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MUCOPOLYSACCHARIDOSIS I-H; HURLER SYNDROME (MPS1-H)

MUCOPOLYSACCHARIDOSIS I-H; HURLER SYNDROME (MPS1-H)
MPS1-H
607014
OMIM = Online Mendelian Inheritance of Men
93473
Alpha-L-iduronidase
3.2.1.76
4p16.3
E76.0
rare (1:100.000)
autosomal recessive
Laboratory findings    alpha-Iduronidase dec (fibroblasts)
    Dermatan sulfate inc (urine)
    Heparan sulfate inc (urine)
    Mucopolysaccharides inc (urine)
Symptoms  flat depressed nasal bridge (saddle nose)
  mongolian spots
   behavior, abnormal or bizarre, confusion
   cardiomyopathy
   coarse facial features
   contractures, joints
   corneal clouding
   dysostosis multiplex
   glaucoma
   hearing defect, deafness
   hepatomegaly (large liver)
   hydrocephalus
   macrocephaly (large calvaria, >2 SD for age)
   mental retardation
   normal at birth
   obstructive airway disease
   otitis media, recurrent
   seizures
   splenomegaly (large spleen)
   swallowing difficulties
   Teeth: generalized defect or abnormalities
    blindness, visual loss, visual impairment
    cardiomyopathy, dilated
    corneal deposits
    diarrhea
    dysmorphism
    hirsutism
    hydrops fetalis
    hypertrichosis
    infections (severe or recurrent)
    inguinal hernia
    joint stiffness
    macroglossia, large/protuding tongue
    motor retardation
    onset, childhood
    short stature
    umbilical hernia