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A case of mucopolysaccharidoses type I with heart involvement during infancy

S Demirsoy1, K Gücüyener, R Olguntürk

  • 1Department of Pediatrics, Gazi University Faculty of Medicine, Ankara.

Insights

Mucopolysaccharidoses I (MPS I) can cause severe cardiac issues, even in infants. This case highlights early-onset cardiac failure in MPS I, leading to rapid deterioration and death.

Area of Science:

  • Pediatric Cardiology
  • Rare Genetic Disorders
  • Metabolic Diseases

Background:

  • Mucopolysaccharidoses I (MPS I) is a rare lysosomal storage disorder.
  • Typically, MPS I symptoms manifest after the first year of life.
  • Cardiac involvement is a known, but often later, complication of MPS I.

Observation:

  • A case of MPS I presented with severe cardiac involvement.
  • Cardiac failure was observed in the third month of life.
  • This early presentation is atypical for MPS I.

Findings:

  • Diagnosis was confirmed through clinical and laboratory findings.
  • The infant experienced rapid cardiac decompensation.
  • The patient succumbed to cardiac failure within one month of presentation.

Implications:

  • This case underscores the potential for severe, early-onset cardiac manifestations in MPS I.
  • Highlights the importance of considering MPS I in neonates with unexplained cardiac failure.
  • Suggests the need for earlier diagnostic considerations in specific pediatric cardiac emergencies.

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