raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:581

Mucopolysaccharidosis type 3

Synonyms: MPS3 · MPSIII · Mucopolysaccharidosis type III · Sanfilippo disease · Sanfilippo syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

A group of rare lysosomal storage diseases characterized by progressive neurocognitive decline, loss of functional abilities and premature death. There are four etiological subtypes of mucopolysaccharidosis type 3 (MPS III, Sanfilippo syndrome) called Sanfilippo syndrome type A, B, C, and D. Each subtype is caused by deficiency of a particular enzyme involved in the degradation of heparan sulfate leading to substrate accumulation and cellular dysfunction.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMucopolysaccharidosis type 3MPS3 · MPSIII · Mucopolysaccharidosis type III · Sanfilippo disease · Sanfilippo syndrome
frMucopolysaccharidose type 3MPS3 · MPSIII · Maladie de Sanfilippo · Mucopolysaccharidose type III · Syndrome de Sanfilippo
deMukopolysaccharidose Typ 3MPS III · MPS3 · Mukopolysaccharidose Typ III · Sanfilippo-Krankheit · Sanfilippo-Syndrom
esMucopolisacaridosis tipo 3Enfermedad de Sanfilippo · MPS3 · MPSIII · Mucopolisacaridosis tipo III · Síndrome de Sanfilippo
itMucopolisaccaridosi tipo 3MPS3 · MPSIII · Malattia di Sanfilippo · Mucopolisaccaridosi, tipo III · Mucopolisaccaridosi tipo III · Sindrome di Sanfilippo
nlMucopolysacharidose type 3MPS3 · MPSIII · Mucopolysacharidose type III · Syndroom van Sanfilippo · Ziekte van Sanfilippo
ptMucopolissacaridose tipo 3Doença Sanfilippo · MPS3 · MPSIII · Mucopolissacaridose tipo III · Síndrome Sanfilippo
plMukopolisacharydoza typu 3Choroba Sanfilippo · MPS3 · MPSIII · Mukopolisacharydoza typu III
csMukopolysacharidóza, typ 3MPS3 · MPSIII · Mukopolysacharidóza, typ III · Sanfilippova nemoc
ukМукополісахаридоз, тип 3MPS3 · MPSIII · Мукополісахаридоз III типу · Хвороба Санфіліппо
zh粘多糖贮积症3型粘多糖贮积症III型
trMukopolisakkaridoz tip 3MPS3 · MPSIII · Sanfilippo hastalığı · Mukopolisakkaridoz tip III

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM252900BTNTvalidated
OMIM252920BTNTvalidated
OMIM252930BTNTvalidated
OMIM252940BTNTvalidated
ICD-10E76.2NTBTinclusionvalidated
ICD-115C56.3YNTBTindexvalidated
MONDO0018937Evalidated
MeSHD009084Evalidated
UMLSC0026706Evalidated
GARD3807Evalidated
MedDRA10056890Evalidated

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 (6):

Children (4):

4

Genes

0 direct · 4 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GNSORPHA:79272Sanfilippo syndrome type DDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:4422ENSG0000013567760766412q14.3glucosamine (N-acetyl)-6-sulfatase12573255[PMID]_17998446[PMID]
HGSNATORPHA:79271Sanfilippo syndrome type CDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:26527ENSG000001651026104538p11.21-p11.1heparan-alpha-glucosaminide N-acetyltransferase17033958[PMID]
NAGLUORPHA:79270Sanfilippo syndrome type BDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:7632ENSG0000010878460970117q21.2N-acetyl-alpha-glucosaminidase16151907[PMID]
SGSHORPHA:79269Sanfilippo syndrome type ADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:10818ENSG0000018152360527017q25.3N-sulfoglucosamine sulfohydrolase15146460[PMID]
5

Prevalence and incidence

29 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.21 / 100 000BrazilValue and classValidated31926052[PMID]
Point prevalence1-9 / 100 0001.63 / 100 000SwedenValue and classValidated18681890[PMID]
Prevalence at birth1-9 / 1 000 0000.27 / 100 000NorwayValue and classValidated18681890[PMID]
Point prevalence1-9 / 1 000 0000.88 / 100 000NorwayValue and classValidated18681890[PMID]
Prevalence at birth1-9 / 1 000 0000.43 / 100 000DenmarkValue and classValidated18681890[PMID]
Point prevalence1-9 / 1 000 0000.92 / 100 000DenmarkValue and classValidated18681890[PMID]
Prevalence at birth1-9 / 1 000 0000.36 / 100 000IrelandValue and classValidated9439667[PMID]
Prevalence at birth1-9 / 1 000 0000.29 / 100 000CanadaValue and classValidated10617747[PMID]
Prevalence at birth1-9 / 1 000 0000.39 / 100 000Taiwan, Province of ChinaValue and classValidated19396827[PMID]
Prevalence at birth1-9 / 1 000 0000.7 / 100 000TunisiaValue and classValidated20209839[PMID]
Prevalence at birth1-9 / 1 000 000—WorldwideClass onlyNot yet validatedORPHANET
Point prevalence1-9 / 1 000 0000.3 / 100 000EuropeValue and classValidatedEuropean Medicines Agency 2012[OTHER]
Prevalence at birth1-9 / 1 000 0000.87 / 100 000EuropeValue and classNot yet validatedORPHANET
Prevalence at birth1-9 / 100 0001.57 / 100 000GermanyValue and classValidated16435194[PMID]
Prevalence at birth1-9 / 1 000 0000.84 / 100 000PortugalValue and classValidated14685153[PMID]
Prevalence at birth1-9 / 100 0001.89 / 100 000NetherlandsValue and classValidated10480370[PMID]
Prevalence at birth1-9 / 100 0001.42 / 100 000AustraliaValue and classValidated9918480[PMID]
Prevalence at birth1-9 / 1 000 0000.91 / 100 000Czech RepublicValue and classValidated20490927[PMID]
Prevalence at birth1-9 / 1 000 0000.84 / 100 000SwedenValue and classValidated18681890[PMID]_25274184[PMID]
Prevalence at birth1-9 / 1 000 0000.86 / 100 000PolandValue and classValidated25472774[PMID]
Prevalence at birth1-9 / 1 000 0000.26 / 100 000JapanValue and classValidated28595941[PMID]
Prevalence at birth1-9 / 1 000 0000.38 / 100 000SwitzerlandValue and classValidated28595941[PMID]
Prevalence at birth1-9 / 100 0001.8 / 100 000Saudi ArabiaValue and classValidated20622343[PMID]
Prevalence at birth1-9 / 1 000 0000.25 / 100 000Korea, Republic ofValue and classValidated25364648[PMID]
Prevalence at birth1-9 / 100 0001.62 / 100 000EstoniaValue and classValidated22480138[PMID]
Point prevalence<1 / 1 000 0000.071 / 100 000United StatesValue and classValidated34051828[PMID]
Prevalence at birth1-9 / 1 000 0000.26 / 100 000United StatesValue and classValidated34051828[PMID]
Prevalence at birth1-9 / 100 0002.4 / 100 000IsraelValue and classValidated33239050[PMID]_ORPHANET
Prevalence at birth1-9 / 100 0004.8 / 100 000Specific populationValue and classValidated33239050[PMID]_ORPHANET

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

106 annotations · validated 2020-04-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007009Central nervous system degeneration
HP:0000389Chronic otitis media
HP:0002208Coarse hair
HP:0000750Delayed speech and language development
HP:0002230Generalized hirsutism
HP:0006887Intellectual disability, progressive
HP:0010864Intellectual disability, severe
HP:0002024Malabsorption
HP:0008155Mucopolysacchariduria
HP:0002344Progressive neurologic deterioration
HP:0002360Sleep abnormality
HP:0003541Urinary glycosaminoglycan excretion
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0003312Abnormal form of the vertebral bodies
HP:0000772Abnormal rib morphology
HP:0011842Abnormality of skeletal morphology
HP:0000889Abnormality of the clavicle
HP:0031458Adenoiditis
HP:0001251Ataxia
HP:0000708Atypical behavior
HP:0410263Brain imaging abnormality
HP:0000518Cataract
HP:0000280Coarse facial features
HP:0004493Craniofacial hyperostosis
HP:0002376Developmental regression
HP:0001288Gait disturbance
HP:0002857Genu valgum
HP:0000365Hearing impairment
HP:0002159Heparan sulfate excretion in urine
HP:0002240Hepatomegaly
HP:0001007Hirsutism
HP:0000752Hyperactivity
HP:0001276Hypertonia
HP:0002254Intermittent diarrhea
HP:0000545Myopia
HP:0000388Otitis media
HP:0005425Recurrent sinopulmonary infections
HP:0011110Recurrent tonsillitis
HP:0011947Respiratory tract infection
HP:0001328Specific learning disability
HP:0001744Splenomegaly
HP:0000664Synophrys
HP:0100874Thick hair
HP:0001604Vocal cord paresis
Occasional (29-5%)
HP:0001646Abnormal aortic valve morphology
HP:0001633Abnormal mitral valve morphology
HP:0001637Abnormal myocardium morphology
HP:0007256Abnormal pyramidal sign
HP:0025160Abnormal temper tantrums
HP:0000164Abnormality of the dentition
HP:0004452Abnormality of the middle ear ossicles
HP:0000718Aggressive behavior
HP:0011951Aspiration pneumonia
HP:0001678Atrioventricular block
HP:0005743Avascular necrosis of the capital femoral epiphysis
HP:0001640Cardiomegaly
HP:0000405Conductive hearing impairment
HP:0002019Constipation
HP:0012185Constrictive median neuropathy
HP:0000726Dementia
HP:0000268Dolichocephaly
HP:0001260Dysarthria
HP:0000943Dysostosis multiplex
HP:0002015Dysphagia
HP:0030195Fatigable weakness of swallowing muscles
HP:0001371Flexion contracture
HP:0001385Hip dysplasia
HP:0030838Hip pain
HP:0000238Hydrocephalus
HP:0006801Hyperactive deep tendon reflexes
HP:0002659Increased susceptibility to fractures
HP:0000023Inguinal hernia
HP:0001249Intellectual disability
HP:0001387Joint stiffness
HP:0002505Loss of ambulation
HP:0100512Low levels of vitamin D
HP:0000256Macrocephaly
HP:0000158Macroglossia
HP:0000410Mixed hearing impairment
HP:0001270Motor delay
HP:0002870Obstructive sleep apnea
HP:0000580Pigmentary retinopathy
HP:0001538Protuberant abdomen
HP:0004349Reduced bone mineral density
HP:0012664Reduced left ventricular ejection fraction
HP:0000510Rod-cone dystrophy
HP:0002650Scoliosis
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0001257Spasticity
HP:0009928Thick nasal alae
HP:0012471Thick vermilion border
HP:0000391Thickened helices
HP:0001537Umbilical hernia
HP:0002781Upper airway obstruction
HP:0002119Ventriculomegaly
Very rare (<4-1%)
HP:5200321Amplification of sexual behavior
HP:0000618Blindness
HP:0001133Constriction of peripheral visual field
HP:0007957Corneal opacity
HP:0000734Disinhibition
HP:0000710Hyperorality
HP:0000662Nyctalopia
HP:0007759Opacification of the corneal stroma
HP:0000648Optic atrophy
HP:0000546Retinal degeneration

Run the differential on the 12 obligate / very frequent terms

Annotation source: 25851924[PMID]_31536183[PMID]

7

Sources for this card