Morquio syndrome E76.2

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Morbus Morquio; Morquio-Brailsford disease; Morquio disease

History
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Morquio, 1929; Brailsford, 1929

Definition
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Storage disease belonging to the hereditary mucopolysaccharidoses.

Occurrence/Epidemiology
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  • Incidence (M. Morquio): 1/40.000-200.000 inhabitants/year.
  • Incidence (all mucopolysaccharidoses): 3-4/100,000 inhabitants/year.

Etiopathogenesis
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Autosomal recessively inherited mutations of the genes for galactosamine-6-sulfate sulfatase (M. Morquio type A; gene locus; 16q24.3) or beta-galactosidase (M. Morquio type B) Both enzyme defects cause the lysosomal storage of keratan sulfate or chondroitin sulfate e.g. in connective tissue cells, but not in the brain.

Manifestation
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Occurring in infancy, no sex preference.

Clinical features
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Disproportionate short stature, pigeon breast, knock-knees, fine corneal opacity, enamel defects, skeletal dysplasia with platyspondylia, coxa valga, shortening of all tubular bones. Normal intelligence!

Laboratory
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Increased excretion of keratan sulfate in children.

Literature
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  1. Brailsford JF (1929) Chondro-osteo-dystrophy. Roentgenopgraphic & clinical features of a child with dislocation of vertebrae. At J Surgery (New York) 7: 404-410
  2. Brailsford JF (1931) Chondro-osteo-dystrophy. Roentgenopgraphic & clinical features of a child with dislocation of vertebrae. Br J Radiol (London) 4: 83-89
  3. Gosele S et al (2000) Late diagnosis of Morquio syndrome. Clinical histopathological findings in a rare mucopolysaccharidosis. Clin monthly ophthalmology 217: 114-117
  4. Montano AM et al (2003) Mucopolysaccharidosis IVA: characterization of a common mutation found in Finnish patients with attenuated phenotype. Hum Genet 113: 162-169
  5. Morquio L (1929) Sur une forme de dystrophie osseuse familiale. Archives de médecine des enfants (Paris) 32: 129-135
  6. Morquio L (1929) Sur une forme de dystrophie osseuse familiale. Bulletin of the Société de pédiatrie de Paris 27: 145-152
  7. Ransford AO et al (1996) Occipito-atlanto-axial fusion in Morquio-Brailsford syndrome. A ten-year experience. J Bone Joint Surg Br 78: 307-313
  8. Walker PP et al (2003) Upper airways abnormalities and tracheal problems in Morquio's disease. Chest 58: 458-459

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020