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Table 4 Characteristics of the entire group of MPS I patients at the first visit to a medical specialist for an MPS I-related symptom as specified for the MPS I Hurler and non-Hurler patients

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

First visit to a medical specialist

 

All MPS I

Hurler

Non-Hurler

Number of patients

29

20

9

Age at first visit (months)

 Median

4

3

12

 Range

0 – 54

0 – 20

0 – 54

Specialism of 1st referral

Nr.

%

Nr.

%

Nr.

%

 Ear, nose, and throat specialist

3

10%

2

10%

1

11%

 General pediatrician

20

69%

14

70%

6

67%

 Orthopedic surgeon

2

7%

1

5%

1

11%

 Pediatric surgeon

3

10%

2

10%

1

11%

 Pediatric cardiologist

1

3%

1

5%

0

0%

Symptom leading to 1st referral

Nr.

%

Nr.

%

Nr.

%

 Recurrent airway infections

7

24%

5

25%

2

22%

 Upper airway obstruction

3

10%

2

10%

1

11%

 Inguinal/umbilical hernia

4

14%

3

15%

1

11%

 Hydrocephalus

2

7%

1

5%

1

11%

 Hepatosplenomegaly

1

3%

1

5%

0

0%

 Kyphosis/hip dysplasia

3

10%

2

10%

1

11%

 Joint stiffness

1

3%

0

0%

1

11%

 Facial features

4

14%

4

20%

0

0%

 Hearing problems

1

3%

1

5%

0

0%

 Growth delay

2

7%

1

5%

1

11%

 Developmental delay

1

3%

0

0%

1

11%

Other MPS I-related

symptoms at 1st referral

Nr.

%

Nr.

%

Nr.

%

 Recurrent airway infections

7

24%

4

20%

3

33%

 Upper airway obstruction

10

34%

9

45%

1

5%

 Inguinal/umbilical hernia

8

28%

6

30%

2

10%

 Hydrocephalus

2

7%

2

10%

0

0%

 Hepatosplenomegaly

2

7%

1

5%

1

5%

 Joint stiffness

3

10%

2

10%

1

11%

 Facial features

4

14%

2

10%

2

10%

 Hearing problems

6

21%

4

20%

2

10%

 Vision problems

1

3%

0

0%

1

5%

 Developmental delay

5

5%

2

10%

3

15%

 Growth delay

1

3%

0

0%

1

5%

  1. The sums of the percentages of each item may not equal 100% because the percentages represent rounded values