GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Mucopolysaccharidosis type I (Hurler syndrome)

Case contributed by Jatin K.
Diagnosis almost certain

Patient Data

Age: 18 months

Skeletal survey

x-ray

A series of cranial, chest and musculoskeletal radiographic images for a young patient with mucopolysaccharidosis (MPS) type 1, also known as Hurler syndrome. The series demonstrates some of the key radiographic findings seen in the condition including: 

  • macrocephaly
  • pointing of proximal metacarpals
  • shortening and widening of long bones
  • widening of anterior ribs (oar shaped / paddle ribs)
  • anterior inferior vertebral body beaking 

Case Discussion

Hurler syndrome is one of the mucopolysaccharidosis (MPS type IH) and carries an autosomal recessive inheritance. It is clinically characterized by intellectual disability, corneal clouding, deafness and cardiac disease, with death resulting in first decade of life, often from cardiac disease.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.