Document Detail


Bony changes in common mucopolysaccharidoses.
MedLine Citation:
PMID:  8755171     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To evaluate the radiological features of mucopolysaccharidoses (MPS), 15 cases were collected for review in this hospital, retrospectively (1985-1995). Eight cases of Hurler syndrome, two cases of Hunter syndrome, two cases of Sanfilippo syndrome and three cases of Morquio syndrome were classified. Varying severity of dysostosis multiplex is the general bony manifestation of MPS, but special appearance may occur in particular types. Hurler syndrome is the prototype of MPS. The main findings were as follows: "J" shaped sella turcica, paddle-like ribs, anterior inferior beaking (hook-like) of lower thoracic-upper lumbar hypoplastic vertebral bodies, flared iliac wings, constrictive iliac bodies, diaphyseal expansion of long bones, distal ulna and radius tilt toward each other, bullet-like proximal phalanges and central pointing of proximal metacarpals. Hunter and Sanfilippo syndromes had the appearance of moderate to mild dysostosis multiplex. Morquio syndrome had distinctive bony changes as vertebral plana and tongue-like protrusion in the anterior part of the lower thoracic-upper lumbar vertebral bodies, particularly short of the distal deformed ulna and poor ossification of the proximal lateral tibial epiphyses. Although clinical presentations and the hallmarks of bony changes helped possible classification of MPS, definite diagnosis depends on enzyme analysis.
Authors:
S J Chen; Y W Li; T R Wang; J C Hsu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Zhonghua Minguo xiao er ke yi xue hui za zhi [Journal]. Zhonghua Minguo xiao er ke yi xue hui     Volume:  37     ISSN:  0001-6578     ISO Abbreviation:  Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi     Publication Date:    1996 May-Jun
Date Detail:
Created Date:  1996-09-17     Completed Date:  1996-09-17     Revised Date:  2008-02-12    
Medline Journal Info:
Nlm Unique ID:  16210470R     Medline TA:  Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  178-84     Citation Subset:  IM    
Affiliation:
Department of Medical Imaging, National Taiwan University Hospital, Taipei, R.O.C.
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MeSH Terms
Descriptor/Qualifier:
Bone and Bones / radiography*
Child
Child, Preschool
Dysostoses / etiology,  radiography
Female
Humans
Infant
Male
Mucopolysaccharidoses / complications,  radiography*
Mucopolysaccharidosis I / radiography
Mucopolysaccharidosis II / radiography
Mucopolysaccharidosis III / radiography
Retrospective Studies

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