raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:505248

Mucopolysaccharidosis-like syndrome with congenital heart defects and hematopoietic disorders

Synonyms: Mucopolysaccharidosis-like plus disease

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy
Status
active

A rare genetic disease characterized by early-onset respiratory difficulties and frequent respiratory infections, congenital heart defects, dysostosis multiplex, hepatosplenomegaly, renal involvement, hematopoietic abnormalities, facial dysmorphism (coarse facial features, large forehead, synophrys, long eyelashes, broad nasal bridge, macroglossia, short neck, and low hairline), and global developmental delay. Laboratory examination shows increased urinary excretion of glycosaminoglycans and increased plasma heparan sulfate, but no lysosomal enzyme deficiency. The disease is usually fatal in the first years of life.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMucopolysaccharidosis-like syndrome with congenital heart defects and hematopoietic disordersMucopolysaccharidosis-like plus disease
frMucopolysaccharidose-like avec cardiopathie congénitale et atteintes hématopoïétiques
deMukopolysaccharidose-ähnliches Syndrom mit kongenitalen Herzfehlern und hämatopoetischen StörungenMukopolysaccharidose plus-Krankheit
esSíndrome similar a mucopolisacaridosis con defectos cardíacos congénitos y trastornos hematopoyéticosEnfermedad similar a mucopolisacaridosis plus
itSindrome simil-mucopolisaccaridosi con cardiopatie congenite e anomalie dell'ematopoiesi
nlMucopolysacharidose-achtig syndroom met congenitale hartdefecten en hematopoëtische stoornissenMucopolysacharidose-achtige plus-ziekte
ptSíndrome mucopolissacaridose-like com defeitos cardíacos congénitos e doenças hematopoiéticas
plZespół podobny do mukopolisacharydoz z wadami wrodzonymi serca i zaburzeniami hematopoetycznymi= en
csSyndrom podobný mukopolysacharidóze s vrozenými srdečními vadami a hematopoetickými poruchamiNemoc podobná mukopolysacharidóze plus
ukМукополісахаридозоподібний синдром з вродженими вадами серця та порушеннями кровотворенняХвороба, подібна до мукополісахаридозу плюс
zh粘多糖病样综合征伴有先天性心脏缺陷和造血功能障碍粘多糖病样附加性病变
trDoğumsal kalp defektleri ve hematopoetik bozukluklar ile seyreden mukopolisakkaridoz benzeri sendromMukopolisakkaridoz benzeri artı hastalık

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617303Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0015012Evalidated
UMLSC5568800Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
VPS33ADisease-causing germline mutation(s) inAssessedHGNC:18179ENSG0000013971961003412q24.31VPS33A core subunit of CORVET and HOPS complexes28013294[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families19 casesWorldwideCase(s)Validated28013294[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28013294[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

71 annotations · validated 2020-01-21
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002086Abnormality of the respiratory system
HP:0001903Anemia
HP:0000280Coarse facial features
HP:0000943Dysostosis multiplex
HP:0001371Flexion contracture
HP:0001263Global developmental delay
HP:0001433Hepatosplenomegaly
HP:0000093Proteinuria
HP:0002205Recurrent respiratory infections
HP:0001873Thrombocytopenia
Frequent (79-30%)
HP:0001627Abnormal heart morphology
HP:0001344Absent speech
HP:0006536Airway obstruction
HP:0001631Atrial septal defect
HP:0001635Congestive heart failure
HP:0002159Heparan sulfate excretion in urine
HP:0001639Hypertrophic cardiomyopathy
HP:0003073Hypoalbuminemia
HP:0001265Hyporeflexia
HP:0002540Inability to walk
HP:0001387Joint stiffness
HP:0001882Leukopenia
HP:0000158Macroglossia
HP:0000100Nephrotic syndrome
HP:0000648Optic atrophy
HP:0001643Patent ductus arteriosus
HP:0002092Pulmonary arterial hypertension
HP:0031123Recurrent gastroenteritis
HP:0002098Respiratory distress
HP:0001649Tachycardia
HP:0001072Thickened skin
HP:0003541Urinary glycosaminoglycan excretion
Occasional (29-5%)
HP:0001928Abnormality of coagulation
HP:0007703Abnormality of retinal pigmentation
HP:0001552Barrel-shaped chest
HP:0005528Bone marrow hypocellularity
HP:0012444Brain atrophy
HP:0410263Brain imaging abnormality
HP:0002514Cerebral calcification
HP:0000509Conjunctivitis
HP:0004315Decreased circulating IgG level
HP:0006191Deep palmar crease
HP:0012448Delayed myelination
HP:0000105Enlarged kidney
HP:0000286Epicanthus
HP:0000293Full cheeks
HP:0012597Heavy proteinuria
HP:0100790Hernia
HP:0000238Hydrocephalus
HP:0000998Hypertrichosis
HP:0001252Hypotonia
HP:0003496Increased circulating IgM level
HP:0000527Long eyelashes
HP:0002938Lumbar hyperlordosis
HP:0008454Lumbar kyphosis
HP:0001653Mitral regurgitation
HP:0000639Nystagmus
HP:0001655Patent foramen ovale
HP:0000768Pectus carinatum
HP:0000629Periorbital fullness
HP:0011220Prominent forehead
HP:0100806Sepsis
HP:0000470Short neck
HP:0003196Short nose
HP:0002652Skeletal dysplasia
HP:0010307Stridor
HP:0000506Telecanthus
HP:0100874Thick hair
HP:0012471Thick vermilion border
HP:0002942Thoracic kyphosis
HP:0005180Tricuspid regurgitation

Run the differential on the 10 obligate / very frequent terms

Annotation source: 31070736[PMID]_31936524[PMID]_28013294[PMID]

7

Sources for this card