Abstract:Turner's syndromeis a condition involving total or partial absence of one X chromosomeand has been associated with a number of diseases including non insulin dependent diabetes mellitus, abnormalities of glucose metabolism and hypothreosis. There have been manycase reports in which Turner's syndrome is associated with type 2 diabetes, but the association with type 1 diabetes and/or life threatening complications is very rare. Wepresent an unusual case of a patient with Turner's syndrome whohas type 1 diabetes … Show more
“…Noninsulin dependent diabetes, and less commonly insulin dependent diabetes, is associated with Turner's syndrome. This syndrome has many associated autoimmune diseases and it is not clear whether or not insulin resistance, via an autoimmune function, is the main reason for the increased prevalence for diabetes (Conway, 2002; Gonc, Ozon, Alikasifoglu, & Kandemir, 2002; Gravholt, 2001; Terano et al, 2001). Klinefelter syndrome is another sex chromosome abnormality associated with ID and diabetes in which the mechanism is also thought to be due to insulin resistance.…”
Section: Rare Syndromes With Risk Factors For Arteriosclerosismentioning
Coronary artery disease is a leading cause of death among the aging members of the general population. Treatment strategies addressing the well defined risk factors and genetic factors and which prevent and reduce arterial vascular disease have been established. As in the general population, the prevalence of coronary artery disease also increases with age among adults with intellectual disability (ID), presumably due to the same risk factors. Within the ID population, however, there is a subgroup of individuals with ID due to rare syndromes who are predisposed to premature arteriosclerosis. Hypertension, diabetes mellitus, obesity, hyperhomocysteinemia, and structural arterial abnormalities appear to be associated with these syndromes predisposing them to the early development of widespread vascular disease. Reviewed are the associations between the development of premature arteriosclerosis and rare syndromes of ID. Awareness of the associations may lead to the development of more focused preventive healthcare plans among these groups of individuals.
“…Noninsulin dependent diabetes, and less commonly insulin dependent diabetes, is associated with Turner's syndrome. This syndrome has many associated autoimmune diseases and it is not clear whether or not insulin resistance, via an autoimmune function, is the main reason for the increased prevalence for diabetes (Conway, 2002; Gonc, Ozon, Alikasifoglu, & Kandemir, 2002; Gravholt, 2001; Terano et al, 2001). Klinefelter syndrome is another sex chromosome abnormality associated with ID and diabetes in which the mechanism is also thought to be due to insulin resistance.…”
Section: Rare Syndromes With Risk Factors For Arteriosclerosismentioning
Coronary artery disease is a leading cause of death among the aging members of the general population. Treatment strategies addressing the well defined risk factors and genetic factors and which prevent and reduce arterial vascular disease have been established. As in the general population, the prevalence of coronary artery disease also increases with age among adults with intellectual disability (ID), presumably due to the same risk factors. Within the ID population, however, there is a subgroup of individuals with ID due to rare syndromes who are predisposed to premature arteriosclerosis. Hypertension, diabetes mellitus, obesity, hyperhomocysteinemia, and structural arterial abnormalities appear to be associated with these syndromes predisposing them to the early development of widespread vascular disease. Reviewed are the associations between the development of premature arteriosclerosis and rare syndromes of ID. Awareness of the associations may lead to the development of more focused preventive healthcare plans among these groups of individuals.
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