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Table 4 Studies reporting distribution of MLD clinical subtypes in diagnosed MLD cases

From: A systematic review on the birth prevalence of metachromatic leukodystrophy

Reference/study design (qualitya)

Country/ies

Sample size

Distribution of MLD clinical subtype

Europe

Heim et al. [38]/cross-sectional (moderate)

Germany

125

• Late-infantile: 39.2% (n = 49)

• Juvenile: 32.0% (n = 40)

• Adult: 17.6% (n = 22)

• Unspecified: 10.4% (n = 13)

Remaining case (n = 1) was MLD‑MSD

Poorthuis et al. [34]/retrospective cohort (good)

Netherlands

103

• Late-infantile: 27.2% (n = 28)

• Juvenile: 39.8% (n = 41)

• Adult: 22.3% (n = 23)

• Unspecified: 10.7% (n = 11)

Kehrer et al. [12]/prospective cohort (moderate)

Germany

97

• Late-infantile: 36.1% (n = 35)

• Juvenile: 57.7% (n = 56)

    – Early-juvenile: 32.1% (n = 18)

    – Late-juvenile: 67.8% (n = 38)

• Adult: 6.2% (n = 6)

Polten et al. [45]/cross-sectional (moderate)

Germany

68

• Late-infantile: 42.6% (n = 29)

• Juvenile: 38.2% (n = 26)

• Adult: 16.2% (n = 11)

• Unspecified: 2.9% (n = 2)

Beerepoot et al. [9]/retrospective cohort (moderate)

Netherlands

67

• Late-infantile: 16.4% (n = 11)

• Juvenile: 58.2% (n = 39)

    – Early-juvenile: 35.9% (n = 14)

    – Late-juvenile: 64.1% (n = 25)

• Adult: 25.4% (n = 17)

Ługowska et al. [40]/cross-sectional (moderate)

Poland

43

• Late-infantile: 32.6% (n = 14)

• Juvenile: 41.9% (n = 18)

    – Early-juvenile: 61.1% (n = 11)

    – Late-juvenile: 38.9% (n = 7)

• Adult: 25.6% (n = 11)

Berger et al. [35]/cross-sectional (moderate)

Austria, Croatia, Germany and Poland

27

Based on a total of 25 unrelated patients

• Late-infantile: 28.0% (n = 7)

• Juvenile: 52.0% (n = 13)

• Adult: 20.0% (n = 5)

Biffi et al. [52]/prospective cohort (low)

Italy

26

• Late-infantile: 61.5% (n = 16)

• Juvenile: 34.6% (n = 9)

    – Early-juvenile: 77.8% (n = 7)

    – Late-juvenile: 22.2% (n = 2)

• Adult: 3.8% (n = 1)

Poupětová et al. [46]/retrospective cohort (moderate)

Czech Republic

25

• Late-infantile: 52.0% (n = 13)

• Juvenile: 20.0% (n = 5)

• Adult: 28.0% (n = 7)

Pinto et al. [44]/retrospective cohort (moderate)

Portugal

21

• Late-infantile: 52.4% (n = 11)

• Juvenile: 14.3% (n = 3)

• Adult: 33.3% (n = 7)

Barth et al. [51]/prospective cohort (low)

UK

17

• Late-infantile: 52.9% (n = 9)

• Juvenile: 35.3% (n = 6)

• Adult: 11.8% (n = 2)

North America

Bascou et al. [26]b/prospective cohort

USA

122

• Late-infantile: 63%

• Juvenile: 31%

    – Early-juvenile: 64.5%

    – Late-juvenile: 35.5%

• Adult: 6%

Asia–Pacific

Narayanan et al. [42]/cross-sectional (moderate)

India

41

• Late-infantile: 80.5% (n = 33)

• Juvenile: 14.6% (n = 6)

• Adult: 4.9% (n = 2)

Lomash et al. [27]b/prospective cohort

India

22

n numbers not reported for breakdown

Koto et al. [39]/cross-sectional (moderate)

Japan

24

• Late-infantile: 62.5% (n = 15)

• Adult: 8.3% (n = 2)

• Unknown: 29.2% (n = 7)

Hettiarachchi et al. [53]/prospective cohort (low)

Sri Lanka

20

• Late-infantile: 35.0% (n = 7)

• Juvenile: 15.0% (n = 3)

    – Early-juvenile: 33.3% (n = 1)

    – Late-juvenile: 66.7% (n = 2)

• Adult: 50.0% (n = 10)

Shukla et al. [47]/cross-sectional (moderate)

India

20

• Late-infantile: 55.0% (n = 11)

• Juvenile: 25.0% (n = 5)

    – Early-juvenile: 80.0% (n = 4)

    – Late-juvenile: 20.0% (n = 1)

• Adult: 0.0% (n = 0)

• Asymptomaticc: 20.0% (n = 4)

South America

Virgens et al. [49]/retrospective cohort (moderate)

Brazil

27

Middle East

Mahdieh et al. [54]/retrospective cohort (low)

Iran

19

• Late-infantile: 36.8% (n = 7)

• Juvenile: 63.1% (n = 12)

    – Early-juvenile: 66.7% (n = 8)

    – Late-juvenile: 33.3% (n = 4)

• Adult: 0.0% (n = 0)

Al-Hassnan et al. [50]/retrospective cohort (low)

Saudi Arabia

16

  1. MLD metachromatic leukodystrophy; MLD-MSD MLD-multiple sulfatase deficiency
  2. aBased on the JBI checklist. Good methodological quality: 7–9 items met on the JBI checklist; moderate methodological quality: 4–6 items met on the JBI checklist; low methodological quality: 0–3 items met on the JBI checklist
  3. bReported as a conference abstract; insufficient information available for assessment of methodological quality
  4. cPatients with positive family history and deficient ASA activity