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Hurler
Syndrome
Abhishek Jha
Definition
 Also known as mucopolysaccharidosis type I (MPS
I).
An autosomal recessive inherited disease.
Cause by deficiency of alpha-L iduronidase,
an enzyme responsible for the degradation
of mucopolysaccharides in lysosomes.
Prevalence
Hurler syndrome has an overall frequency of 1 per
100,000
Newborn infants with this defect appear normal at
birth.
By the end of the first year, signs of impending's
problem begin to develop.
Parent of children MPS I carry a defective IDUA gene,
which has been mapped to the 4p16.3 site on
chromosome 4.

Symptoms
Slow development in children occur.
Coarse, thick facial features
Prominent dark eyebrows
Progressive stiffness in joints
Mental retardation
Umbilical hernia
Deafness
Shortness in breath
Abnormal bones of spine and claw hand
Full lips with a thick , large tongue.
Increased body hair
Diagnosis
Diagnosis often can be made through clinical
examination and urine tests.
 Enzyme assays
Amniocentesis and chorionic villus sampling can
verify if a fetus either carries a copy of the
defective gene.
Genetic counseling
Treatment
Enzyme replacement therapies are currently in use.
Gene therapy also considering nowadays.
Bone marrow transplantation (BMT) and umbilical
cord blood transplantation (UCBT) can be used as
treatments for MPS.
There is no cure for MPS I.
References
Hurler syndrome

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Hurler syndrome

  • 2. Definition  Also known as mucopolysaccharidosis type I (MPS I). An autosomal recessive inherited disease. Cause by deficiency of alpha-L iduronidase, an enzyme responsible for the degradation of mucopolysaccharides in lysosomes.
  • 3.
  • 4. Prevalence Hurler syndrome has an overall frequency of 1 per 100,000 Newborn infants with this defect appear normal at birth. By the end of the first year, signs of impending's problem begin to develop.
  • 5. Parent of children MPS I carry a defective IDUA gene, which has been mapped to the 4p16.3 site on chromosome 4. 
  • 6. Symptoms Slow development in children occur. Coarse, thick facial features Prominent dark eyebrows Progressive stiffness in joints Mental retardation
  • 7. Umbilical hernia Deafness Shortness in breath Abnormal bones of spine and claw hand Full lips with a thick , large tongue. Increased body hair
  • 8. Diagnosis Diagnosis often can be made through clinical examination and urine tests.  Enzyme assays Amniocentesis and chorionic villus sampling can verify if a fetus either carries a copy of the defective gene. Genetic counseling
  • 9. Treatment Enzyme replacement therapies are currently in use. Gene therapy also considering nowadays. Bone marrow transplantation (BMT) and umbilical cord blood transplantation (UCBT) can be used as treatments for MPS. There is no cure for MPS I.