Table 1 Pre-HSCT evaluation in patients with mucopolysaccharidosis type I-H.

From: Long term follow-up after haematopoietic stem cell transplantation for mucopolysaccharidosis type I-H: a retrospective study of 51 patients

Age at diagnosis in months (median, IQR), n = 49

10 (7–14)

Brain MRI abnormalities (n, %)

Sex ratio F:M, n = 51

2: 3

 Lateral ventricles enlargementb

20/40 (50%)

Clinical features (n, %)

 

 WMH or delayed myelination

21/40 (53%)

 Typical coarse facial features

47/47 (100%)

 Virchow - Robin spaces enlargement

28/35 (80%)

 Macrocrania

34/43 (79%)

IDUA gene molecular analysis (n, %), n = 102 alleles

 

 Thoracolumbar kyphosis

41/44 (93%)

 p.Trp402* allele

57/102 (56%)

 Airway obstructiona

38/41 (93%)

 p.Gln70* allele

11/102 (11%)

 Umbilical or inguinal hernia

23/41 (56%)

 Other nonsense allelesc

5/102 (5%)

 Hepatomegaly

37/42 (88%)

 Indels or splicing allelesc

11/102 (11%)

 Splenomegaly

17/42 (40%)

 Missense allelesc

13/102 (12%)

 Corneal clouding

29/41 (71%)

 Other allelesc (non p.Trp402*/non p.Gln70*)

5/102 (5%)

 Active hydrocephalus and/or VP shuntb

9/51 (18%)

  
  1. HSCT Haematopoietic stem cell transplantation, IQR Interquartile range, MRI Magnetic resonance imaging, VP Ventriculoperitoneal shunt, WMH White matter hyperintensities.
  2. aAirway obstruction defined as chronic rhinopharyngitis or sleep apnea syndrome.
  3. bHydrocephalus is defined as an enlargement of the brain ventricles with signs of transependymal resorption on brain MRI or need for a ventriculoperitoneal shunt. Lateral ventricle enlargement includes patients with active hydrocephalus.
  4. cNonsense allele = p.(Arg615*)(n = 3), p.(Trp175*)(n = 1), p.(Arg628*)(n = 1); Indels/splice alleles = c.398_403del (n = 2), c.46_57del (n = 3), c.209del (n = 1), c.1695_1705del (n = 1), c.580_589 + 36del (n = 1), c.972 + 1 G > A (n = 1), c.386-2 A > G (n = 1), c.50_61del (n = 1); Missense allele = p.(Pro533Arg)(n = 5), p.(Ala327Pro)(n = 2), p.(Met504Arg)(n = 2), p.(Thr388Arg)(n = 1), p.(Met1Leu)(n = 1), p.(Ser433Arg)(n = 1), p.(Gly51Asp)(n = 1); Non p.(Trp402*)/p.(Gln70*): only p.(Trp402*) and p.(Gln70*) have been excluded. Reference sequence: NM_000203.5.