Mucopolysaccharidosis type VII (Sly syndrome) presenting as neonatal cholestasis with hepatosplenomegaly.

P. Gillett,R. Schreiber,G. Jevon,D. Israel,T. Warshawski,H. Vallance,L. Clarke

Published 2001 in Journal of Pediatric Gastroenterology and Nutrition - JPGN

ABSTRACT

Mucopolysaccharidosis type VII (Sly syndrome), a rare lysosomal storage disorder caused by deficiency of the enzyme -glucuronidase, was first reported in 1973 in a two year old boy with hepatosplenomegaly, skeletal abnormalities and moderate mental retardation (1). MPS type VII is unusual amongst the MPS syndromes in that it can manifest clinically in the newborn period often in association with hydrops fetalis, however transient functional liver abnormalities have also been described. We report a neonate with MPS type VII who presented with significant cholestatic jaundice and hepatosplenomegaly and provide a review of the literature.

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