PMC7784211_01
PMC7784211_02
On physical examination, the patient has (A) short stature, alopecia and underdeveloped secondary sexual characteristics and (B) a wide carrying angle or cubitus valgus.
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Her arm span was 139 cm (Figure 1A), and her body mass index (BMI) was 20.67 kg/m2. On physical examination, there was alopecia (Figure 1A) and wide carrying angle or cubitus valgus of the elbows (Figure 1B).
PMC7784211_03
Transrectal ultrasound revealed (A) infantile uterus (red arrow) and (B) non-visualized ovaries.
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Transrectal ultrasound showed a thin endometrium with minimal hydrometra, an infantile uterus measuring 3.6 x 1.6 x 0.8 cm and absent ovaries (Figure 2).
Radiograph of the left wrist revealed non-fusion of epiphyseal plates (yellow arrowheads) with bone aging for female of 13 years old by Greulich and Pyle standards.
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Radiograph of the left wrist revealed non-fusion of epiphyseal plates with bone aging for female of 13 years old by Greulich and Pyle standards (Figure 3).
Cytogenetic analysis showing the (A) first cell line with loss of one X chromosome, resulting in monosomy X, while (B) the second cell line with an isochromosome of the long arm of X chromosome.
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The first cell line, seen in 37 cells, showed loss of one X chromosome, resulting in monosomy X (Figure 4A). The remaining 13 cells showed an isochromosome of the long arm of the X chromosome (Figure 4B).
Ultrasound of the abdomen revealed presence of normal left (A) and right (B) kidneys.
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Ultrasound of the kidneys was unremarkable (Figure 5).