Cystic hygroma vs webbing of the neck - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 07-12-2011
USMLE Forums Addict
 
Steps History: Not yet
Posts: 103
Threads: 46
Thanked 171 Times in 48 Posts
Reputation: 181
Question Cystic hygroma vs webbing of the neck

In goljan audios, he said that webbing of the neck associated with Turner's is caused by cystic hygroma. In DIT lectures they said that cystic hygroma can occur in Turner's but is not the cause of the webbing of neck. So who is correct?
Reply With Quote Quick reply to this message



  #2  
Old 07-12-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 46
Threads: 3
Thanked 34 Times in 20 Posts
Reputation: 44
Default

Here is a passage out of Robbin & Cotran:

'The most severely affected patients generally present during infancy with oedema of the dorsum of the hand and foot due to lymph stasis, and sometimes swelling of the nape of the neck. The latter is related to markedly distended lymphatic channels, producing a so-called cystic hygroma.'
Reply With Quote Quick reply to this message
  #3  
Old 07-12-2011
Hope2Pass's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,684
Threads: 213
Thanked 1,590 Times in 660 Posts
Reputation: 1600
Default

A cystic hygroma is caused by lymphadenopathy & edema in infancy in Turner Syndrome pts. Webbing of the neck is seen in adults who have Turner syndrome. Most infants with turner syndrome die shortly after birth.
Reply With Quote Quick reply to this message
  #4  
Old 07-12-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 46
Threads: 3
Thanked 34 Times in 20 Posts
Reputation: 44
Default

According to my copy of Harrison's Internal Medicine:

'It [Turner's Syndrome] affects ~1 in 2500 women and is diagnosed at different ages depending on the dominant clinical features.'

The first 2 clinical features they listed for 'Infancy' are lymphedema and web neck.

I am still looking for a reference regarding infants dying after birth.
Reply With Quote Quick reply to this message
  #5  
Old 07-13-2011
Hope2Pass's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,684
Threads: 213
Thanked 1,590 Times in 660 Posts
Reputation: 1600
Default

Quote:
Originally Posted by ALittleTeaPot View Post
According to my copy of Harrison's Internal Medicine:

'It [Turner's Syndrome] affects ~1 in 2500 women and is diagnosed at different ages depending on the dominant clinical features.'

The first 2 clinical features they listed for 'Infancy' are lymphedema and web neck.

I am still looking for a reference regarding infants dying after birth.
Heres a link - http://en.wikipedia.org/wiki/Turner_...e#Epidemiology

I know its on wikipedia but its a from a sited source! If you go to Epidemiology, it states that -

"Approximately 99 percent of all fetuses with Turner syndrome result in spontaneous termination during the first trimester.[29] Turner syndrome accounts for about 10 percent of the total number of spontaneous abortions in the United States.[citation needed] The incidence of Turner syndrome in live female births is believed to be around 1 in 2000.[3]"

That is the same as what was described in a UW explanation! I guess it results more in spontaneous termination during pregnancy than death in infancy. The only explanation I found for death in infancy was congenital heart abnormalities like Coarctation of Aorta that can result in death!
Reply With Quote Quick reply to this message



Reply

Tags
Pathology-, Syndromes-Acronyms

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
3-year-old child with cystic fibrosis sam01 USMLE Step 1 Forum 4 07-15-2012 04:13 AM
All tests negative for Cystic Fibrosis! saintdizzy USMLE Step 1 Forum 9 07-11-2011 08:23 AM
Infertility in cystic fibrosis Androide89 USMLE Step 1 Forum 2 06-23-2010 05:02 PM
Delta F508 Cystic Fibrosis Mutation Firas USMLE Step 1 Forum 4 12-11-2009 09:43 AM
The Neck Triangles lee-usmle USMLE Step 1 Bits & Pieces 2 09-21-2009 07:55 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)