RT Journal Article T1 Clinical course of sly syndrome (mucopolysaccharidosis type VII). A1 Montaño, Adriana M A1 Lock-Hock, Ngu A1 Steiner, Robert D A1 Graham, Brett H A1 Szlago, Marina A1 Greenstein, Robert A1 Pineda, Mercedes A1 Gonzalez-Meneses, Antonio A1 Çoker, Mahmut A1 Bartholomew, Dennis A1 Sands, Mark S A1 Wang, Raymond A1 Giugliani, Roberto A1 Macaya, Alfons A1 Pastores, Gregory A1 Ketko, Anastasia K A1 Ezgü, Fatih A1 Tanaka, Akemi A1 Arash, Laila A1 Beck, Michael A1 Falk, Rena E A1 Bhattacharya, Kaustuv A1 Franco, José A1 White, Klane K A1 Mitchell, Grant A A1 Cimbalistiene, Loreta A1 Holtz, Max A1 Sly, William S K1 Clinical genetics K1 Genetics K1 Metabolic disorders AB Mucopolysaccharidosis VII (MPS VII) is an ultra-rare disease characterised by the deficiency of β-glucuronidase (GUS). Patients' phenotypes vary from severe forms with hydrops fetalis, skeletal dysplasia and mental retardation to milder forms with fewer manifestations and mild skeletal abnormalities. Accurate assessments on the frequency and clinical characteristics of the disease have been scarce. The aim of this study was to collect such data. We have conducted a survey of physicians to document the medical history of patients with MPS VII. The survey included anonymous information on patient demographics, family history, mode of diagnosis, age of onset, signs and symptoms, severity, management, clinical features and natural progression of the disease. We collected information on 56 patients from 11 countries. Patients with MPS VII were classified based on their phenotype into three different groups: (1) neonatal non-immune hydrops fetalis (NIHF) (n=10), (2) Infantile or adolescent form with history of hydrops fetalis (n=13) and (3) Infantile or adolescent form without known hydrops fetalis (n=33). Thirteen patients with MPS VII who had the infantile form with history of hydrops fetalis and survived childhood, had a wide range of clinical manifestations from mild to severe. Five patients underwent bone marrow transplantation and one patient underwent enzyme replacement therapy with recombinant human GUS. MPS VII is a pan-ethnic inherited lysosomal storage disease with considerable phenotypical heterogeneity. Most patients have short stature, skeletal dysplasia, hepatosplenomegaly, hernias, cardiac involvement, pulmonary insufficiency and cognitive impairment. In these respects it resembles MPS I and MPS II. In MPS VII, however, one unique and distinguishing clinical feature is the unexpectedly high proportion of patients (41%) that had a history of NIHF. Presence of NIHF does not, by itself, predict the eventual severity of the clinical course, if the patient survives infancy. YR 2016 FD 2016-02-23 LK http://hdl.handle.net/10668/9860 UL http://hdl.handle.net/10668/9860 LA en DS RISalud RD Apr 7, 2025