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Type

IH
IH/S
IS

II

IIIA
IIIB

Common name
Hurler syndrome
HurlerScheie
syndrome
Scheie syndrome

Gene

IDUA

Locus

4p16.3

Deficient enzyme

-L-iduronidase

GAG

Symptoms

HS
DS

Mental retardation, micrognathia, coarse


facial features, macroglossia, retinal
degeneration, corneal clouding,
cardiomyopathy, hepatosplenomegaly

HS
DS

Mental retardation (similar, but milder,


symptoms to MPS I). This type
exceptionally has X-linked recessive
inheritance

HS

Developmental delay, severe


hyperactivity, spasticity, motor
dysfunction, death by the second decade

KS
CS
KS

Severe skeletal dysplasia, short stature,


motor dysfunction

Mucopolysaccharidosis V

Hunter syndrome
Sanfilippo syndrome A
Sulfamidase deficiency

Sanfilippo syndrome B
NAGLU deficiency

IDS

Xq28

Iduronate sulfatase

SGSH

17q25.3

Heparan sulfamidase

NAGLU

17q21.2

N-acetylglucosaminidase

IIIC

Sanfilippo syndrome C

HGSNAT

8p11.21

IIID

Sanfilippo syndrome D

GNS

12q14.3

Heparan--glucosaminide Nacetyltransferase
N-acetylglucosamine 6-sulfatase

IVA

Morquio syndrome A

GALNS

16q24.3

Galactose-6-sulfate sulfatase

IVB

Morquio syndrome B
MaroteauxLamy
syndrome

GLB1

3p22.3

-galactosidase

5q14.1

N-acetylgalactosamine-4sulfatase

DS

VI

ARSB

ARSB deficiency

VII

IX

Sly syndrome
GUSB deficiency

Natowicz syndrome
Hyaluronidase deficiency

GUSB

7q11.21

-glucuronidase

HS
DS
CS

HYAL1

3p21.31

Hyaluronidase

HA

Severe skeletal dysplasia, short stature,


motor dysfunction, kyphosis, heart
defects
Hepatomegaly, skeletal dysplasia, short
stature, corneal clouding, developmental
delay
Nodular soft-tissue masses around joints,
episodes of painful swelling of the
masses, short-term pain, mild facial
changes, short stature

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