Musculoskeletal manifestations of mucopolysaccharidosis type VI and effects of enzyme replacement therapy

作者：Marucha Jolanta; Jurecka Agnieszka^*; Rozdzynska Swiatkowska Agnieszka; Tylki Szymanska Anna

来源：Central European Journal of Medicine, 2012, 7(2): 154-162.

DOI：10.2478/s11536-012-0003-2

• Mucopolysaccharidosis type V
• Maroteaux-Lamy syndrome
• Enzyme replacement therapy
• Range of motion
• Physical therapy
• Anthropometric features
• Growth retardation

The aim of this study was to describe the musculoskeletal manifestations of mucopolysaccharidosis VI and to assess the effectiveness of enzyme replacement therapy (ERT) with recombinant human arylsulfatase B on the bone and joint involvement in a patient with a severe phenotype of the disease. Before the initiation of ERT, the patient presented with significant range of motion (ROM) limitations at multiple joints. Flexion contractures were noticeable in all joints. After 48 weeks of ERT, improvement in active and passive shoulder flexion, as well as passive elbow and wrist flexion, was noticed. ROM improvements were reflected in patient's enhanced self-care.

• 出版日期2012-4