Main clinical features
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mental retardation, short stature, 'coarse' facial appearance, cloudy cornea, hepatosplenomegaly, skeletal involvement and recurrent infections
increased excretion of urinary chondroitin sulfate A/C and decreased levels of beta-glucuronidase activity
hydrops fetalis is a common presentation of beta-glucuronidase deficiency
atypical morphology of the epithelial basement membrane and Bowman's layer, keratocytes are packed with cytoplasmic vacuoles containing abnormal glycosaminoglycan material, and collagen fibrils are thinner than in normal cornea (PMID:21743015)) |