63. Migeon BR, Jelalian K (1977) Evidence for two active X chromosomes in germ cells of female before meiotic entry. Nature 269:242–243

    Google Scholar 

  64. Mittwoch U (1971) Mongolism and sex: a common problem of cell proliferation? J Med Genet 9:92–95

    Google Scholar 

  65. Miyabara S, Sugihara H, Maehara N, Shouno H, Tasaki H, Yoshida K, Saito N, Kayama F, Ibara S, Suzumori K (1989) Significance of cardiovascular malformations in cystic hygroma: a new interpretation of the pathogenesis. Am J Med Genet 34:489–501

    Google Scholar 

  66. Moses MJ, Poorman PA (1981) Synaptonemal complex analysis of mouse chromosomal rearrangements: II synaptic adjustment in a tandem duplication. Chromosoma 81:519–535

    CAS  PubMed  Google Scholar 

  67. Moses MJ, Poorman PA, Roderick TH, Davisson MT (1982) Synaptonemal complex analysis of mouse chromosomal rearrangements: IV synapsis and synaptic adjustment in two paracentric inversions. Chromosoma 84:457–474

    CAS  PubMed  Google Scholar 

  68. Mostello DJ, Bofinger MK, Siddigi TA (1989) Spontaneous resolution of fetal cystic hygroma and hydrops in Turner syndrome. Obstet Gynecol 73:862–864

    Google Scholar 

  69. Murphy DG, DeCarli C, Daly E, Haxby JV, Allen G, White AB, McIntosh AR, Powell CM, Horwitz B, Rapoport SI, Schapiro MB (1993) X-chromosome effects on female brain: a magnetic resonance imaging study of Turner's syndrome. Lancet 342:1197–1200

    Google Scholar 

  70. Nielsen J (1990) Mental aspects of Turner syndrome and the importance of information and Turner contact groups. In: Rosenfeld RG, Grumbach MM (eds) Turner syndrome. Marcel Dekker, New York, pp 451–461

    Google Scholar 

  71. Nora JJ (1989) Etiologic aspects of heart diseases. In: Adams FH, Emmanouilides GC, Riemenschneider TA (eds) Moss' heart disease in infants, children, and adolescents, 4th edn. Williams and Wilkins, Baltimore, pp 15–23

    Google Scholar 

  72. Nurmi T, Uhari M, Linna S-L, Silvennoinen-Kassinen S, Koskela M, Kiuttu J, Tillikainen A (1982) Immune function in patients with chromosome deletions. Clin Exp Immunol 48:179–185

    Google Scholar 

  73. Ogata T, Matsuo N (1992) Comparison of adult height between patients with XX and XY gonadal dysgenesis: support for a Yspecific growth gene(s). J Med Genet 29:539–541

    Google Scholar 

  74. Ogata T, Matsuo N (1993) Sex chromosome aberrations and stature: deduction of the principal factors involved in the determination of adult height. Hum Genet 91:551–562

    Google Scholar 

  75. Ogata T, Tyler-Smith C, Purvis-Smith S, Turner G (1993) Chromosomal localisation of a gene(s) for Turner stigmata on Yp. J Med Genet 30:918–922

    Google Scholar 

  76. Omoe K, Endo A (1993) Growth and development of 39,X mouse embryos at mid-gestation. Cytogenet Cell Genet 63:50–53

    Google Scholar 

  77. Opitz JM, Gilbert EF (1982) CNS anomalies and the midline as a “developmental field”. Am J Med Genet 12:443–455

    Google Scholar 

  78. Park WW (1957) The occurrence of sex chromatin in early human and macaque embryos. J Anat 91:369–373

    Google Scholar 

  79. Polani PE, Angel R, Giannelli F, Chapelle A de la, Race RR, Sanger R (1970) Evidence that the Xg locus is inactivated in structurally abnormal X chromosome. Nature 227:613–616

    Google Scholar 

  80. Prader A, Largo RH, Molinari L, Issler C (1989) Physical growth of Swiss children from birth to 20 years of age: first Zurich longitudinal study of growth and development. Helv Paediatr Acta 52 [Suppl]:1–125

    Google Scholar 

  81. Putte SCJ van der (1977) Lymphatic malformation in human fetuses: a study of fetuses with Turner's syndrome or status Bonnevie-Ullrich. Virchows Arch [A] 376:233–246

    Google Scholar 

  82. Ratcliffe SG, Butler GE, Jones M (1991) Edinburgh study of growth and development of children with sex chromosome abnormalities. IV. Birth defects 26:1–44

    Google Scholar 

  83. Ropers HH, Migl B, Zimmer J, Fraccaro M, Maraschio PP, Westerveld A (1981) Activity of steroid sulfatase in fibroblasts with numerical and structural X chromosome aberrations. Hum Genet 57:354–356

    Google Scholar 

  84. Rosenfeld RG (1989) Turner syndrome: a guide for physicians. The Turner Syndrome Society, Wayzala

    Google Scholar 

  85. Rosenfeld RG, Luzzatti L, Hintz RL, Miller OL, Koo GC, Wachtel SS (1979) Sexual and somatic determinants of the human Y chromosome: studies in a 46,XYp-phenotypic female. Am J Hum Genet 31:458–468

    Google Scholar 

  86. Ross JL, Long LM, Loriaux DL, Cutler GB Jr (1985) Growth hormone secretory dynamics in Turner syndrome. J Pediatr 106:202–206

    Google Scholar 

  87. Rovet JF (1993) The psychoeducational characteristics of children with Turner syndrome. J Learn Disabil 26:333–341

    Google Scholar 

  88. Rubin KR (1990) Osteoporosis in Turner syndrome. In: Rosenfeld RG, Grumbach MM (eds) Turner syndrome. Marcel Dekker, New York, pp 301–317

    Google Scholar 

  89. Santesson B, Book JA, Kjessler B (1973) The mortality of human XO embryos. J Reprod Fertil 34:51–55

    Google Scholar 

  90. Sarto GE, Therman E, Patau K (1973) X inactivation in man: a woman with t(Xq-;12q+). Am J Hum Genet 25:262–270

    Google Scholar 

  91. Schmidt M, Du Sart D (1992) Functional disomies of the X chromosome influence the cell selection and hence the X inactivation pattern in females with balanced X-autosome translocations: a review of 122 cases. Am J Med Genet 42:161–169

    Google Scholar 

  92. Setterfield LA, Mahadevaiah S, Mittwoch U (1988a) Pachytene pairing in relation to sperm and oocyte numbers in a male-fertile reciprocal translocation in the mouse. Cytogenet Cell Genet 49:293–299

    Google Scholar 

  93. Setterfield LA, Mahadevaiah S, Mittwoch U (1988b) Chromosome pairing and germ cell loss in male and female mice carrying a reciprocal translocation. J Reprod Fertil 82:363–379

    Google Scholar 

  94. Shapiro BL (1983) Down syndrome: a disruption of homeostasis. Am J Med Genet 14:241–269

    Google Scholar 

  95. Shepard TH, Fantel AG (1986) Pathogenesis of congenital defects associated with Turner's syndrome: the role of hypoalbuminemia and edema. Acta Endocrinol [Suppl] 279:440–447

    Google Scholar 

  96. Sheridan R, Llerena J Jr, Matkins S, Debenham P, Cawood A, Bobrow M (1989) Fertility in a male with trisomy 21. J Med Genet 26:294–298

    Google Scholar 

  97. Siegel PT, Clopper R, Stabler B (1991) Psychological impact of significantly short stature. Acta Paediatr Scand 377 [Suppl]:14–18

    Google Scholar 

  98. Simpson JL (1990) Localizing ovarian determinants through phenotypic-karyotypic deductions. In: Rosenfeld RG, Grumbach ME (eds) Turner syndrome. Marcel Dekker. New York, pp 65–77

    Google Scholar 

  99. Simpson JL, Lebeau MM (1981) Gonadal and statural determinants of the X chromosome and their relationship to in vitro studies showing prolonged cell cycles in 45. X; 46,X,del(X) (p11); 46,X,del(X)(q13); and 46,X,del(X)(q22) fibroblasts. Am J Obstet Gynecol 141:930–938

    Google Scholar 

  100. Simpson JL, Christakos AC, Horwith M, Silverman FS (1971) Gonadal dysgenesis in individuals with apparently normal chromosomal complements: tabulation of cases and compilation of genetic data. Birth Defects 7:215–228

    Google Scholar 

  101. Sinclair AH, Berta P, Palmer MS, Hawkins JR, Griffiths BL, Smith MJ, Foster JW, Frischauf A-M, Lovell-Badge R, Goodfellow PN (1990) A gene from the human sex-determining region encodes a protein with homology to a conserved DNA-binding motif. Nature 346:240–244

    Google Scholar 

  102. Singh RP (1970) Hygroma of the neck in XO abortuses. Am J Clin Pathol 53:104–107

    Google Scholar 

  103. Singh RP, Carr DH (1966) The anatomy and histology of XO human embryos and fetuses. Anat Rec 155:369–383

    Google Scholar 

  104. Speed RM (1984) Meiotic configurations in female trisomy 21 foetuses. Hum Genet 66:176–180

    Google Scholar 

  105. Speed RM (1986a) Oocyte development in XO foetuses of man and mouse: the possible role of heterologous X-chromosome pairing in germ cell survival. Chromosoma 94:115–124

    Google Scholar 

  106. Speed RM (1986b) Prophase pairing in a mosaic 18p-;iso18q human female foetus studied by surface spreading. Hum Genet 72:256–259

    Google Scholar 

  107. Speed RM (1988) The possible role of meiotic pairing anomalies in the atresia of human fetal oocytes. Hum Genet 78:260–266

    Google Scholar 

  108. Speltz ML, Greenberg MT, Endriga MC, Galbreath H (1994) Developmental approach to the psychology of craniofacial anomalies. Cleft Palate Craniofac J 31:61–67

    Google Scholar 

  109. Tharapel AT, Anderson KP, Simpson JL, Martens PR, Wilroy RS Jr, Llerena JC Jr, Schwartz CE (1993) Deletion (X)(q26. 1→ q28) in a proband and her mother: molecular characterization and phenotypic-karyotypic deductions. Am J Hum Genet 52:463–471

    Google Scholar 

  110. Therman E, Susman B (1990) The similarity of phenotypic effects caused by Xp and Xq deletions in the human female: a hypothesis. Hum Genet 85:175–183

    Google Scholar 

  111. Therman E, Denniston C, Sarto GE, Ulber M (1980) X chromosome constitution and the human female phenotype. Hum Genet 54:133–143

    Google Scholar 

  112. Therman E, Laxova R, Susman B (1990) The critical region on the human Xq. Hum Genet 85:455–461

    Google Scholar 

  113. Underwood LE, Van Wyk JJ (1992) Normal and aberrant growth. In: Wilson JD, Foster DW (eds) Williams textbook of endocrinology, 8th edn. WB Saunders, Philadelphia, pp 1079–1138

    Google Scholar 

  114. Verp MS, Rosinsky B, Beau MM Le, Martin AO, Kaplan R, Wallemark C-B, Otano L, Simpson JL (1988) Growth disadvantage of 45. X and 46,X,del(X)(p11) fibroblasts. Clin Genet 33:277–285

    Google Scholar 

  115. Vittay P, Bosze P, Gaal M, Laszlo J (1980) Lymph vessel defects in patients with ovarian dysgenesis. Clin Genet 18:387–391

    Google Scholar 

  116. Vogel F, Motulsky AG (1986) Human genetics: problems and approaches, 2nd edn. Springer-Verlag, Berlin Heidelberg New York Tokyo

    Google Scholar 

  117. Wallace BMN, Hulten MA (1983) Triple chromosome synapsis in oocytes from a human foetus with trisomy 21. Ann Hum Genet 47:271–276

    Google Scholar 

  118. Wallace BMN, Hulten MA (1985) Meiotic chromosome pairing in the normal human female. Ann Hum Genet 49:215–226

    Google Scholar 

  119. Weil D, Portnoi M-F, Levilliers J, Wang I, Mathieu M, Taillemite J-L, Meiser M, Boudailliez B, Petit C (1993) A 45,X male with an X;Y translocation: implications for the mapping of the genes responsible for Turner syndrome and X-linked chondrodysplasia punctata. Hum Mol Genet 2:1853–1856

    Google Scholar 

  120. Weiss L (1971) Additional evidence of gradual loss of germ cells in the pathogenesis of streak ovaries in Turner's syndrome. J Med Genet 8:540–544

    Google Scholar 

  121. Witt DR, Hoyme HE, Zonana J, Manchester DK, Fryns JP, Stevenson JG, Curry CJR, Hall JG (1987) Lymphedema in Noonan syndrome: clues to pathogenesis and prenatal diagnosis and review of the literature. Am J Med Genet 27:841–856

    Google Scholar 

  122. Zarabi M, Mieckowski GC, Mazer J (1983) Cystic hygroma associated with Noonan's syndrome. J Clin Ultrasound 11:398–400

    Google Scholar 

Appendix: References of karyotype-phenotype correlations

  1. Court-Brown WM et al (1964) Abnormalities of the sex chromosome complement in man. (Medical Research Council, Special Report Series No. 305) John Blackburn, Leeds

    Google Scholar 

  2. Ferguson-Smith MA et al (1964) Cytogenetics 3:355–383

    Google Scholar 

  3. Engle E, Forbes AP (1965) Medicine 44:135–164

    Google Scholar 

  4. Kallio H (1973) Acta Obstet Gynecol Scand [Suppl] 24:1–78

    Google Scholar 

  5. Goldberg MB et al (1968) Am J Med 45:529–543

    Google Scholar 

  6. Jacobs PA et al (1961) Lancet 1:1183–1189

    Google Scholar 

  7. Maclean N et al (1961) Lancet 2:406–408

    Google Scholar 

  8. Stewart JSS (1960) Acta Endocrinol 33:89–102

    Google Scholar 

  9. Lemli L, Smith DW (1963) J Pediatr 63:577–587

    Google Scholar 

  10. Mattevi MS et al (1971) Humangenetik 13:126–143

    Google Scholar 

  11. Greenblatt RB et al (1967) Am J Obstet Gynecol 98:151–172

    Google Scholar 

  12. Chapelle A de la (1962) Acta Endocrinol 25 [Suppl 65]:1–122

    Google Scholar 

  13. Therman E et al (1961) Am J Hum Genet 13:193–204

    Google Scholar 

  14. Rigo S et al (1968) Med J Aust 1:515–519

    Google Scholar 

  15. Groll M, Cooper M (1976) Obstet Gynecol 47:225–226

    Google Scholar 

  16. King CR et al (1978) Obstet Gynecol 52:617–624

    Google Scholar 

  17. Bahner F et al (1960) Acta Endocrinol 35:397–404

    Google Scholar 

  18. Grace HJ et al (1973) Am J Obstet Gynecol 115:279–282

    Google Scholar 

  19. Philip J, Sele V (1976) Acta Obstet Gynecol Scand 55:283–286

    Google Scholar 

  20. Kohn G et al (1980) Am J Med Genet 5:339–343

    Google Scholar 

  21. Sholeir MHK (1978) Birth Defects 14:171–184

    Google Scholar 

  22. Nakashima I, Robinson A (1971) Pediatrics 47:770–773

    Google Scholar 

  23. Lajborek-Czyz I (1976) Clin Genet 9:113–116

    Google Scholar 

  24. Wray HL et al (1981) Fertil Steril 35:509–514

    Google Scholar 

  25. Baudier MM et al (1985) Obstet Gynecol 65 [Suppl]:60–63

    Google Scholar 

  26. Dewhurst J (1981) Br J Obstet Gynecol 88:944–949

    Google Scholar 

  27. German J (1970) Clin Genet 1:15–27

    Google Scholar 

  28. Lindsten J et al (1963) Nature 197:648–649

    Google Scholar 

  29. Carr DH, Barr ML (1963) J Pediatr 62:696–702

    Google Scholar 

  30. Hsu LYF et al (1978) J Med Genet 15:222–226

    Google Scholar 

  31. Summitt RL, Dobbins WT (1965) J Pediatr 67:76–83

    Google Scholar 

  32. Engel E, Forbes AP (1961) Lancet 2:1004–1005

    Google Scholar 

  33. Simpson JL (1975) Birth Defects 11:23–59

    Google Scholar 

  34. Sparkes RS, Motulsky AG (1963) Lancet 1:947

    Google Scholar 

  35. Ree MJ (1965) J Med Genet 2:205–211

    Google Scholar 

  36. Otto PG et al (1981) Hum Genet 57:159–164

    Google Scholar 

  37. Leisti J (1971) Ann Acad Sci Fenn 179:1–69

    Google Scholar 

  38. Priest JH et al (1975) J Med Genet 12:378–389

    Google Scholar 

  39. Senzer N et al (1973) Am J Dis Child 126:312–316

    Google Scholar 

  40. Fujita H et al (1977) Hum Genet 39:147–155

    Google Scholar 

  41. Hodgson S et al (1981) Hum Genet 58:176–178

    Google Scholar 

  42. Daniel A et al (1979) J Med Genet 16:278–284

    Google Scholar 

  43. Fryns JP et al (1983) Clin Genet 24:180–183

    Google Scholar 

  44. Barnabei VM et al (1983) South Med J 76:249–250

    Google Scholar 

  45. Latt SA et al (1976) Chromosoma 57:135–153

    Google Scholar 

  46. Ponzio G et al (1987) Clin Genet 32:20–23

    Google Scholar 

  47. Therman E et al (1974) Am J Hum Genet 26:83–92

    Google Scholar 

  48. Gordon H et al (1979) Videodensitometric analysis of normal and abnormal X chromosomes by computer. In: Vallet HL, Porter JH (eds) Genetic mechanisms of sexual development. Academic Press, New York, pp 331–364

    Google Scholar 

  49. Dewald G et al (1978) Am J Med Genet 1:445–460

    Google Scholar 

  50. Tegenkamp TR et al (1978) Am J Hum Genet 30 [Suppl]:69A

  51. Rivera H et al (1987) Ann Genet 30:98–100

    Google Scholar 

  52. Robertson J et al (1982) J Med Genet 19:463–465

    Google Scholar 

  53. Sarto GE, Therman E (1980) Am J Obstet Gynecol 136:904–911

    Google Scholar 

  54. Disteche C et al (1972) Clin Genet 3:388–395

    Google Scholar 

  55. Ferraro M et al (1980) J Med Genet 17:457–463

    Google Scholar 

  56. Leal-Garza C et al (1986) Arch Invest Med 17:337–346

    Google Scholar 

  57. Smith A et al (1979) Ann Genet 22:143–147

    Google Scholar 

  58. Stoll C et al (1979) Eur J Pediatr 131:141–145

    Google Scholar 

  59. Yu CW et al (1982) Am J Med Genet 11:305–317

    Google Scholar 

  60. Schwanitz G et al (1977) Acta Genet Med Gemellol (Roma) 26:277–281

    Google Scholar 

  61. Fraisse J et al (1975) Ann Genet 18:243–245

    Google Scholar 

  62. Howell RT et al (1976) J Med Genet 13:496–500

    Google Scholar 

  63. Midro AT et al (1988) Clin Genet 34:153–160

    Google Scholar 

  64. Curry CJR et al (1984) N Engl J Med 311:1010–1015

    Google Scholar 

  65. Bick D et al (1989) Am J Med Genet 33:100–107

    Google Scholar 

  66. Meindl A et al (1993) J Med Genet 30:838–842

    CAS  PubMed  Google Scholar 

  67. Bartsch-Sandhoff M et al (1976) Hum Genet 31:263–270

    Google Scholar 

  68. Petrinelli P et al (1978) Hum Genet 45:351–354

    Google Scholar 

  69. Giraud F et al (1974) Arch Fr Pediatr 31:717–724

    Google Scholar 

  70. Thayer BA et al (1987) Am J Hum Genet 41 [Suppl]:A143

    Google Scholar 

  71. Varela M et al (1987) Am J Hum Genet 41 [Suppl]:A144

    Google Scholar 

  72. Kaosaar M, Mikelsaar A-V (1980) Hum Genet 53:275–277

    Google Scholar 

  73. Conte W et al (1988) Am J Hum Genet 43 [Suppl]:A105

    Google Scholar 

  74. Fryns JP et al (1981) Hum Genet 57:385–387

    Google Scholar 

  75. Kalousek D et al (1979) J Pediatr 94:891–894

    Google Scholar 

  76. Massa G et al (1992) Eur J Pediatr 151:893–894

    Google Scholar 

  77. Golob E et al (1967) Dtsch Med Wochenschr 92:71–74

    Google Scholar 

  78. Weed JC (1972) Unusual ovarian development. In: Dougherty CM, Spencer R (eds) Female sex anomalies. Harper and Row, New York, pp 195–204

    Google Scholar 

  79. Kaiser P et al (1976) Hum Genet 32:86–100

    Google Scholar 

  80. Fraccaro M et al (1977) Hum Genet 39:283–292

    Google Scholar 

  81. Boczkowski K et al (1978) Clin Genet 13:409–414

    Google Scholar 

  82. Leichtman DA et al (1978) Ann Intern Med 89:473–476

    Google Scholar 

  83. Barakat BY et al (1979) Am J Obstet Gynecol 133:460–461

    Google Scholar 

  84. Salesses A et al (1981) Ann Endocrinol 42:147–151

    Google Scholar 

  85. Payne DG, Fayez JA (1982) NC Med J 43:287–288

    Google Scholar 

  86. Fitzgerald PH et al (1984) Clin Genet 25:301–309

    Google Scholar 

  87. Palmer CG, Reichmann A (1976) Hum Genet 35:35–49

    Google Scholar 

  88. Ishitobi K et al (1982) Jpn J Intern Med 71:1275–1282

    Google Scholar 

  89. Fujita H (1980) Sex chromosome abnormalities. In: Baba K, Kobayashi N (eds) (Pediatric Mook Series No 11) Congenital malformation syndromes. Kimbara Press, Tokyo, pp 158–165

    Google Scholar 

  90. Bjøro K (1965) Acta Obstet Gynecol Scand 44 [Suppl 4]:1–126

    Google Scholar 

  91. Steinberger E et al (1966) J Med Genet 3:226–229

    Google Scholar 

  92. Tveteras E (1965) Acta Paediatr Scand [Suppl 159]:131–132

  93. Aarskog D (1967) Acta Paediatr Scand [Suppl 177]:69–72

  94. Frantz J, Noel B (1975) Rev Fr Endocrinol Clin 16:445–453

    Google Scholar 

  95. Dzenis IG, Antipina NN (1979) Hum Genet 52:275–279

    Google Scholar 

  96. Bachman R et al (1971) Am J Ment Defic 75:435–441

    Google Scholar 

  97. Anuman-Rajadhon Y, Unakul W (1983) J Med Assoc Thai 66:122–124

    Google Scholar 

  98. Therman E et al (1981) Hum Genet 57:104–107

    Google Scholar 

  99. Lejeune J et al (1966) Ann Genet 9:132–133

    Google Scholar 

  100. Davies JR et al (1976) Clin Genet 10:202–207

    Google Scholar 

  101. Laszlo J, Gaal M (1977) Excerta Med Int Congr Ser 428:187–199

    Google Scholar 

  102. Chapelle A de la et al (1975) Hereditas 80:113–120

    Google Scholar 

  103. Goldman B et al (1982) Clin Genet 21:36–52

    Google Scholar 

  104. Grumbach MM, Conte FA (1992) Disorders of sex differentiation. In: Wilson JD, Foster DW (eds) Williams textbook of endocrinology, 8th edn. WB Saunders, Philadelphia, pp 853–952

    Google Scholar 

  105. Boczkowski K, Mikkelsen M (1973) J Med Genet 10:350–355

    Google Scholar 

  106. Jacobs PA et al (1960) Lancet 1:1213–1216

    Google Scholar 

  107. Baughman FA Jr et al (1968) Am J Obstet Gynecol 102:1065–1069

    Google Scholar 

  108. Weber FM et al (1970) Am J Obstet Gynecol 107:1092–1098

    Google Scholar 

  109. Bocian M et al (1971) J Med Genet 8:358–363

    Google Scholar 

  110. Jenkins MB, O'Rourke WJ (1974) Lancet 1:210

    Google Scholar 

  111. Sarto GE et al (1974) Clin Genet 6:289–293

    Google Scholar 

  112. Therman E et al (1979) Hum Genet 50:59–64

    Google Scholar 

  113. Baue G, Gilgenkrantz S (1976) Gynecologie 27:19–23

    Google Scholar 

  114. Stoll C et al (1973) Lancet 1:436

    Google Scholar 

  115. Wolf U et al (1980) Hum Genet 54:149–154

    Google Scholar 

  116. Srivastava PK et al (1979) South Med J 72:1461–1463

    Google Scholar 

  117. Oishi H et al (1974) Jpn J Hum Genet 19:91–92

    Google Scholar 

  118. Seki T et al (1981) Jpn J Hum Genet 26:307–312

    Google Scholar 

  119. Ishitobi K, Harada Y (1979) Proc Jpn Acad 55:10–14

    Google Scholar 

  120. Brankovic S et al (1979) Hum Genet 48:139–142

    Google Scholar 

  121. Re M et al (1988) Panminerva Med 30:262–265

    Google Scholar 

  122. Lippe BM, Brandall BF (1973) Am J Dis Child 126:222–224

    Google Scholar 

  123. Forabosco A, Dallapiccola B (1974) Lancet 2:403–404

    Google Scholar 

  124. Slater R, Ntuyabaliw WK (1974) Lancet 2:57–58

    Google Scholar 

  125. Skibsted L et al (1984) Hum Genet 67:1–5

    Google Scholar 

  126. Simpson JL, Le Beau MM (1981) Am J Obstet Gynecol 141:930–938

    Google Scholar 

  127. Berghe H van den et al (1973) Humangenetik 20:163–166

    Google Scholar 

  128. Hecht F et al (1970) J Med Genet 7:1–4

    Google Scholar 

  129. Wright EV, Scanion MF (1974) Lancet 1:933

    Google Scholar 

  130. Chapelle A de la, Schroder J (1975) Hereditas 80:137–140

    Google Scholar 

  131. Ruthner U et al (1979) Hum Genet 48:135–137

    Google Scholar 

  132. Wyss D et al (1982) Clin Genet 21:145–159

    Google Scholar 

  133. Mijin K et al (1982) J Med Genet 19:305–306

    Google Scholar 

  134. Kaiser P et al (1984) Clin Genet 26:433–439

    Google Scholar 

  135. Fryns JP et al (1982) Clin Genet 22:76–79

    Google Scholar 

  136. Naguib KK et al (1988) Fertil Steril 49:917–919

    Google Scholar 

  137. Grouchy J de et al (1961) Lancet 2:777–778

    Google Scholar 

  138. Fitch N et al (1982) Am J Obstet Gynecol 142:968–972

    Google Scholar 

  139. Taysi K (1983) Am J Med Genet 14:367–372

    Google Scholar 

  140. Trunca C et al (1984) Hum Genet 68:87–89

    Google Scholar 

  141. Palmer C et al (1973) Am J Hum Genet 25 [Suppl]:57A

  142. Bates A, Howard PJ (1990) J Med Genet 27:722–723

    Google Scholar 

  143. Tharapel AT et al (1993) Am J Hum Genet 52:463–471

    Google Scholar 

  144. Herva R et al (1979) Am J Med Genet 3:43–58

    Google Scholar 

  145. Wilson MG et al (1983) Am J Med Genet 14:567–576

    Google Scholar 

  146. Wells S et al (1991) J Med Genet 28:163–166

    Google Scholar 

  147. Allderdice PW, Eales B (1981) Am J Hum Genet 33 [Suppl]:69A

  148. Krauss CM et al (1987) N Engl J Med 317:125–131

    Google Scholar 

  149. Allderdice PW et al (1978) Am J Med Genet 2:233–240

    Google Scholar 

  150. Pallister PD, Opitz JM (1978) Birth Defects 14:133–146

    Google Scholar 

  151. Festa B et al (1984) Acta Med Auxol 16:205–209

    Google Scholar 

  152. Sarto GE et al (1973) Am J Hum Genet 25:262–270

    Google Scholar 

  153. Gilgenkrantz S et al (1975) Humangenetik 26:25–34

    Google Scholar 

  154. Phelan JP et al (1977) Am J Obstet Gynecol 129:607–613

    Google Scholar 

  155. Opitz JM et al (1978) Birth Defects 14:365–375

    Google Scholar 

  156. Forabosco A et al (1979) Ann Genet 22:11–16

    Google Scholar 

  157. Dorus E et al (1979) Clin Genet 16:253–259

    Google Scholar 

  158. Mijin K et al (1981) Clin Genet 20:403–406

    Google Scholar 

  159. Haseltine FP et al (1982) Am J Med Genet 13:115–123

    Google Scholar 

  160. Van Dyke DL et al (1977) Am J Hum Genet 29 [Suppl]:109A

  161. Rudak E et al (1979) Clin Genet 25:199–200

    Google Scholar 

  162. Barnabei VM et al (1981) Am J Hum Genet 33:61–66

    Google Scholar 

  163. Filippi G et al (1983) J Med Genet 20:467–468

    Google Scholar 

  164. Markovic VD et al (1985) Am J Med Genet 20:87–96

    Google Scholar 

  165. Ji X-W et al (1988) Am J Med Genet 31:783–786

    Google Scholar 

  166. Madan K et al (1981) Hum Genet 59:290–296

    Google Scholar 

  167. Cann HM et al (1975) Am J Hum Genet 27 [Suppl]:23A

  168. Cantu LM et al (1985) Am J Med Genet 20:677–684

    Google Scholar 

  169. Patel U et al (1989) Am J Hum Genet 45 [Suppl]:A86

    Google Scholar 

  170. Mariani R et al (1980) Ann Pediatr 27:129–132

    Google Scholar 

  171. Leddet-Chevallier I et al (1981) Ann Genet 24:162–164

    Google Scholar 

  172. Carpenter NJ et al (1980) J Med Genet 17:216–221

    Google Scholar 

  173. Mattei MG et al (1978) Hum Genet 41:251–257

    Google Scholar 

  174. Dutrillaux B et al (1974) Helv Paediatr Acta [Suppl 34]:19–31

  175. Lucas M, Smithies A (1973) Ann Hum Genet 37:9–12

    Google Scholar 

  176. Yamamoto Y et al (1979) J Med Genet 16:395–399

    Google Scholar 

  177. Sauer F et al (1977) Obstet Gynecol 49:101–104

    Google Scholar 

  178. Pearson PL et al (1978) Cytogenet Cell Genet 22:534–537

    Google Scholar 

  179. Clarke G et al (1964) J Med Genet 1:27–34

    Google Scholar 

  180. Hagen van den CB, Molne K (1978) Clin Gent 13:118

    Google Scholar 

  181. Diedrich U, Hansmann I (1985) Hum Genet 70:281–283

    Google Scholar 

  182. Hodgson SV et al (1986) J Med Genet 23:477–478

    Google Scholar 

  183. Wegner R-D (1982) Hum Genet 61:79

    Google Scholar 

  184. Mann JD, Higgins J (1974) Am J Hum Genet 26:416

    Google Scholar 

  185. Mann JD et al (1965) Am J Hum Genet 17:377–383

    Google Scholar 

  186. Latt SA et al (1976) Chromosoma 57:135–153

    Google Scholar 

  187. Sujansky E et al (1973) Pediatr Res 7:343

    Google Scholar 

  188. Powell CM et al (1993) Am J Hum Genet 53 [Suppl]:No 1215

  189. Keitges EA, Palmer CG (1982) Am J Hum Genet 34 [Suppl]:131A

  190. Pearson PL et al (1974) Birth Defects 10:136–142

    Google Scholar 

  191. Kleczkowska A et al (1985) Clin Genet 27:147–152

    Google Scholar 

  192. Hagemeijer A et al (1977) Cytogenet Cell Genet 18:333–348

    Google Scholar 

  193. Biemont MC et al (1978) Ann Genet 21:133–141

    Google Scholar 

  194. Buckton KE et al (1971) Ann Hum Genet 35:171–178

    Google Scholar 

  195. Garcia-Sagredo JM et al (1984) Clin Genet 26:117–124

    Google Scholar 

  196. Garcia JE et al (1977) J Hered 68:75–80

    Google Scholar 

  197. Thorrburn MJ et al (1970) J Med Genet 7:402–406

    Google Scholar 

  198. Leisti JT et al (1975) Am J Hum Genet 27:441–453

    Google Scholar 

  199. Gardner HA et al (1983) Am J Med Genet 14:647–656

    Google Scholar 

  200. Rivera H et al (1986) Clin Genet 29:425–428

    Google Scholar 

  201. Turleau C et al (1977) Hum Genet 37:97–104

    Google Scholar 

  202. Couturier J et al (1979) Hum Genet 49:319–326

    Google Scholar 

  203. Cervenka J et al (1976) Hum Genet 34:1–7

    Google Scholar 

  204. Summit RL et al (1974) J Pediatr 84:539–546

    Google Scholar 

  205. Francke U et al (1976) Somat Cell Genet 2:27–40

    Google Scholar 

  206. Patracchini P et al (1989) Hum Genet 83:264–266

    Google Scholar 

  207. Mashkova MV, Verlinskaya DK (1976) Tsitologiia 18:901–905

    Google Scholar 

  208. Buhler EM et al (1977) Nature 265:142–144

    Google Scholar 

  209. Waters JJ et al (1990) Am J Med Genet 36:310–312

    Google Scholar 

  210. Dutrillaux B et al (1972) CR Acad Sci III 274:3324–3327

    Google Scholar 

  211. Gaal M, Laszlo J (1977) Hum Hered 27:396–402

    Google Scholar 

  212. Nikolis J, Stolevic E (1978) Hum Genet 45:115–122

    Google Scholar 

  213. Kristensen H et al (1975) Humangenetik 26:133–138

    Google Scholar 

  214. Mohandas T et al (1986) Am J Hum Genet 39 [Suppl]:A126

    Google Scholar 

  215. McLaughlin CJ et al (1987) Am J Hum Genet 41 [Suppl]:A133

    Google Scholar 

  216. Shabtai F et al (1983) Clin Genet 23:234–235

    Google Scholar 

  217. Duckett DP, Young ID (1988) Hum Genet 79:251–254

    Google Scholar 

  218. Keitges EA et al (1982) Hum Genet 62:210–213

    Google Scholar 

  219. Buckton KE et al (1981) Ann Hum Genet 45:159–168

    Google Scholar 

  220. Soler A et al (1981) Clin Genet 20:234–235

    Google Scholar 

  221. Neu RL et al (1988) J Med Genet 25:52–60

    Google Scholar 

  222. Maeda T et al (1979) Clin Genet 15:259–266

    Google Scholar 

  223. Evans MI et al (1980) Clin Genet 18:30–33

    Google Scholar 

  224. Cerrillo M, Varela M (1986) Am J Hum Genet 39 [Suppl]:A108

    Google Scholar 

  225. Blagowidow N et al (1989) Am J Med Genet 34:159–162

    Google Scholar 

  226. Rosenfeld RG et al (1979) Am J Hum Genet 31:458–468

    Google Scholar 

  227. Magenis RE et al (1984) J Pediatr 105:916–919

    Google Scholar 

  228. Disteche CM et al (1986) Proc Natl Acad Sci USA 83:7841–7844

    Google Scholar 

  229. Cantrell MA et al (1989) Hum Genet 83:88–92

    Google Scholar 

  230. Levilliers J et al (1989) Proc Natl Acad Sci USA 86:2296–2300

    Google Scholar 

  231. Muller U et al (1992) Hum Genet 90:239–242

    Google Scholar 

  232. Ogata T et al (1993) J Med Genet 30:918–922

    Google Scholar 

  233. Rivera H et al (1988) Ann Genet 31:244–246

    Google Scholar 

  234. McElreavy K et al (1992) Proc Natl Acad Sci USA 89:11016–11020

    Google Scholar 

  235. Muller J et al 81992) J Clin Endocrinol Metab 75:331–333

  236. Zeng V et al (1993) J Med Genet 30:655–657

    Google Scholar 

  237. McElreavy K et al (1992) Genomics 13:838–840

    Google Scholar 

  238. Vilain E et al (1993) Differentiation 52:151–159

    Google Scholar 

  239. Affara N et al (1993) Hum Mol Genet 2:785–789

    Google Scholar 

  240. Vilain K et al (1992) Am J Hum Genet 50:1008–1011

    Google Scholar 

  241. Jager RJ et al (1990) Nature 348:452–454

    Google Scholar 

  242. Hawkins JR et al (1992) Hum Genet 88:471–474

    Google Scholar 

  243. Hawkins JR et al (1992) Am J Hum Genet 51:979–984

    Google Scholar 

  244. Jager RJ et al (1992) Hum Genet 90:350–355

    Google Scholar 

  245. Fraser JH et al (1960) Lancet 2:626–627

    Google Scholar 

  246. Carli de L et al (1960) Lancet 2:130–131

    Google Scholar 

  247. Jacobs PA et al (1959) Lancet 2:423–425

    Google Scholar 

  248. Stewart JSS, Sanderson AR (1960) Lancet 2:21–23

    Google Scholar 

  249. Sandberg AA et al (1960) JAMA 174:221–225

    Google Scholar 

  250. Harnden DG et al (1960) Lancet 1:1213–1216

    Google Scholar 

  251. Johnston AW et al (1961) BMJ 2:1046–1052

    Google Scholar 

  252. Maclean N et al (1962) Lancet 1:293–296

    Google Scholar 

  253. Close HG (1963) Lancet 2:1358–1359

    Google Scholar 

  254. Barr ML et al (1969) Can Med Assoc J 101:247–258

    Google Scholar 

  255. Newton MS et al (1972) Clin Genet 3:215–225

    Google Scholar 

  256. Singer J et al (1972) J Med Genet 9:238–239

    Google Scholar 

  257. Guzman-Toledano R et al (1976) J Med Genet 13:516–517

    Google Scholar 

  258. Fryns JP et al (1983) Clin Genet 23:341–349

    Google Scholar 

  259. Spear GS, Porto M (1988) Am J Med Genet 29:511–515

    Google Scholar 

  260. Hood OJ et al (1990) Am J Med Genet 36:73–75

    Google Scholar 

  261. Tanner JM et al (1966) Arch Dis Child 41:454–471 (part I) and 41:613–635 (part II)

    Google Scholar 

  262. Hamill PV et al (1977) Vital Health Stat [11] 165:1–74

    Google Scholar 

  263. Twisselmann F (1969) Development biometrique de l'enfant a l'adulte. Presses Universitaires de Bruxelles, Bruxelles

    Google Scholar 

  264. Sempe M et al (1979) Auxologie: methode et sequences. Theraplix, Paris

    Google Scholar 

  265. Prader A et al (1989) Helf Paediatr Acta 52 [Suppl]:1–125

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ogata, T., Matsuo, N. Turner syndrome and female sex chromosome aberrations: deduction of the principal factors involved in the development of clinical features. Hum Genet 95, 607–629 (1995). https://doi.org/10.1007/BF00209476

Download citation

  • Received:

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00209476

Keywords

Navigation