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Original Article
Brief Report
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Volume 335:1029-1033 October 3, 1996 Number 14
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Clinical and Biochemical Manifestations of Hyaluronidase Deficiency
Marvin R. Natowicz, M.D., Ph.D., M. Priscilla Short, M.D., Yu Wang, G. Richard Dickersin, M.D., Mark C. Gebhardt, M.D., Daniel I. Rosenthal, M.D., Katherine B. Sims, M.D., and Andrew E. Rosenberg, M.D.

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The mucopolysaccharidoses are lysosomal storage disorders caused by a genetic deficiency of enzymes that catalyze the degradation of glycosaminoglycans (mucopolysaccharides). These disorders are clinically variable and commonly associated with mental retardation, short stature, coarse facial features, organomegaly, and an accumulation of glycosaminoglycans in tissues.

Hyaluronan (hyaluronic acid) is one of the major glycosaminoglycans and has a vital role in many physiologic processes.1,2,3,4 Genetic deficiencies of most of the lysosomal enzymes that catalyze the degradation of glycosaminoglycans have been identified, with the exception of hyaluronidase, a lysosomal endoglycosidase that catalyzes the degradation of hyaluronan.5,6,7 We describe the clinical, pathological, and biochemical . . . [Full Text of this Article]

Case Report

Radiographic Findings

Methods

Histochemical and Electron-Microscopical Analyses

Biochemical Studies

Results

Histologic and Electron-Microscopical Findings

Biochemical Findings

Discussion


Source Information

From the Division of Medical Genetics, Shriver Center for Mental Retardation, Waltham, Mass. (M.R.N., Y.W.); and the Departments of Neurology (M.R.N., M.P.S., K.B.S.), Pathology (M.R.N., M.P.S., G.R.D., A.E.R.), Radiology (D.I.R.), and Orthopedic Surgery (M.C.G.), Massachusetts General Hospital, Boston.

Address reprint requests to Dr. Natowicz at the Division of Medical Genetics, Shriver Center for Mental Retardation, 200 Trapelo Rd., Waltham, MA 02254.

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