Turner's syndrome : a psychiatric-psychological study of 45 women with Turner's syndrome, compared with their sisters and women with normal karyotypes, growth retardation, and primary amenorrhoea / by Johannes Nielsen, Helmuth Nyborg, and Gudrun Dahl.

  • Nielsen, Johannes, 1924 June 19-
Date:
1977
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: Turner's syndrome : a psychiatric-psychological study of 45 women with Turner's syndrome, compared with their sisters and women with normal karyotypes, growth retardation, and primary amenorrhoea / by Johannes Nielsen, Helmuth Nyborg, and Gudrun Dahl. Source: Wellcome Collection.

    108/112 (page 106)
    At the age of 45 she developed diabetes mellitus, and she has been treated with insulin since then, her diabetes is well regulated. At the age of 50 she was described as friendly and obliging. She might, however, occasionally get angry, scolding and gesticulating. At the age of 60 she is described as quite isolated from the other patients, she does not talk to them very much, and she may occasionally appear hallucinated. Physical examination shows a 125 cm tall woman with pterygium colli, cubitus valgus, hypoplastic mammae and no pubic hair. The diagnoses at the institution for the mentally retarded are: Moderate mental retardation (IQ 50), diabetes mellitus and Turner's syndrome. No. 67, a 69-year-old single patient with karyotype 45,XI46,XXI47,XXX. Height: 147 cm The father, who was an artist, was 40 years old, and the mother was 32 years old when the patient was born. She is an only child. A maternal cousin has a mentally retarded daughter. Very little is known about the patient's childhood and parents. Her childhood development, physically and mentally, was retarded. She began walking at 3, and she was not able to speak in sentences till the age of 4. She went to an ordinary school, but had great difficulties in learning to read and write. She was referred to an institution for the mentally retarded at the age of 22. She was placed in family care under this institution till the age of 39, and she has lived at the institution since that age. Intelligence testing with Brejning III at the age of 39 showed an IQ of 59. During the first years at the institution for the mentally retarded, she was described as having a good and stable mood. She got along well with the other patients, and she was able to take care of herself. She was not interested in any occupation. She was described as easy to get along with, but stubborn. At the age of 63 she was described as having good contact with the other patients, she was eager to visit friends, she kept in touch with her relatives and visited them occasionally. She played with dolls, and she liked to cut out pictures from magazines and look through illustrated papers and weeklies. She suffered from nocturnal enuresis till around the age of 50. At the age of 53 she was treated for a duodenal ulcer, and at the age of 51 she had what was considered a small brain haemorrhage which left her with a left-sided facial paralysis, difficulties in speech and decreased strength in her left extremities. One year later she got a similar fit. Physical examination at the age of 63 showed a 147 cm tall woman, weighing 75 kg. She had a sinistroconvex scoliosis. Neurological examination showed a left-sided Babinski and some spasticity. There were no Turner signs, except for short stature, and menstruation continued till the age of 51. The diagnosis at the institution for the mentally retarded is: Moderate mental retardation. 106