case_images: PMC7784211_01
case_images: PMC7784211_02
case_images: 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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case_images: 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).
case_images: PMC7784211_03
case_images: Transrectal ultrasound revealed (A) infantile uterus (red arrow) and (B) non-visualized ovaries.
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case_images: 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).
case_images: 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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case_images: PMC7784211_03_JAFES-34-2-220-g003.jpg
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case_images: 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).
case_images: 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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case_images: 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).
case_images: Ultrasound of the abdomen revealed presence of normal left (A) and right (B) kidneys.
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case_images: Ultrasound of the kidneys was unremarkable (Figure 5).