International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064


Downloads: 176

Case Studies | Pediatrics | India | Volume 8 Issue 8, August 2019


A Case Report of Mucopolysaccharidoses Type 4 (Morquio Syndrome)

K. Lakshmisindhu, B. Anjaiah


Abstract: Mucopolysaccharidosis are group of autosomal recessive metabolic disorders caused by a deficiency of the lysosomal enzymes needed to degrade glycosaminoglycans (GAGs) like heparin sulfate, dermatan sulfate and keratin sulfate. Incidence: 3.5-4.5 in 100, 000 births. Here we report a case of 7 year old female child born to a 3rd degree consanguinous couple presented with symptoms suggestive of cardiac failure and delayed milestones. On examination child had coarse facial features, megalocornea, short stature, joint stiffness, kyphoscoliosis, absent vaginal orifice. X ray features: rotational instability of atlantoaxial joint, scoliosis of dorsolumbar spine, anterior beaking of vertebral bodies, bullet shaped metacarpals and cardiomegaly.2D Echo shows mitral valve prolapse and severe Mitral Regurgitation. Usg Abdomen-normal. Urinary glycosaminoglycans reports are positive. Enzymatic analysis revealed low levels of glucose 6 phosphatase. Child is on treatment with digoxin, enalapril and furosemide. Haemotopoeitic stem cell transplantation and enzyme replacement therapy are other treatment options. Reconstructive vaginoplasty was advised


Keywords: mucopolysaccharidoses, Dysostosis multiplex, Enzyme therapy


Edition: Volume 8 Issue 8, August 2019,


Pages: 81 - 82


How to Cite this Article?

K. Lakshmisindhu, B. Anjaiah, "A Case Report of Mucopolysaccharidoses Type 4 (Morquio Syndrome)", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=ART2020133, Volume 8 Issue 8, August 2019, 81 - 82

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