Morquio syndrome

Case contributed by Senai Goitom Sereke
Diagnosis almost certain

Presentation

Failure to walk since the age of two, with normal development in the first two years of life.

Patient Data

Age: 3 years
Gender: Male
mri

Diffuse platyspondyly of the spinal vertebrae, thoracolumbar kyphoscoliosis, hypoplastic odontoid process, multilevel spinal canal stenosis from posterior vertebral body scalloping.

Case Discussion

Morquio syndrome is a rare lysosomal storage disease characterized by skeletal dysplasia due to an excess deposition of keratan sulfate and/or chondroitin-6-sulfate. The disease typically begins around the age of two and has normal brain development, as seen in this case.

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