Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report

Mucopolysaccharidosis type I (MPS I) is a rare inherited autosomal recessive lysosomal storage disorder. Despite several reports on MPS I-related neonatal interstitial lung disease, it is still considered to be an under-recognized disease manifestation. Thus, further study of MPS I is required to im...

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Main Authors: Ali Alsuheel Asseri, Ahmad Alzoani, Abdulwahab M. Almazkary, Nisreen Abdulaziz, Mufareh H. Almazkary, Samy Ailan Alahmari, Arul J. Duraisamy, Shruti Sureshkumar
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/11/2/67
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author Ali Alsuheel Asseri
Ahmad Alzoani
Abdulwahab M. Almazkary
Nisreen Abdulaziz
Mufareh H. Almazkary
Samy Ailan Alahmari
Arul J. Duraisamy
Shruti Sureshkumar
author_facet Ali Alsuheel Asseri
Ahmad Alzoani
Abdulwahab M. Almazkary
Nisreen Abdulaziz
Mufareh H. Almazkary
Samy Ailan Alahmari
Arul J. Duraisamy
Shruti Sureshkumar
author_sort Ali Alsuheel Asseri
collection DOAJ
description Mucopolysaccharidosis type I (MPS I) is a rare inherited autosomal recessive lysosomal storage disorder. Despite several reports on MPS I-related neonatal interstitial lung disease, it is still considered to be an under-recognized disease manifestation. Thus, further study of MPS I is required to improve specific therapies and management strategies. The current report describes a late preterm baby (36 weeks gestational age) with neonatal onset of interstitial lung disease eventually diagnosed as MPS I. The neonate required prolonged respiratory support and oxygen supplementation that further escalated the likely diagnosis of inherited disorders of pulmonary surfactant dysfunction. Whole-exome sequencing confirmed the diagnosis of MPS I, following the observation of low levels of the enzyme α-L-iduronidase. The results highlight the necessity of considering MPS I-related pulmonary involvement in newborns with persistent respiratory insufficiency.
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spelling doaj.art-e802cf3140bc437fbcd8b482146fbd172023-11-18T10:01:55ZengMDPI AGDiseases2079-97212023-04-011126710.3390/diseases11020067Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case ReportAli Alsuheel Asseri0Ahmad Alzoani1Abdulwahab M. Almazkary2Nisreen Abdulaziz3Mufareh H. Almazkary4Samy Ailan Alahmari5Arul J. Duraisamy6Shruti Sureshkumar7Department of Child Health, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Neonatology, Abha Maternity and Children Hospital, Ministry of Health, Abha 62521, Saudi ArabiaCollege of Medicine, King Khalid University, Abha 62529, Saudi ArabiaDepartment of Neonatology, Abha Maternity and Children Hospital, Ministry of Health, Abha 62521, Saudi ArabiaDepartment of Neonatology, Abha Maternity and Children Hospital, Ministry of Health, Abha 62521, Saudi ArabiaDepartment of Neonatology, Abha Maternity and Children Hospital, Ministry of Health, Abha 62521, Saudi ArabiaPerkinElmer Health Sciences Pvt Ltd., Tharamani 600113, IndiaPerkinElmer Health Sciences Pvt Ltd., Tharamani 600113, IndiaMucopolysaccharidosis type I (MPS I) is a rare inherited autosomal recessive lysosomal storage disorder. Despite several reports on MPS I-related neonatal interstitial lung disease, it is still considered to be an under-recognized disease manifestation. Thus, further study of MPS I is required to improve specific therapies and management strategies. The current report describes a late preterm baby (36 weeks gestational age) with neonatal onset of interstitial lung disease eventually diagnosed as MPS I. The neonate required prolonged respiratory support and oxygen supplementation that further escalated the likely diagnosis of inherited disorders of pulmonary surfactant dysfunction. Whole-exome sequencing confirmed the diagnosis of MPS I, following the observation of low levels of the enzyme α-L-iduronidase. The results highlight the necessity of considering MPS I-related pulmonary involvement in newborns with persistent respiratory insufficiency.https://www.mdpi.com/2079-9721/11/2/67MPS Ineonatal respiratory distresspulmonary surfactant dysfunctionα-L-iduronidase
spellingShingle Ali Alsuheel Asseri
Ahmad Alzoani
Abdulwahab M. Almazkary
Nisreen Abdulaziz
Mufareh H. Almazkary
Samy Ailan Alahmari
Arul J. Duraisamy
Shruti Sureshkumar
Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report
Diseases
MPS I
neonatal respiratory distress
pulmonary surfactant dysfunction
α-L-iduronidase
title Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report
title_full Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report
title_fullStr Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report
title_full_unstemmed Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report
title_short Mucopolysaccharidosis Type I Presenting with Persistent Neonatal Respiratory Distress: A Case Report
title_sort mucopolysaccharidosis type i presenting with persistent neonatal respiratory distress a case report
topic MPS I
neonatal respiratory distress
pulmonary surfactant dysfunction
α-L-iduronidase
url https://www.mdpi.com/2079-9721/11/2/67
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