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Fluid-Filled Pterygium Colli (XO Turner's Syndrome)

Walter A. Sunderland, MD
Am J Dis Child. 1970;119(4):352-353. doi:10.1001/archpedi.1970.02100050354015.
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Pterygium colli is a classic feature of patients with Turner's syndrome and, at birth, is often associated with the presence of peripheral edema. Rarely the pterygium appears fluid-filled. Origin of the fluid and neck webbing is uncertain. The following is a report of a brief study of the pterygial fluid from an infant with Turner's syndrome.

Report of a Case  A baby girl was referred at 5 days age for treatment of a fluid-filled sac on her occiput and nuchal area which was thought to be a cervical meningomyelocele.Physical examination revealed the following: The body length was 35.5 cm (1 ft 2 inches); weight, 2,350 gm (5 lb 3 oz); head circumference, 33 cm; and systolic blood pressure, 65 mm Hg. There was a 9 X 6 cm hairy sac on her occiput and cervical spine (Fig 1). No bony abnormalities were palpable in the calvarium. The sac did


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