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Mucopolysaccharidosis type IX: causes, symptoms, diagnosis, treatment

Medical expert of the article

Pediatric geneticist, pediatrician
, medical expert
Last reviewed: 07.07.2025

ICD-10 code

  • E76 Disorders of glycosaminoglycan metabolism.
  • E76.2 Other mucopolysaccharidoses.

Epidemiology

Mucopolysaccharidosis type IX is an extremely rare form of mucopolysaccharidosis. To date, there is a clinical description of one patient, a 14-year-old girl.

Causes of mucopolysaccharidosis type IX

Mucopolysaccharidosis type IX is caused by mutations in the HYAL1 gene, mapped to chromosome 3p.21.2. The gene encodes the enzyme hyaluronidase.

Symptoms of mucopolysaccharidosis type IX

The main clinical manifestations of the disease are symmetrical nodular deposits in the parotid regions, mild dysmorphic features, growth retardation and preserved intelligence; joint stiffness is absent. Radiography revealed multiple ulcerations of the acetabulum.

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