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Mucopolysaccharidoses
Arthur B. Meyers, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Mucopolysaccharidosis/mucopolysaccharidoses: MPS
              • MPS I-H: Hurler syndrome
              • MPS I-S: Scheie syndrome
              • MPS I-H/S: Hurler-Scheie syndrome
              • MPS II: Hunter syndrome
              • MPS III: Sanfilippo syndrome
              • MPS IV: Morquio syndrome
              • MPS V: Nonexistent, now classified as MPS I-S
              • MPS VI: Maroteaux-Lamy syndrome
              • MPS VII: Sly syndrome or β-glucuronidase deficiency
              • MPS VIII: Nonexistent
              • MPS IX: Natowicz syndrome or Hyaluronidase deficiency
            • Definitions

              • Heterogeneous group of lysosomal storage diseases due to deficiency of glycosaminoglycan (GAG)-degrading enzymes
                • GAGs were formerly called mucopolysaccharides
              • Dysostosis multiplex (DM): Constellation of bone dysplasia features seen variably in MPS
              • DM group: Includes all storage diseases that lead to skeletal dysplasia
                • MPS, mucolipidoses, others (Gaucher, Niemann-Pick, gangliosidosis, fucosidosis, mannosidosis, sialidosis)

            IMAGING

            • Radiographic Findings

              • Other Modality Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Reporting Tips

                                Selected References

                                1. Kubaski F et al: Mucopolysaccharidosis type I. Diagnostics (Basel). 10(3), 2020
                                2. Reichert R et al: Neuroimaging findings in patients with mucopolysaccharidosis: what you really need to know. Radiographics. 36(5):1448-62, 2016
                                3. Palmucci S et al: Imaging findings of mucopolysaccharidoses: a pictorial review. Insights Imaging. 4(4):443-59, 2013
                                4. Muenzer J: Overview of the mucopolysaccharidoses. Rheumatology (Oxford). 50 Suppl 5:v4-12, 2011
                                5. Rasalkar DD et al: Pictorial review of mucopolysaccharidosis with emphasis on MRI features of brain and spine. Br J Radiol. 84(1001):469-77, 2011
                                6. Aliabadi H et al: Clinical outcome of cerebrospinal fluid shunting for communicating hydrocephalus in mucopolysaccharidoses I, II, and III: a retrospective analysis of 13 patients. Neurosurgery. 67(6):1476-81; discussion 1481-2, 2010
                                7. Li MF et al: Atlantoaxial instability and cervical cord compression in Morquio syndrome. Arch Neurol. 67(12):1530, 2010
                                8. Morini SR et al: Mucopolysaccharidosis type II: skeletal-muscle system involvement. J Pediatr Orthop B. 19(4):313-7, 2010
                                9. Aldenhoven M et al: Musculoskeletal manifestations of lysosomal storage disorders. Ann Rheum Dis. 68(11):1659-65, 2009
                                10. Muenzer J et al: Mucopolysaccharidosis I: management and treatment guidelines. Pediatrics. 123(1):19-29, 2009
                                11. Borowski A et al: The use of computed tomography to assess acetabular morphology in Morquio-Brailsford syndrome. J Pediatr Orthop. 27(8):893-7, 2007
                                12. Lachman RS: Taybi & Lachman's Radiology of Syndromes, Metabolic Disorders, & Skeletal Dysplasias. 5th ed. Mosby, 2007
                                13. Manger B et al: Rheumatologic aspects of lysosomal storage diseases. Clin Rheumatol. 26(3):335-41, 2007
                                14. Muenzer J et al: Advances in the treatment of mucopolysaccharidosis type I. N Engl J Med. 350(19):1932-4, 2004
                                15. Muenzer J: The mucopolysaccharidoses: a heterogeneous group of disorders with variable pediatric presentations. J Pediatr. 144(5 Suppl):S27-34, 2004
                                16. Kachur E et al: Mucopolysaccharidoses and spinal cord compression: case report and review of the literature with implications of bone marrow transplantation. Neurosurgery. 47(1):223-8; discussion 228-9, 2000
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Mucopolysaccharidosis/mucopolysaccharidoses: MPS
                                            • MPS I-H: Hurler syndrome
                                            • MPS I-S: Scheie syndrome
                                            • MPS I-H/S: Hurler-Scheie syndrome
                                            • MPS II: Hunter syndrome
                                            • MPS III: Sanfilippo syndrome
                                            • MPS IV: Morquio syndrome
                                            • MPS V: Nonexistent, now classified as MPS I-S
                                            • MPS VI: Maroteaux-Lamy syndrome
                                            • MPS VII: Sly syndrome or β-glucuronidase deficiency
                                            • MPS VIII: Nonexistent
                                            • MPS IX: Natowicz syndrome or Hyaluronidase deficiency
                                          • Definitions

                                            • Heterogeneous group of lysosomal storage diseases due to deficiency of glycosaminoglycan (GAG)-degrading enzymes
                                              • GAGs were formerly called mucopolysaccharides
                                            • Dysostosis multiplex (DM): Constellation of bone dysplasia features seen variably in MPS
                                            • DM group: Includes all storage diseases that lead to skeletal dysplasia
                                              • MPS, mucolipidoses, others (Gaucher, Niemann-Pick, gangliosidosis, fucosidosis, mannosidosis, sialidosis)

                                          IMAGING

                                          • Radiographic Findings

                                            • Other Modality Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Reporting Tips

                                                              Selected References

                                                              1. Kubaski F et al: Mucopolysaccharidosis type I. Diagnostics (Basel). 10(3), 2020
                                                              2. Reichert R et al: Neuroimaging findings in patients with mucopolysaccharidosis: what you really need to know. Radiographics. 36(5):1448-62, 2016
                                                              3. Palmucci S et al: Imaging findings of mucopolysaccharidoses: a pictorial review. Insights Imaging. 4(4):443-59, 2013
                                                              4. Muenzer J: Overview of the mucopolysaccharidoses. Rheumatology (Oxford). 50 Suppl 5:v4-12, 2011
                                                              5. Rasalkar DD et al: Pictorial review of mucopolysaccharidosis with emphasis on MRI features of brain and spine. Br J Radiol. 84(1001):469-77, 2011
                                                              6. Aliabadi H et al: Clinical outcome of cerebrospinal fluid shunting for communicating hydrocephalus in mucopolysaccharidoses I, II, and III: a retrospective analysis of 13 patients. Neurosurgery. 67(6):1476-81; discussion 1481-2, 2010
                                                              7. Li MF et al: Atlantoaxial instability and cervical cord compression in Morquio syndrome. Arch Neurol. 67(12):1530, 2010
                                                              8. Morini SR et al: Mucopolysaccharidosis type II: skeletal-muscle system involvement. J Pediatr Orthop B. 19(4):313-7, 2010
                                                              9. Aldenhoven M et al: Musculoskeletal manifestations of lysosomal storage disorders. Ann Rheum Dis. 68(11):1659-65, 2009
                                                              10. Muenzer J et al: Mucopolysaccharidosis I: management and treatment guidelines. Pediatrics. 123(1):19-29, 2009
                                                              11. Borowski A et al: The use of computed tomography to assess acetabular morphology in Morquio-Brailsford syndrome. J Pediatr Orthop. 27(8):893-7, 2007
                                                              12. Lachman RS: Taybi & Lachman's Radiology of Syndromes, Metabolic Disorders, & Skeletal Dysplasias. 5th ed. Mosby, 2007
                                                              13. Manger B et al: Rheumatologic aspects of lysosomal storage diseases. Clin Rheumatol. 26(3):335-41, 2007
                                                              14. Muenzer J et al: Advances in the treatment of mucopolysaccharidosis type I. N Engl J Med. 350(19):1932-4, 2004
                                                              15. Muenzer J: The mucopolysaccharidoses: a heterogeneous group of disorders with variable pediatric presentations. J Pediatr. 144(5 Suppl):S27-34, 2004
                                                              16. Kachur E et al: Mucopolysaccharidoses and spinal cord compression: case report and review of the literature with implications of bone marrow transplantation. Neurosurgery. 47(1):223-8; discussion 228-9, 2000