Clinical, diagnostic and therapeutic characteristics of mucopolysaccharidosis
DOI:
https://doi.org/10.5281/zenodo.7897451Keywords:
Mucopolysaccharidosis, Glycosaminoglycans, Enzymes, Quality of Life.Abstract
Introduction: mucopolysaccharidoses are a group of rare and innate disorders caused by the dysfunction or absence of lysosomal enzymes involved in the degradation of mucopolysaccharides or also called glycosaminoglycans.
Objective: to describe clinical, diagnostic and therapeutic aspects of mucopolysaccharidosis.
Method: a narrative bibliographic review was carried out, using the synthetic and historical-logical analytical methods, by analyzing the articles retrieved from the SciELO, Scopus and ClinicalKey databases. Filters were used for the selection of articles in English and Spanish languages; as well as articles published in the period 2018 to 2023. A total of 110 references addressing the main clinical epidemiological characteristics of the disease in question were selected.
Results: mucopolysaccharidosis generally occurs in 1 in 28,000 live newborns; it is of autosomal recessive inheritance where mucopolysaccharidosis type II has X-linked inheritance. The characteristics of mucopolysaccharidosis are varied due to disseminated organ involvement; among the most visible are short stature, large head, microscopic face, thick lips and eyebrows, large eyes with corneal opacity, developmental or psychomotor delay with progressive neurological involvement.
Conclusions: Mucopolysaccharidoses are a group of inherited metabolic diseases. In mucopolysaccharidosis an adequate diagnosis is essential to improve the life expectancy of patients. The treatment of mucopolysaccharidosis is based on reducing the progression of the disease with the consequent improvement of the patient's quality of life.
Downloads
References
2. Montalvo Moreta NO. Biomarcadores para diagnóstico de enfermedades lisosomales: Pompe, Gaucher y Mucopolisacaridosis tipo III y IV, para aplicación en Ecuador [Tesis de licenciatura en línea]. Quito: Universidad Central del Ecuador; 2021 [citado 08/09/2022]. Disponible en: http://www.dspace.uce.edu.ec/handle/25000/24073
3. Clarke LA. Mucopolysaccharidosis Type I. En: Adam MP, Mirzaa GM, Pagon RA, editores. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2023. 2002 Oct 31 [actualizado 25/02/2021; citado 08/09/2022]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK1162/
4. Pazmiño Guzmán MI. Mucopolisacaridosis a propósito de un caso [Tesis de licenciatura en línea]. Riobamba: Escuela Superior Politécnica de Chimborazo; 2018 [citado 08/09/2022]. Disponible en: http://dspace.espoch.edu.ec/handle/123456789/9048
5. Zuccaro G. Aspectos neuroquirúrgicos de las mucopolisacaridosis. Revista Argentina de Neurocirugía [Internet]. 2020 [citado 08/09/2022]; 34(3). Disponible en: https://ranc.com.ar/index.php/revista/article/view/157
6. Patiño MFJ, Berrezueta CJG, Zhunio RAO. Aplicación móvil para guiar el tratamiento en pacientes con Mucopolisacáridosis Tipo I. Serie Científica de la Universidad de las Ciencias Informáticas [Internet]. 2022 [citado 08/09/2022]; 15(2):17-32. Disponible en: https://publicaciones.uci.cu/index.php/serie/article/view/1026
7. Stapper C, Solano ML. Mucopolisacaridosis: generalidades y compromiso cardiovascular. Revista Colombiana de Cardiología [Internet]. 2021 [citado 08/09/2022]; 28(92):e42. Disponible en: https://www.rccardiologia.com/frame_esp.php?id=42
8. Meleán Gumiel G, Aillón López V, Taboada López G. MUCOPOLISACARIDOSIS TIPO VI: REPORTE DE TRES CASOS Y REVISIÓN DE LA LITERATURA. Revista Médica La Paz [Internet]. 2019 [citado 08/09/2022]; 25(2):58-64. Disponible en: http://www.scielo.org.bo/scielo.php?script=sci_abstract&pid=S1726-89582019000200009&lng=es&nrm=iso&tlng=es
9. Zhou J, Lin J, Leung WT, Wang L. A basic understanding of mucopolysaccharidosis: Incidence, clinical features, diagnosis, and management. Intractable Rare Dis Res [Internet]. 2020 [citado 08/09/2022]; 9(1):1-9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7062595/
10. Michaud M, Belmatoug N, Catros F, Ancellin S, Touati G, Levade T, et al. Mucopolysaccharidosis: A review. Rev Med Interne [Internet]. 2020 [citado 08/09/2022];41(3):180-8. Available from: https://pubmed.ncbi.nlm.nih.gov/31959364/
11. Fernández AG, E KZ, O MOA, T IS, M SH. Encefalocele en paciente con síndrome de Hurler: descripción y revisión de alternativas terapéuticas. Acta de Otorrinolaringología & Cirugía De Cabeza Y Cuello [Internet]. 2022 [citado 08/09/2022]; 50(1):73-6. Disponible en: https://revista.acorl.org.co/index.php/acorl/article/view/579