<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v19i2.2106</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-2379</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS</subject></subj-group></article-categories><title-group><article-title>Трудности диагностики легких форм мукополисахаридоза I типа: клинические наблюдения</article-title><trans-title-group xml:lang="en"><trans-title>Diagnostic Difficulties of Mucopolysaccharidosis Type I Mild Forms: Clinical Cases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8320-2027</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вашакмадзе</surname><given-names>Н. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Vashakmadze</surname><given-names>Nato D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Вашакмадзе Нато Джумберовна - доктор медицинских наук, профессор кафедры факультетской педиатрии педиатрического факультета РНИМУ им. Н.И. Пирогова.</p><p>117997, Москва, ул. Островитянова, д. 1.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><email xlink:type="simple">nato-nato@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2209-7531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>Leyla S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6614-6115</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Журкова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhurkova</surname><given-names>Natalia V.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5020-1180</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захарова</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharova</surname><given-names>Ekaterina Yu.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воскобаева</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Voskobaeva</surname><given-names>Elena J.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бабайкина</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Babaikina</surname><given-names>Marina A.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Михайлова</surname><given-names>Л. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Mikhaylova</surname><given-names>Lyudmila M.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>Moscow.</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; Центральная клиническая больница Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University; Central Clinical Hospital of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр здоровья детей</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center for Children's Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Медико-генетический научный центр им. академика Н.П. Бочкова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Centre for Medical Genetics</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Центральная клиническая больница Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical Hospital of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Консультативно-диагностический центр Национального медицинского исследовательского центра травматологии и ортопедии им. И.М. Приорова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Consultative and Diagnostic Center of National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>21</day><month>06</month><year>2020</year></pub-date><volume>19</volume><issue>2</issue><fpage>132</fpage><lpage>141</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Вашакмадзе Н.Д., Намазова-Баранова Л.С., Журкова Н.В., Захарова Е.Ю., Воскобаева Е.Ю., Бабайкина М.А., Михайлова Л.К., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Вашакмадзе Н.Д., Намазова-Баранова Л.С., Журкова Н.В., Захарова Е.Ю., Воскобаева Е.Ю., Бабайкина М.А., Михайлова Л.К.</copyright-holder><copyright-holder xml:lang="en">Vashakmadze N.D., Namazova-Baranova L.S., Zhurkova N.V., Zakharova E.Y., Voskobaeva E.J., Babaikina M.A., Mikhaylova L.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/2379">https://vsp.spr-journal.ru/jour/article/view/2379</self-uri><abstract><p>К легким формам мукополисахаридоза I типа относятся синдромы Шейе и Гурлер-Шейе, которые характеризуются медленным прогрессированием, сохранным интеллектом и поражением преимущественно органа зрения, опорнодвигательной и сердечно-сосудистой систем. Ранняя диагностика, мультидисциплинарный подход к обследованию и наблюдению, а также своевременно назначенная терапия играют важную роль для сохранения качества жизни пациентов, профилактики развития осложнений и ранней инвалидизации. В статье приведены обзор опубликованных данных и описание 3 случаев легкого течения мукополисахаридоза I типа.</p></abstract><trans-abstract xml:lang="en"><p>Mucopolysaccharidosis type I mild forms include Scheie syndrome and Hurler-Scheie syndrome that are characterized by slow progression, intact intelligence, and primarily effect on visual organ, musculoskeletal and cardiovascular systems. Early diagnostics, multidisciplinary approach to examination and monitoring, timely management are crucial in maintenance of patients' quality of life, preventing complications development and early disability. The article provides the overview of published data and description of 3 clinical cases with mild course of mucopolysaccharidosis type I.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>мукополисахаридоз</kwd><kwd>синдром Шейе</kwd><kwd>синдром Гурлер-Шейе</kwd><kwd>альфа-L-идуронидаза</kwd><kwd>диагностика</kwd></kwd-group><kwd-group xml:lang="en"><kwd>mucopolysaccharidosis</kwd><kwd>Scheie syndrome</kwd><kwd>Hurler-Scheie syndrome</kwd><kwd>alpha-L-iduronidase</kwd><kwd>diagnostics</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Не указан.</funding-statement><funding-statement xml:lang="en">Not specified.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Moore D, Martin J, et al. The prevalence of and survival in Mucopolysaccharidosis I: Hurler, Hurler-Scheie and Scheie syndromes in the UK. Orphanet J Rare Dis. 2008;3:24. doi: 10.1186/1750-1172-3-24.</mixed-citation><mixed-citation xml:lang="en">Moore D, Martin J, et al. The prevalence of and survival in Mucopolysaccharidosis I: Hurler, Hurler-Scheie and Scheie syndromes in the UK. Orphanet J Rare Dis. 2008;3:24. doi: 10.1186/1750-1172-3-24.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Neufeld EF, Muenzer J. The mucopolysaccharidoses. In: Scriver CR, Beaudet AL, Sly WS, et al., editors. The metabolic and molecular bases of inherited disease. Edited by C. Scriver, et al. New York: McGraw Hill; 2001. Рр. 3421-3452.</mixed-citation><mixed-citation xml:lang="en">Neufeld EF, Muenzer J. The mucopolysaccharidoses. In: Scriver CR, Beaudet AL, Sly WS, et al., editors. The metabolic and molecular bases of inherited disease. Edited by C. Scriver, et al. New York: McGraw Hill; 2001. Рр. 3421-3452.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Vijay S, Wraith JE. Clinical presentation and follow-up of patients with the attenuated phenotype of mucopolysaccharidosis type I. Acta Paediatr. 2005;94(7):872-877. doi: 10.1111/j.1651-2227.2005.tb02004.x.</mixed-citation><mixed-citation xml:lang="en">Vijay S, Wraith JE. Clinical presentation and follow-up of patients with the attenuated phenotype of mucopolysaccharidosis type I. Acta Paediatr. 2005;94(7):872-877. doi: 10.1111/j.1651-2227.2005.tb02004.x.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Muenzer J. The mucopolysaccharidoses: a heterogeneous group of disorders with variable pediatric presentations. J Pediatr. 2004;144(5 Suppl):27-34. doi: 10.1016/j.jpeds.2004.01.052.</mixed-citation><mixed-citation xml:lang="en">Muenzer J. The mucopolysaccharidoses: a heterogeneous group of disorders with variable pediatric presentations. J Pediatr. 2004;144(5 Suppl):27-34. doi: 10.1016/j.jpeds.2004.01.052.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Martins AM, Dualibi AP, Norato D, et al. Guidelines for the Management of Mucopolysaccharidosis Type I. J Pediatr. 2009; 155(4 Suppl):S32-46. doi: 10.1016/j.jpeds.2009.07.005.</mixed-citation><mixed-citation xml:lang="en">Martins AM, Dualibi AP, Norato D, et al. Guidelines for the Management of Mucopolysaccharidosis Type I. J Pediatr. 2009; 155(4 Suppl):S32-46. doi: 10.1016/j.jpeds.2009.07.005.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Beck M, Muenzer J, Scarpa M. Evaluation of disease severity in Mucopolysaccharidosis. J Pediatr Rehab Med. 2010;3(1): 39-46. doi: 10.3233/PRM-2010-0100.</mixed-citation><mixed-citation xml:lang="en">Beck M, Muenzer J, Scarpa M. Evaluation of disease severity in Mucopolysaccharidosis. J Pediatr Rehab Med. 2010;3(1): 39-46. doi: 10.3233/PRM-2010-0100.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Villoria JG, Pajares S, Lopez RM, et al. Neonatal screening for inherited metabolic diseases in 2016. Semin Pediatr Neurol. 2016;23:257-272. doi: 10.1016/j.spen.2016.11.001.</mixed-citation><mixed-citation xml:lang="en">Villoria JG, Pajares S, Lopez RM, et al. Neonatal screening for inherited metabolic diseases in 2016. Semin Pediatr Neurol. 2016;23:257-272. doi: 10.1016/j.spen.2016.11.001.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Hopkins PV, Campbell C, Klug T, et al. Lysosomal storage disorder screening implementation: findings from the first six months of full population pilot testing in Missouri. J Pediatr. 2015;166(1):172-177. doi: 10.1016/j.jpeds.2014.09.023.</mixed-citation><mixed-citation xml:lang="en">Hopkins PV, Campbell C, Klug T, et al. Lysosomal storage disorder screening implementation: findings from the first six months of full population pilot testing in Missouri. J Pediatr. 2015;166(1):172-177. doi: 10.1016/j.jpeds.2014.09.023.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Lin SP, Lin HY, Wang TJ, et al. A pilot newborn screening program for mucopolysaccharidosis type I in Taiwan. Orphanet J Rare Dis. 2013;8:147. doi: 10.1186/1750-1172-8-147.</mixed-citation><mixed-citation xml:lang="en">Lin SP, Lin HY, Wang TJ, et al. A pilot newborn screening program for mucopolysaccharidosis type I in Taiwan. Orphanet J Rare Dis. 2013;8:147. doi: 10.1186/1750-1172-8-147.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Simonaro CM, D'Angelo M, He X, et al. Mechanism of glyco-saminoglycan-mediated bone and joint disease: implications for the mucopolysaccharidoses and other connective tissue diseases. Am J Pathol. 2008;172 (1):112-122. doi: 10.2353/ ajpath.2008.070564.</mixed-citation><mixed-citation xml:lang="en">Simonaro CM, D'Angelo M, He X, et al. Mechanism of glyco-saminoglycan-mediated bone and joint disease: implications for the mucopolysaccharidoses and other connective tissue diseases. Am J Pathol. 2008;172 (1):112-122. doi: 10.2353/ ajpath.2008.070564.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Taylor KR, Yamasaki K, Radek KA, et al. Recognition of hyaluronan released in sterile injury involves a unique receptorcomplex dependent on Toll-like receptor 4, CD44, and MD-2. J Biol Chem. 2007;282(25):18265-18275. doi: 10.1074/jbc.M606352200.</mixed-citation><mixed-citation xml:lang="en">Taylor KR, Yamasaki K, Radek KA, et al. Recognition of hyaluronan released in sterile injury involves a unique receptorcomplex dependent on Toll-like receptor 4, CD44, and MD-2. J Biol Chem. 2007;282(25):18265-18275. doi: 10.1074/jbc.M606352200.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Xia Y, Yamagata K, Krukoff TL. Differential expression of the CD14/TLR4complex and inflammatory signaling molecules following i.c.v. administration ofLPS. Brain Res. 2006;1095(1): 85-95. doi: 10.1016/j.brainres.2006.03.112.</mixed-citation><mixed-citation xml:lang="en">Xia Y, Yamagata K, Krukoff TL. Differential expression of the CD14/TLR4complex and inflammatory signaling molecules following i.c.v. administration ofLPS. Brain Res. 2006;1095(1): 85-95. doi: 10.1016/j.brainres.2006.03.112.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Ashworth JL, Biswas S, Wraith E, Lloyd IC. Mucopolysaccharidoses and the eye. Surv Ophthalmol. 2006;51(1):1-17. doi: 10.1016/j.survophthal.2005.11.007.</mixed-citation><mixed-citation xml:lang="en">Ashworth JL, Biswas S, Wraith E, Lloyd IC. Mucopolysaccharidoses and the eye. Surv Ophthalmol. 2006;51(1):1-17. doi: 10.1016/j.survophthal.2005.11.007.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Бучинская Н.В., Костик М.М., Колобова О.Л., Мельников Л.Н. Как не пропустить мягкие формы мукополисахаридоза I типа у пациентов с суставными проявлениями заболевания? // Вопросы современной педиатрии. — 2018. — Т. 17. — № 6. — С. 473-479. doi: 10.15690/vsp.v17i6.1978.</mixed-citation><mixed-citation xml:lang="en">Buchinskaya NV, Kostik MM, Kolobova OL, Melnikova LN. How not to miss the mild forms of mucopolysaccharidosis type i in patients with articular manifestations of the disease? Current Pediatrics. 2018;17(6):473-479. (In Russ). doi: 10.15690/vsp.v17i6.1978.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Вашакмадзе Н.Д., Намазова-Баранова Л.С., Геворкян А.К., и др. Поражение костной системы у больных с мукополисахаридозом I типа // Российский вестник перинатологии и педиатрии. — 2016. — Т. 61. — № 4. — С. 114-121. doi: 10.21508/1027-4065-2016-61-4-114-121.</mixed-citation><mixed-citation xml:lang="en">Vashakmadze ND, Namazova-Baranova LS, Gevorkyan AK, et al. Skeletal system involvement in patients with mucopolysaccharidosis type I. Rossijskij vestnik peri-natologii i pediatrii. 2016;61(4):114-121. (In Russ). doi: 10.21508/1027-4065-2016-61-4-114-121.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Thomas JA, Beck M, Clarke JT, Cox GF. Childhood onset of Scheie syndrome, the attenuated form of mucopolysaccharidosis I. J Inherit Metab Dis. 2010;33(4):421-427. doi: 10.1007/s10545-010-9113-7.</mixed-citation><mixed-citation xml:lang="en">Thomas JA, Beck M, Clarke JT, Cox GF. Childhood onset of Scheie syndrome, the attenuated form of mucopolysaccharidosis I. J Inherit Metab Dis. 2010;33(4):421-427. doi: 10.1007/s10545-010-9113-7.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Braunlin EA, Harmatz PR, Scarpa M, et al. Cardiac disease in patients with mucopolysaccharidosis: presentation, diagnosis and management. J Inherit Metab Dis. 2011;34(6): 1183-1197. doi: 10.1007/s10545-011-9359-8.</mixed-citation><mixed-citation xml:lang="en">Braunlin EA, Harmatz PR, Scarpa M, et al. Cardiac disease in patients with mucopolysaccharidosis: presentation, diagnosis and management. J Inherit Metab Dis. 2011;34(6): 1183-1197. doi: 10.1007/s10545-011-9359-8.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Oussoren E, Brands MM, Ruijter GJ, et al. Bone, joint and tooth development in mucopolysaccharidoses: Relevance to therapeutic options. Biochimica et Biophysica Acta. 2011; 1812;1542-1556. doi: 10.1016/j.bbadis.2011.07.013.</mixed-citation><mixed-citation xml:lang="en">Oussoren E, Brands MM, Ruijter GJ, et al. Bone, joint and tooth development in mucopolysaccharidoses: Relevance to therapeutic options. Biochimica et Biophysica Acta. 2011; 1812;1542-1556. doi: 10.1016/j.bbadis.2011.07.013.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Rozdzynska-Swiatkowska A, Jurecka A, Cieslik J, Tylki-Szyman-ska A. Growth patterns in children with mucopolysaccharidosis I and II. World J Pediatr. 2015;11(3):226-231. doi: 10.1007/s12519-014-0517-6.</mixed-citation><mixed-citation xml:lang="en">Rozdzynska-Swiatkowska A, Jurecka A, Cieslik J, Tylki-Szyman-ska A. Growth patterns in children with mucopolysaccharidosis I and II. World J Pediatr. 2015;11(3):226-231. doi: 10.1007/s12519-014-0517-6.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Beesley CE, Meaney CA, Greenland G, et al. Mutational analysis of 85 mucopolysaccharidosis type I families: Frequency of known mutations, identification of 17 novel mutations and in vitro expression of missense mutations. Hum Genet. 2001; 109(5):503-511. doi: 10.1007/s004390100606.</mixed-citation><mixed-citation xml:lang="en">Beesley CE, Meaney CA, Greenland G, et al. Mutational analysis of 85 mucopolysaccharidosis type I families: Frequency of known mutations, identification of 17 novel mutations and in vitro expression of missense mutations. Hum Genet. 2001; 109(5):503-511. doi: 10.1007/s004390100606.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Beck M, Arn P, Giugliani R, et al. The natural history of MPS I: Global perspectives from the MPS I Registry. Genet Med. 2014;16(10):759-765. doi: 10.1038/gim.2014.25.</mixed-citation><mixed-citation xml:lang="en">Beck M, Arn P, Giugliani R, et al. The natural history of MPS I: Global perspectives from the MPS I Registry. Genet Med. 2014;16(10):759-765. doi: 10.1038/gim.2014.25.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Ganesh A, Bruwer Z, Al-Thihli K. An update on ocular involvement in mucopolysaccharidoses. Curr Opin Ophthalmol. 2013; 24(5):379-388. doi: 10.1097/ICU.0b013e3283644ea1.</mixed-citation><mixed-citation xml:lang="en">Ganesh A, Bruwer Z, Al-Thihli K. An update on ocular involvement in mucopolysaccharidoses. Curr Opin Ophthalmol. 2013; 24(5):379-388. doi: 10.1097/ICU.0b013e3283644ea1.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Fahnehjelm KT, Tornquist AL, Winiarski J. Ocular axial length and corneal refraction in children with mucopolysaccharidosis (MPS I-Hurler). Acta Ophthalmol. 2012;90(3):287-290. doi: 10.1111/j.1755-3768.2010.01934.x.</mixed-citation><mixed-citation xml:lang="en">Fahnehjelm KT, Tornquist AL, Winiarski J. Ocular axial length and corneal refraction in children with mucopolysaccharidosis (MPS I-Hurler). Acta Ophthalmol. 2012;90(3):287-290. doi: 10.1111/j.1755-3768.2010.01934.x.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Schumacher RG, Brzezinska R, Schulze-Frenking G, Pitz S. Sonographic ocular findings in patients with mucopolysaccharidoses I, II and VI. Pediatr Radiol. 2008;38(5):543-550. doi: 10.1007/s00247-008-0788-y.</mixed-citation><mixed-citation xml:lang="en">Schumacher RG, Brzezinska R, Schulze-Frenking G, Pitz S. Sonographic ocular findings in patients with mucopolysaccharidoses I, II and VI. Pediatr Radiol. 2008;38(5):543-550. doi: 10.1007/s00247-008-0788-y.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Fenzl CR, Teramoto K, Moshirfar M. Ocular manifestations and management recommendations of lysosomal storage disorders I: Mucopolysaccharidoses. Clin Ophthalmol. 2015;9: 1633-1644. doi: 10.2147/OPTH.S78368.</mixed-citation><mixed-citation xml:lang="en">Fenzl CR, Teramoto K, Moshirfar M. Ocular manifestations and management recommendations of lysosomal storage disorders I: Mucopolysaccharidoses. Clin Ophthalmol. 2015;9: 1633-1644. doi: 10.2147/OPTH.S78368.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Tomatsu S, Lavery C, Giugliani R, et al. Mucopolysaccharidoses Update (2 Volume Set); Nova Medicine &amp; Health: New York, NY, USA, 2018.</mixed-citation><mixed-citation xml:lang="en">Tomatsu S, Lavery C, Giugliani R, et al. Mucopolysaccharidoses Update (2 Volume Set); Nova Medicine &amp; Health: New York, NY, USA, 2018.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Soliman O, Timmermans GM, Nemes A, et al. Cardiac abnormalities in adults with the attenuated form of mucopolysaccharidosis type I. J Inherit Metab Dis. 2007;30(5):750-757. doi: 10.1007/s10545-007-0586-y.</mixed-citation><mixed-citation xml:lang="en">Soliman O, Timmermans GM, Nemes A, et al. Cardiac abnormalities in adults with the attenuated form of mucopolysaccharidosis type I. J Inherit Metab Dis. 2007;30(5):750-757. doi: 10.1007/s10545-007-0586-y.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Minakata M, Konishi Y, Matsumoto M, Miwa S. Surgical treatment for Scheie's Syndrome (Mucopolysaccharidosis Type I-S). Report of two cases. Jpn Circ J. 1998;62(9):700-703. doi: 10.1253/jcj.62.700.</mixed-citation><mixed-citation xml:lang="en">Minakata M, Konishi Y, Matsumoto M, Miwa S. Surgical treatment for Scheie's Syndrome (Mucopolysaccharidosis Type I-S). Report of two cases. Jpn Circ J. 1998;62(9):700-703. doi: 10.1253/jcj.62.700.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Seward JB, Casaclang-Verzosa G. Infiltrative cardiovascular diseases. J Am Coll Cardiol. 2010;55(17):1769-1779. doi: 10.1016/j.jacc.2009.12.040.</mixed-citation><mixed-citation xml:lang="en">Seward JB, Casaclang-Verzosa G. Infiltrative cardiovascular diseases. J Am Coll Cardiol. 2010;55(17):1769-1779. doi: 10.1016/j.jacc.2009.12.040.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Murashita T, Kobayashi J, Shimahara Y, et al. Double-valve replacement for Scheie's syndrome subtype mucopolysaccharidosis type 1-S. Ann Thorac Surg. 2011;92(3):1104-1105. doi: 10.1016/j.athoracsur.2011.03.051.</mixed-citation><mixed-citation xml:lang="en">Murashita T, Kobayashi J, Shimahara Y, et al. Double-valve replacement for Scheie's syndrome subtype mucopolysaccharidosis type 1-S. Ann Thorac Surg. 2011;92(3):1104-1105. doi: 10.1016/j.athoracsur.2011.03.051.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Masuda H, Morishita Y, Taira A, Kuriyama M. Aortic Stenosis associated with Scheie's Syndrome. Chest. 1993;103: 968-970. doi: 10.1378/chest.103.3.968.</mixed-citation><mixed-citation xml:lang="en">Masuda H, Morishita Y, Taira A, Kuriyama M. Aortic Stenosis associated with Scheie's Syndrome. Chest. 1993;103: 968-970. doi: 10.1378/chest.103.3.968.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Scheie HG, Hambrick GW, Barness LA. A newly recognized forme fruste of Hurler's disease (gargoylism). Am J Ophthalmol. 1962;53:753-769.</mixed-citation><mixed-citation xml:lang="en">Scheie HG, Hambrick GW, Barness LA. A newly recognized forme fruste of Hurler's disease (gargoylism). Am J Ophthalmol. 1962;53:753-769.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Beck M, Arn P, Giugliani R, et al. The natural history of MPS I: global pepectives from the MPS I Registry. Genet Med. 2014; 16(10):759-765. doi: 10.1038/gim.2014.25.</mixed-citation><mixed-citation xml:lang="en">Beck M, Arn P, Giugliani R, et al. The natural history of MPS I: global pepectives from the MPS I Registry. Genet Med. 2014; 16(10):759-765. doi: 10.1038/gim.2014.25.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Clarke LA, Giugliani R, Guffon N, et al. Genotype-phenotype relationships in mucopolysaccharidosis type I (MPS I): Insights from the International MPS I Registry. Clin Genet. 2019;96(4): 281-289. doi: 10.1111/cge.13583.</mixed-citation><mixed-citation xml:lang="en">Clarke LA, Giugliani R, Guffon N, et al. Genotype-phenotype relationships in mucopolysaccharidosis type I (MPS I): Insights from the International MPS I Registry. Clin Genet. 2019;96(4): 281-289. doi: 10.1111/cge.13583.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Poletto E, Pasqualim G, Giugliani R, et al. Worldwide distribution of common IDUA pathogenic variants. Clin Genet. 2018;94(1):95-102. doi: 10.1111/cge.13224.</mixed-citation><mixed-citation xml:lang="en">Poletto E, Pasqualim G, Giugliani R, et al. Worldwide distribution of common IDUA pathogenic variants. Clin Genet. 2018;94(1):95-102. doi: 10.1111/cge.13224.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Marilou Page, David Campbell. Scheie's Syndrome: Quite Rare, Quite Predictable. CTS Net; 2016.</mixed-citation><mixed-citation xml:lang="en">Marilou Page, David Campbell. Scheie's Syndrome: Quite Rare, Quite Predictable. CTS Net; 2016.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Harada H, Uchiwa H, Nakamura M, et al. Laronidase replacement therapy improves myocardial function in mucopolysaccharidosis I. Mol Gen Metab. 2011;103(3):215-219. doi: 10.1016/j.ymgme.2011.03.016.</mixed-citation><mixed-citation xml:lang="en">Harada H, Uchiwa H, Nakamura M, et al. Laronidase replacement therapy improves myocardial function in mucopolysaccharidosis I. Mol Gen Metab. 2011;103(3):215-219. doi: 10.1016/j.ymgme.2011.03.016.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Newkirk KM, Atkins RM, Dickson PI, et al. Ocular lesions in canine mucopolysaccharidosis I and response to enzyme replacement therapy. Investig Ophthalmol Vis Sci. 2011;52(8): 5130-5135. doi: 10.1167/iovs.10-6751.</mixed-citation><mixed-citation xml:lang="en">Newkirk KM, Atkins RM, Dickson PI, et al. Ocular lesions in canine mucopolysaccharidosis I and response to enzyme replacement therapy. Investig Ophthalmol Vis Sci. 2011;52(8): 5130-5135. doi: 10.1167/iovs.10-6751.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Del Longo A, Piozzi E, Schweizer F. Ocular features in mucopolysaccharidosis: Diagnosis and treatment. Ital J Pediatr. 2018;44(Suppl 2):125. doi: 10.1186/s13052-018-0559-9.</mixed-citation><mixed-citation xml:lang="en">Del Longo A, Piozzi E, Schweizer F. Ocular features in mucopolysaccharidosis: Diagnosis and treatment. Ital J Pediatr. 2018;44(Suppl 2):125. doi: 10.1186/s13052-018-0559-9.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Miyadera K, Conatser L, Llanga TA, et al. Intrastromal gene therapy prevents and reverses advanced corneal clouding in a canine model of mucopolysaccharidosis I (MPS I). Mol Ther. 2020;S1525-0016(20)30185-4. doi: 10.1016/j.ymthe.2020.04.004.</mixed-citation><mixed-citation xml:lang="en">Miyadera K, Conatser L, Llanga TA, et al. Intrastromal gene therapy prevents and reverses advanced corneal clouding in a canine model of mucopolysaccharidosis I (MPS I). Mol Ther. 2020;S1525-0016(20)30185-4. doi: 10.1016/j.ymthe.2020.04.004.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Gabrielli O, Clarke LA, Bruni S, Coppa GV. Enzyme-replacement therapy in a 5-month-old boy with attenuated presymptomatic MPS I: 5-year follow-up. Pediatrics. 2010;125(1):e183-187. doi: 10.1542/peds.2009-1728.</mixed-citation><mixed-citation xml:lang="en">Gabrielli O, Clarke LA, Bruni S, Coppa GV. Enzyme-replacement therapy in a 5-month-old boy with attenuated presymptomatic MPS I: 5-year follow-up. Pediatrics. 2010;125(1):e183-187. doi: 10.1542/peds.2009-1728.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Gabrielli O, Clarke LA, Ficcadenti A, et al. 12 year follow up of enzyme-replacement therapy in two siblings with attenuated mucopolysaccharidosis I: the important role of early treatment. BMC Med Genet. 2016;17:19. doi: 10.1186/s12881-016-0284-4.</mixed-citation><mixed-citation xml:lang="en">Gabrielli O, Clarke LA, Ficcadenti A, et al. 12 year follow up of enzyme-replacement therapy in two siblings with attenuated mucopolysaccharidosis I: the important role of early treatment. BMC Med Genet. 2016;17:19. doi: 10.1186/s12881-016-0284-4.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
