Identify suspicious clusters of features
Because MPS VI patients present with a variety of signs and symptoms, it is essential to maintain a high index of suspicion and pay close attention to the medical history.3
Suspicious signs and symptom clusters may include3:
- Macrocephaly
- Dysmorphic facial features
- Enlarged tongue (macroglossia)
- Enlarged tonsils and adenonoids
- Abnormally spaced and shaped teeth
- Corneal clouding
- Impaired vision
- Short neck
- Difficulty swallowing
- Noisy breathing
- Umbilical or inguinal hernias
- Sinopulmonary infections
- Heart murmur
- Valve disease
Look for suspicious musculoskeletal manifestations

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