Document Detail


Hurler syndrome with special reference to histologic abnormalities of the growth plate.
MedLine Citation:
PMID:  1907534     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hurler syndrome is a mucopolysaccharide disorder resulting from an heritable deficiency in alpha-L-iduronidase, an enzyme required in the catabolism of heparan sulfate and dermatan sulfate glycosaminoglycan (GAGs). The resultant intracellular accumulation of GAG leads to disruption of the intracellular and extracellular environment and dysfunction of multiple organ systems. Among the most noted manifestations of this disease is disproportionate short trunk dwarfism, which develops during the first years of life. Histochemical and electron-microscopic observations on a 30-month-old child with Hurler syndrome showed marked irregularities in chondrocyte orientation within the growth plate, along with disruption of the normal columnar architecture. Vacuolization with enlargement of the cellular border was the characteristic ultrastructural finding. An heritable abnormality in the enzymatic degradation of structural glycosaminoglycans leads to profound disruption of the normal mechanisms of growth and development.
Authors:
C P Silveri; F S Kaplan; M D Fallon; E Bayever; C S August
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-09-09     Completed Date:  1991-09-09     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  305-11     Citation Subset:  AIM; IM    
Affiliation:
University of Pennsylvania School of Medicine, Philadelphia.
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MeSH Terms
Descriptor/Qualifier:
Cartilage / cytology
Female
Growth Plate / cytology,  pathology*,  ultrastructure
Humans
Infant
Mucopolysaccharidosis I / pathology*
Grant Support
ID/Acronym/Agency:
RR00240/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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