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Lysosomal storage diseases

Mucopolysaccharidosis type I (MPS I; Hurler/Scheie)

An inherited lysosomal storage disease in which an enzyme deficiency causes substances to build up in many organs. The severe type (Hurler) begins in infancy; the mild type (Scheie) begins later.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

This page is translated from the Turkish original.

This disease is followed through the “Lysosomal storage diseases” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

The body lacks an enzyme that breaks down sugar molecules called GAGs (glycosaminoglycans). GAGs build up in cells and affect many organs. The severe type (Hurler) begins in the first year and markedly shortens life. In the mild type (Scheie), symptoms begin later; people often reach adulthood.

Which symptoms can occur?

Symptoms increase over time. Which symptoms appear depends on the type.

  • Coarse facial features, a large tongue and a deep voice
  • Large head, liver and spleen
  • Heart valve problems
  • Narrowing of the airway and pauses in breathing during sleep
  • Clouding of the clear front layer of the eye, and hearing loss
  • Short stature, joint stiffness and a trapped nerve in the wrist
  • In the severe type, developmental regression and loss of skills

How is it diagnosed?

Because the first symptoms are not obvious, the diagnosis may be delayed. The level of GAGs in the urine is found to be high. The diagnosis is made by showing the enzyme deficiency in the blood or in cells.

Treatment and care

Care is based on supportive care provided jointly by different specialists. Stem cell transplantation helps some patients. Enzyme replacement therapy can improve breathing and joint movement. Early treatment slows progression but cannot repair damage in the brain. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

The disease is passed on through recessive inheritance. The child receives one changed gene from the mother and one from the father. The mother and father are often healthy carriers. Genetic counselling is recommended for brothers and sisters and for future pregnancies.

Source: MedlinePlus Genetics — Mucopolysaccharidosis type I · Orphanet — Mucopolysaccharidosis type 1

Key facts

How common is it?
Prevalence: 1-9 per 1 000 000 (Europe) · Birth prevalence: 1-9 per 1 000 000 (Worldwide)
How is it inherited?
Autosomal recessive
When does it usually start?
Any age
Gene(s) involved
IDUA

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

For all rare diseases: Nadir Hastalıklar Federasyonu

Links checked on October 8, 2026.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about MPS I

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

Questions you can ask your doctor

  • Could this trial be suitable for us?
  • If we take part, how would current treatment and check-ups be affected?
  • Where does the trial take place, and how are travel and accommodation handled?
  • What happens if we want to leave the trial?

ClinicalTrials.gov lists 7 active interventional studies for this disease. 3 are recruiting now; none has a site in Türkiye. Last checked: October 7, 2026.

Selected records (studies with a site in Türkiye first):

See all studies on ClinicalTrials.gov · Joining clinical trials

Lysosomal storage diseases: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:579 · ICD-11 5C56.30

Codes checked against WHO ICD-11 and Orphanet on October 6, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.