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Published on: June 14, 2016
A rare case of mucopolysaccharidosis: hunter syndrome
Jayaprasad Anekar1, Deepa Narayanan C2, Raj A C3
1Professor and Head, Department of Oral Medicine and Radiology, KVG Dental College and Hospital , Sullia, Karnataka, India .
Abstract:
Hunter syndrome, or mucopolysaccharidosis type II (MPS II), is a member of a group of inherited metabolic disorders together termed mucopolysaccharidosis (MPSs). It is a rare, X-linked disorder caused by a deficiency of the lysosomal enzyme iduronate-2-sulfatase. The prevalence of this syndrome is 1:100,000 births. Insufficient enzyme activity results in accumulation of glycosaminoglycans (GAGS) in the lysosomes of various tissues and organs and leading to progressive multisystem pathologies. Here, we report a case of 13-year-old boy who presented with typical facial, skeletal and dental features without corneal clouding. It is possible that thorough and systematic clinical and radiological examination alone can help in diagnosis of this complex disorder.
Insights
Hunter syndrome (MPS II) is a rare X-linked disorder caused by enzyme deficiency, leading to GAG accumulation. A case highlights typical features without corneal clouding, suggesting clinical exams can aid diagnosis.
Area of Science:
- Genetics
- Biochemistry
- Pediatrics
Background:
- Hunter syndrome (mucopolysaccharidosis type II) is a rare X-linked inherited metabolic disorder.
- It results from a deficiency in the lysosomal enzyme iduronate-2-sulfatase.
- The condition affects approximately 1 in 100,000 births, leading to progressive multisystem pathologies due to glycosaminoglycan accumulation.
Observation:
- A case study of a 13-year-old boy with Hunter syndrome is presented.
- The patient exhibited characteristic facial, skeletal, and dental features.
- Notably, corneal clouding, often associated with MPS II, was absent in this case.
Findings:
- The case demonstrates that typical clinical manifestations of Hunter syndrome can occur without corneal involvement.
- Systematic clinical and radiological examinations are crucial for diagnosing this complex disorder.
- The absence of corneal clouding in a patient with other hallmark features warrants further investigation into diagnostic criteria.
Implications:
- This case suggests that diagnostic approaches for Hunter syndrome may need to consider variations in clinical presentation.
- Enhanced clinical and radiological assessments can potentially lead to earlier diagnosis, even in atypical cases.
- Further research into the spectrum of Hunter syndrome presentations is warranted to refine diagnostic strategies.
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