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Table 1 Medical history, laboratory data and clinical manifestations of 24 patients with MPS IVA in Taiwan

From: Natural history and clinical assessment of Taiwanese patients with mucopolysaccharidosis IVA

Patient

Gender

Age (yr)

Age at onset of symptoms (yr)

Age at diagnosis (yr)

Initial symptoms

Leukocye GALNS activity (μmol/g protein/hr)a

Urinary GAG (μg/mg Creatinine)b

Height (z score)

Weight (z score)

BMI (z score)

Ambulatory status

6-MWT (m)

3-MSCT (stairs/min)

Visual acuity right/left eye

Age of passed away (yr)

Cause of death

1

M

1.4

0.5

1

gibbus, kyphosis

0.03

519.1

-0.54

0.00

0.46

Walking

NA

NA

NA

  

2

M

2.7

0.5

1.2

kyphosis

0.1

220.4

-2.25

-0.93

-0.42

Walking

NA

NA

NA

  

3

M

5.3

0.4

1

gibbus

0.04

NA

-3.84

-2.54

-1.34

Wheelchair bound

NA

NA

NA

6.8

Atlantoaxial subluxation with spinal cord compression

4

F

5.8

0.3

3.5

pigeon chest, gibbus

0.77

NA

-3.84

-2.00

1.66

Walking

183.9

37

0.6/0.6

  

5

F

7.2

2.4

2.5

chest cage deformity

0.51

445.6

-4.00

-1.56

0.51

Walking

219.3

15

0.2/0.3

  

6

M

7.3

1

2.5

pigeon chest

0.3

218.5

-6.96

-1.53

2.64

Walking

225.9

28

0.4/0.4

  

7

F

7.6

1.7

6.5

pigeon chest

0.09

191.5

-2.68

-1.28

-0.14

Walking

360

55

0.4/0.4

  

8

F

7.7

2

8

kyphosis, chest cage deformity

0.4

228.5

-5.63

-2.18

0.29

Bedridden

NA

NA

NA

10.1

Unknown

9

M

9.6

0.5

5

spinal deformity, pigeon chest

0.5

NA

-6.98

-2.39

-0.47

Wheelchair bound

NA

NA

NA

10.8

Unknown

10

M

12.1

2.1

9

kyphosis, pigeon chest

0.043

251.1

-1.18

-0.78

-0.42

Wheelchair bound

NA

NA

0.6/0.6

19.4

Airway impairment

11

F

12.6

4

4

kyphosis

0.3

203.6

-4.35

-2.02

-0.85

Walking

125.7

15

1.0/1.0

  

12

M

13.2

1.5

10

kyphosis, chest cage deformity

0.6

332.5

-7.35

-2.94

-1.35

Bedridden

NA

NA

NA

16.8

Unknown

13

F

13.6

3

3.1

kyphosis

0.3

333.6

-11.28

-3.25

0.05

Walking

495.9

48

0.3/0.4

  

14

M

13.9

4.5

5

kyphosis, chest cage deformity

0.3

251.1

-9.20

-2.99

-0.53

Walking

147

24

NA

  

15

F

14.7

4

4.3

kyphosis, chest cage deformity

0.07

323.0

-10.36

-3.67

-0.89

Bedridden

NA

NA

0.3/0.4

  

16

F

14.8

0.4

0.4

kyphosis, chest cage deformity

0.1

179.4

-12.25

-3.49

0.11

Walking

140.7

37

0.3/0.9

  

17

F

15.1

0.5

15

pigeon chest, prominent joints

0.7

451.3

-10.23

-3.13

-0.15

Bedridden

NA

NA

NA

  

18

M

15.8

0.6

5

kyphosis

0.5

NA

-9.66

-3.24

-1.25

Wheelchair bound

NA

NA

0.5/0.6

  

19

F

15.8

5.2

6

kyphosis, chest cage deformity

0.4

333.6

-12.27

-3.93

0.03

Walking

360

19

0.5/0.4

  

20

F

16.6

3

6.6

short stature, knocked knees

0.172

222.8

-12.36

-4.06

-0.74

Wheelchair bound

NA

NA

NA

20.0

Airway impairment

21

F

16.8

1

1.5

kyphosis

0.3

NA

-10.45

-3.07

0.48

Walking

72.9

27

0.6/1.0

  

22

F

18.4

4

14

kyphosis, chest cage deformity

0.5

NA

-10.66

-3.94

-0.66

Wheelchair bound

NA

NA

NA

23.1

Unknown

23

M

25.7

0.5

4.5

kyphosis

0.4

118.6

-10.46

-2.96

0.16

Walking

256.5

37

0.5/0.1

  

24

M

29.4

4

17

joint contracture except small joints

0.11

103.6

-11.54

-3.16

0.31

Wheelchair bound

NA

NA

NA

30.3

Airway impairment

 

Mean

12.6

2.0

5.7

 

0.3

273.8

-7.51

-2.54

-0.10

 

235.3

31.0

 

17.2

 
 

SD

6.6

1.6

4.5

 

0.2

113.6

3.86

1.09

0.91

 

125.5

13.0

 

7.7

 
  1. aNormal value: 5.9-27.8 nmol/h/mg protein.
  2. bNormal values are age dependent: 1-3 years, 20.0-110.5; 3-5 years, 10.7-112.0; >5 years, 10.8-77.5.
  3. GALNS, N-acetylgalactosamine-6-sulfate sulfatase; GAG, glycosaminoglycan; z score, standard deviation score; BMI, body mass index; 6-MWT, 6-minute walk test; 3-MSCT 3-minute stair climb test.