raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:585

Multiple sulfatase deficiency

Synonyms: Austin disease · MSD · Mucosulfatidosis

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Antenatal, Childhood, Infancy, Neonatal
Status
active

A rare lysosomal disease characterized by a clinical phenotype that combines the features of different sulfatase deficiencies (whether lysosomal or not). Clinical manifestations can include developmental delay, progressive neurologic deterioration, hydrocephalus, hypotonia, coarse facial features, retinopathy, skeletal anomalies, hepatomegaly and ichthyosis to a variable degree. Multiple sulfatase deficiency (MSD) comprises severe to attenuated forms historically classified as neonatal (most severe form), infantile (most common form) or juvenile (rarest form).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMultiple sulfatase deficiencyAustin disease · MSD · Mucosulfatidosis
frDéficit multiple en sulfatasesDMS · MSD · Maladie d'Austin · Mucosulfatidose
deSulfatase-Mangel, multiplerAustin-Syndrom · MSD · Mukosulfatidose
esDeficiencia múltiple de sulfatasasDMS · Enfermedad de Austin · Mucosulfatidosis
itDeficit multiplo di solfatasiMSD · Malattia di Austin · Mucosolfatidosi
nlMultipele sulfatasedeficiëntieMSD · Meervoudige sulfatasedeficiëntie · Mucosulfatidose · Ziekte van Austin
ptDeficiência múltipla de sulfataseDoença Austin · MSD · Mucosulfatidose
plMnogi niedobór sulfatazMSD · Mukosulfatydoza · Sulfatydoza młodzieńcza typu Austin
csMnohočetný sulfatázový deficit= en
ukДефіцит множинної сульфатазиХвороба Остіна · MSD · Мукосульфатидоз
zh多种硫酸脂酶缺乏症青少年硫脂贮积病,Austin型
trÇoklu sülfataz eksikliğiMSD · Mukosülfatidoz · jüvenil sülfatidoz, Austin tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM272200Evalidated
ICD-10E75.2NTBTinclusionvalidated
ICD-115C56.0YNTBTindexvalidated
MONDO0010088Evalidated
MeSHD052517Evalidated
UMLSC0268263Evalidated
GARD5061Evalidated

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 (7):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SUMF1Disease-causing germline mutation(s) inAssessedHGNC:20376ENSG000001444556079393p26.1sulfatase modifying factor 117657823[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families154 casesWorldwideCase(s)Validated36980153[PMID]_37732042[PMID]_ORPHANET
Point prevalence1-9 / 1 000 0000.2 / 100 000WorldwideValue and classValidated33144036[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

30 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003134Abnormality of peripheral nerve conduction
HP:0002376Developmental regression
HP:0001263Global developmental delay
HP:0002240Hepatomegaly
HP:0008064Ichthyosis
HP:0001249Intellectual disability
HP:0008155Mucopolysacchariduria
HP:0001319Neonatal hypotonia
HP:0007307Rapid neurologic deterioration
HP:0001744Splenomegaly
HP:0000505Visual impairment
Frequent (79-30%)
HP:0007703Abnormality of retinal pigmentation
HP:0000463Anteverted nares
HP:0010059Broad hallux phalanx
HP:0011304Broad thumb
HP:0000518Cataract
HP:0000280Coarse facial features
HP:0002208Coarse hair
HP:0007957Corneal opacity
HP:0005280Depressed nasal bridge
HP:0000238Hydrocephalus
HP:0001387Joint stiffness
HP:0000256Macrocephaly
HP:0000648Optic atrophy
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0004322Short stature
HP:0000319Smooth philtrum
HP:0000574Thick eyebrow
Occasional (29-5%)
HP:0000252Microcephaly

Run the differential on the 11 obligate / very frequent terms

7

Sources for this card