Turner Syndrome GH Monitoring — RACP Paediatrics MCQ

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ModerateEndocrinologyTurner Syndrome GH MonitoringRACP Paediatrics

A child with Turner syndrome (45,X) is started on growth hormone therapy. What additional monitoring is specifically required?

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Correct answer: B — Scoliosis screening, cardiac surveillance (aortic root monitoring), glucose tolerance, and hearing

Turner syndrome GH therapy requires monitoring of: scoliosis (GH can worsen), aortic root dimensions (risk of dilatation/dissection), glucose tolerance (GH can impair), thyroid function (autoimmune thyroiditis common in Turner), and hearing. Oestrogen replacement for puberty induction typically begins at age 11-12 years.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Turner Syndrome