Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical Case

Background. Mucopolysaccharidosis type II (MPS II) is a rare hereditary disease from the group of lysosomal storage diseases, with progressive course. There is effective enzyme replacement therapy (ERT) for this disease, it prevents the development of severe complications and improves patients’ qual...

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Main Authors: Natalia V. Zhurkova, Nato D. Vashakmadze, Ludmila K. Mikhaylova, Marina A. Babaykina, Nina V. Fedorova, Elena Yu. Voskoboeva, Ekaterina Yu. Zakharova, Leyla S. Namazova-Baranova
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2023-01-01
Series:Вопросы современной педиатрии
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Online Access:https://vsp.spr-journal.ru/jour/article/view/3072
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author Natalia V. Zhurkova
Nato D. Vashakmadze
Ludmila K. Mikhaylova
Marina A. Babaykina
Nina V. Fedorova
Elena Yu. Voskoboeva
Ekaterina Yu. Zakharova
Leyla S. Namazova-Baranova
author_facet Natalia V. Zhurkova
Nato D. Vashakmadze
Ludmila K. Mikhaylova
Marina A. Babaykina
Nina V. Fedorova
Elena Yu. Voskoboeva
Ekaterina Yu. Zakharova
Leyla S. Namazova-Baranova
author_sort Natalia V. Zhurkova
collection DOAJ
description Background. Mucopolysaccharidosis type II (MPS II) is a rare hereditary disease from the group of lysosomal storage diseases, with progressive course. There is effective enzyme replacement therapy (ERT) for this disease, it prevents the development of severe complications and improves patients’ quality of life. Long-term follow-up of health changes in individuals on ERT is required for evaluating the treatment impact on disease progression and eventually on the quality of life of the patient and his family.Clinical case description. Results of 14-year-long follow-up of the patient with MPS II who was the first patient on ERT with idursulfase in Russia are presented. Improvement of growth, decrease in ENT-organs infections frequency, liver and spleen sizes decrease, general stabilization, no progression in cardiovascular and respiratory events, normal levels of glycosaminoglycans in urine are shown.Conclusion. Long-term therapy with idursulfase in severe MPS II stabilizes the patient’s somatic condition, prevents the development of severe complications in cardiovascular and respiratory systems, improves the quality of life of the patient and his family. Urinary glycosaminoglycans level decrease is the important indicator of the therapy efficacy along with overall patient's somatic state.
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spelling doaj.art-a2f1fa6b03964f108f9c67601e88f1dc2023-09-03T10:32:40Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352023-01-01216S57057610.15690/vsp.v21i6S.24782071Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical CaseNatalia V. Zhurkova0Nato D. Vashakmadze1Ludmila K. Mikhaylova2Marina A. Babaykina3Nina V. Fedorova4Elena Yu. Voskoboeva5Ekaterina Yu. Zakharova6Leyla S. Namazova-Baranova7НИИ педиатрии и охраны здоровья детей НКЦ №2, ФГБНУ РНЦХ им. акад. Б.В. Петровского; МГНЦ им. Н.П. БочковаНИИ педиатрии и охраны здоровья детей НКЦ № 2, ФГБНУ РНЦХ им. акад. Б.В. Петровского; РНИМУ им. Н.И. ПироговаНИИ педиатрии и охраны здоровья детей НКЦ № 2, ФГБНУ РНЦХ им. акад. Б.В. ПетровскогоНИИ педиатрии и охраны здоровья детей НКЦ № 2, ФГБНУ РНЦХ им. акад. Б.В. ПетровскогоНИИ педиатрии и охраны здоровья детей НКЦ № 2, ФГБНУ РНЦХ им. акад. Б.В. ПетровскогоМГНЦ им. Н.П. БочковаМГНЦ им. Н.П. БочковаНИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; РНИМУ им. Н.И. ПироговаBackground. Mucopolysaccharidosis type II (MPS II) is a rare hereditary disease from the group of lysosomal storage diseases, with progressive course. There is effective enzyme replacement therapy (ERT) for this disease, it prevents the development of severe complications and improves patients’ quality of life. Long-term follow-up of health changes in individuals on ERT is required for evaluating the treatment impact on disease progression and eventually on the quality of life of the patient and his family.Clinical case description. Results of 14-year-long follow-up of the patient with MPS II who was the first patient on ERT with idursulfase in Russia are presented. Improvement of growth, decrease in ENT-organs infections frequency, liver and spleen sizes decrease, general stabilization, no progression in cardiovascular and respiratory events, normal levels of glycosaminoglycans in urine are shown.Conclusion. Long-term therapy with idursulfase in severe MPS II stabilizes the patient’s somatic condition, prevents the development of severe complications in cardiovascular and respiratory systems, improves the quality of life of the patient and his family. Urinary glycosaminoglycans level decrease is the important indicator of the therapy efficacy along with overall patient's somatic state.https://vsp.spr-journal.ru/jour/article/view/3072мукополисахаридозтип iiферментозаместительная терапиягликозаминогликаны
spellingShingle Natalia V. Zhurkova
Nato D. Vashakmadze
Ludmila K. Mikhaylova
Marina A. Babaykina
Nina V. Fedorova
Elena Yu. Voskoboeva
Ekaterina Yu. Zakharova
Leyla S. Namazova-Baranova
Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical Case
Вопросы современной педиатрии
мукополисахаридоз
тип ii
ферментозаместительная терапия
гликозаминогликаны
title Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical Case
title_full Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical Case
title_fullStr Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical Case
title_full_unstemmed Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical Case
title_short Results of 14-year-long Enzyme Replacement Therapy in a Patient with Mucopolysaccharidosis Type II: Clinical Case
title_sort results of 14 year long enzyme replacement therapy in a patient with mucopolysaccharidosis type ii clinical case
topic мукополисахаридоз
тип ii
ферментозаместительная терапия
гликозаминогликаны
url https://vsp.spr-journal.ru/jour/article/view/3072
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