Lysomale Speichererkankung

The Dwarf Pony

Mucopolysaccharidosis Type IVA

In mucopolysaccharidosis type IVA (MPS IVA, Morquio disease A, deficiency of the enzyme Acetylgalactosamine-6-Sulfatase) and type IVB (MPS IVB, Morquio disease B, deficiency of Beta-Galactosidase) predominantly the skeletal system is affected: Severe deformities of the spine, thorax and extremities result in disproportionate short stature, in severe cases the final height is about 120 cm. However, patients with a normal height have been described, too. Further characteristic features include joint laxity, instability oft the cranio-cervical junction, leading to paraplegia, corneal clouding and hearing problems. The intelligence is normal.

Mucopolysaccharidosis Type IVA | SphinCS - Clinical Science for LSD

Synonym: Morquio A syndrome
Etiology: Deficiency of N-acetyl-galactosamin-6-sulfate-sulfatase
Gene: GALNS Gene
Mode of inheritance: Autosomal recessive
Leading symptoms:

  • Skeletal abnormalities: dysostosis multiplex, dysproportioned dwarfism, cyphosis, pectus carinatum, genu valgum
  • Overly flexible joints
  • Respiratory problems
  • Hearing impairment

Diagnostics:

  • Measurement of the activity of N-acetyl-galactosamin-6-sulfate-sulfatase
  • Molecular genetic analysis of GALNS Gene

Therapy:
Elosulfase alfa (Vimizim®)

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