A Case of Mucopolysaccharidosis II Caused by a Novel Variant with Skin Linear Hyperpigmented Streaks along Blaschko’s Lines

Author:

Sofronova Viktoriia12ORCID,Gurinova Elizaveta3,Petukhova Diana2,Fukamatsu Hiroko4ORCID,Yamamoto Takenobu4ORCID,Aoyama Yumi4ORCID,Golikova Polina23,Moskvitin Gavril23,Ivanova Roza23,Savvina Mira2ORCID,Vasilev Filipp2ORCID,Moriwaki Takahito1,Terawaki Seigo1ORCID,Sukhomyasova Aitalina23,Maksimova Nadezhda2ORCID,Otomo Takanobu1ORCID

Affiliation:

1. Department of Molecular and Genetic Medicine, Kawasaki Medical School, Kurashiki 701-0192, Japan

2. Laboratory of Molecular Medicine and Human Genetics, North-Eastern Federal University, 677013 Yakutsk, Russia

3. Medical Genetics Center, Republic Hospital No. 1—National Center of Medicine, 677019 Yakutsk, Russia

4. Department of Dermatology, Kawasaki Medical School, Kurashiki 701-0192, Japan

Abstract

We report a case of an eight-year-old boy with mucopolysaccharidosis (MPS) II with atypical skin lesions of hyperpigmented streaks along Blaschko’s lines. This case presented with mild symptoms of MPS such as hepatosplenomegaly, joint stiffness, and quite mild bone deformity, which was the reason for the delay in diagnosis until the age of seven years. However, he showed an intellectual disability that did not meet the diagnostic criteria for an attenuated form of MPS II. Iduronate 2-sulfatase activity was reduced. Clinical exome sequencing of DNA from peripheral blood revealed a novel pathogenic missense variant (NM_000202.8(IDS_v001):c.703C>A, p.(Pro235Thr)) in the IDS gene, which was confirmed in the mother with a heterozygous state. His brownish skin lesions differed from the Mongolian blue spots or “pebbling” of the skin that are observed in MPS II.

Funder

JSPS KAKENHI

Japanese Government (Monbukagakusho: MEXT) Scholarship and by the Ministry Education and Science of Russian Federation

Publisher

MDPI AG

Subject

Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis

Reference28 articles.

1. Neufeld, N.F., and Muenzer, J. (2022, October 22). The Mucopolysaccharidoses. The Online Metabolic and Molecular Bases of Inherited Disease. Available online: https://ommbid.mhmedical.com/content.aspx?bookid=2709§ionid=225544161.

2. Inversion of the IDS gene resulting from recombination with IDS-related sequences is a common cause of the Hunter syndrome;Bondeson;Hum. Mol. Genet.,1995

3. Scarpa, M. (2022, October 22). Mucopolysaccharidosis Type II. GeneReviews® [Internet], Available online: https://www.ncbi.nlm.nih.gov/books/NBK1274/.

4. Diagnosing Hunter syndrome in pediatric practice: Practical considerations and common pitfalls;Burton;Eur. J. Pediatr.,2012

5. (2022, October 22). The Human Gene Mutations Database at the Institute of Medical Genetics in Cardiff. Available online: https://www.hgmd.cf.ac.uk/ac/index.php.

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