Main clinical features
|
striking osseous and corneal changes (like those of MPS I) without intellectual impairment until late, only (or predominantly) chondroitin sulfate B excretion in the urine
severity variable, but usually include short stature, hepatosplenomegaly, dysostosis multiplex, stiff joints, corneal clouding, cardiac abnormalities, and facial dysmorphism
classic form has severe physical changes, including hydrocephalus due to meningeal involvement, leading to death in the teens as a rule
the mildest form characterized by short stature, corneal clouding, Legg-Perthes-like disease of the hips, and aortic stenosis
azurophilic cytoplasmic inclusions in polymorphonuclear leukocytes, increased urinary excretion of chondroitin sulfate, fibroblasts had only 2 to 3p100 residual arylsulfatase B activity |