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Table 2 Disease-related symptoms for MPS I and MPS III

From: Failure to shorten the diagnostic delay in two ultra-orphan diseases (mucopolysaccharidosis types I and III): potential causes and implications

Disease-related symptoms

Mucopolysaccharidosis type I

Mucopolysaccharidosis type III

Hernias

• Inguinal hernia

• Umbilical hernia

Developmental delay or decline

• Neurocognitive functions

• Motor functions

Ear, nose, throat problems

• Frequent upper airway infections

• Obstructive sleep apneas or excessive snoring during sleep

• Tympanostomy tubes

• Adenoidectomy

• Tonsillectomy

Behavioral problems

• Hyperactivity/restlessness

• Aggression

• Anxiety

• Autistic behaviors

• Other

Gastro-intestinal problems

• Hepatosplenomegaly

Dysmorphic features

• Coarse facial features

• Coarse hair

• Hirsutism

• Other

Cardiac problems

• Cardiomyopathy

• Valvular dysfunction

Skeletal and joint problems

• Joint stiffness

• Skeletal deformities

• Kyphosis

• Hip dysplasia

• Bullet shaped metacarpals

• Stunted growth of the long bones

• Broad oar shaped ribs

• Short stature

• Carpal tunnel syndrome

• Trigger fingers

• Tendon shortening

• Early arthrosis

Ear, nose, throat problems

• Frequent upper airway infections

• Frequent ear infections

• Hearing problems

• Tympanostomy tubes

• Adenoidectomy

• Tonsillectomy

Gastro-intestinal problems

• Frequent diarrhea

• Hepatomegaly

• Other

Hydrocephalus

Sleeping problems

Corneal clouding

Seizures

Dysmorphic features

• Frontal bossing

• Depressed nasal bridge

• Full lips

• Macroglossia

Hernias

• Inguinal hernia

• Umbilical hernia

Developmental delay