{"id":4169,"date":"2022-12-15T18:19:03","date_gmt":"2022-12-15T18:19:03","guid":{"rendered":"https:\/\/neuropediatoolbox.org\/?p=4169"},"modified":"2023-12-29T18:32:26","modified_gmt":"2023-12-29T18:32:26","slug":"facies-tosca","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/facies-tosca\/","title":{"rendered":"Facies tosca."},"content":{"rendered":"\n<p>Existe una multitud de enfermedades metab\u00f3licas caracterizadas por la presencia de<a href=\"https:\/\/en.wikipedia.org\/wiki\/Coarse_facial_features\"> facies tosca<\/a>. La mayor\u00eda de ellas son enfermedades por ac\u00famulo y presentan un fenotipo progresivo que va haci\u00e9ndose m\u00e1s evidente con la edad, por lo que el diagn\u00f3stico temprano es dificultoso. La mejor estrategia es implementar un <a href=\"http:\/\/neuropediatoolkit.org\/tests-de-cribado-dirigido\/\">screening dirigido<\/a>, utilizando los GAG de forma sistem\u00e1tica aunque la sospecha sea baja. <\/p>\n\n\n<div id=\"zotpress-3f5f7c3ae26f5630ff1502ece61f3a08\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">332710<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{332710:V94WAFP5}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">4169<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22V94WAFP5%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Galimberti%20et%20al.%22%2C%22parsedDate%22%3A%222018-11-16%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BGalimberti%20C%2C%20Madeo%20A%2C%20Di%20Rocco%20M%2C%20Fiumara%20A.%20Mucopolysaccharidoses%3A%20early%20diagnostic%20signs%20in%20infants%20and%20children.%20Italian%20Journal%20of%20Pediatrics%20%5BInternet%5D.%202018%20Nov%2016%20%5Bcited%202023%20Jan%2022%5D%3B44%282%29%3A133.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs13052-018-0550-5%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs13052-018-0550-5%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Mucopolysaccharidoses%3A%20early%20diagnostic%20signs%20in%20infants%20and%20children%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cinzia%22%2C%22lastName%22%3A%22Galimberti%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Annalisa%22%2C%22lastName%22%3A%22Madeo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maja%22%2C%22lastName%22%3A%22Di%20Rocco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Agata%22%2C%22lastName%22%3A%22Fiumara%22%7D%5D%2C%22abstractNote%22%3A%22Mucopolysaccharidoses%20%28MPS%29%20comprise%20a%20group%20of%20lysosomal%20disorders%20that%20are%20characterized%20by%20progressive%2C%20systemic%20clinical%20manifestations%20and%20a%20coarse%20phenotype.%20The%20different%20types%2C%20having%20clinical%2C%20biochemical%2C%20and%20genetic%20heterogeneity%2C%20share%20key%20clinical%20features%20in%20varying%20combinations%2C%20including%20joint%20and%20skeletal%20dysplasia%2C%20coarse%20facial%20features%2C%20corneal%20clouding%2C%20inguinal%20or%20abdominal%20hernias%2C%20recurrent%20upper%20respiratory%20tract%20infections%2C%20heart%20valve%20disease%2C%20carpal%20tunnel%20syndrome%2C%20and%20variable%20neurological%20involvement.%20In%20the%20severe%20forms%2C%20these%20features%20usually%20appear%20in%20the%20first%20months%20of%20life%2C%20but%20a%20correct%20diagnosis%20is%20often%20reached%20later%20when%20suggestive%20signs%20are%20manifest.%20All%20MPS%20types%20may%20have%20severe%20or%20attenuated%20presentations%20depending%20on%20the%20residual%20enzymatic%20activity%20of%20the%20patient.%20Based%20on%20data%20from%20the%20literature%20and%20from%20personal%20experience%2C%20here%20we%20underline%20the%20very%20early%20signs%20of%20the%20severe%20forms%20which%20should%20alert%20the%20paediatrician%20on%20their%20first%20appearance.%20A%20few%20early%20signs%20are%20typical%20of%20MPS%20%28i.e.%20gibbus%29%20while%20many%20are%20unspecific%20%28hernias%2C%20upper%20airway%20infections%2C%20organomegaly%2C%20etc.%29%2C%20and%20finding%20the%20association%20of%20many%20unspecific%20signs%20might%20prompt%20the%20paediatrician%20to%20search%20for%20a%20common%20cause%20and%20to%20carefully%20look%20for%20other%20more%20specific%20signs%20%28gibbus%20and%20other%20skeletal%20deformities%2C%20heart%20murmur%29.%20We%20stress%20the%20need%20to%20increase%20awareness%20of%20MPS%20among%20paediatricians%20and%20other%20specialists%20to%20shorten%20the%20still%20existing%20diagnostic%20delay.%20A%20timely%20diagnosis%20is%20mandatory%20for%20the%20commencement%20of%20treatment%20as%20soon%20as%20possible%2C%20when%20available%2C%20to%20possibly%20obtain%20better%20results.%22%2C%22date%22%3A%222018-11-16%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1186%5C%2Fs13052-018-0550-5%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs13052-018-0550-5%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221824-7288%22%2C%22language%22%3A%22%22%2C%22collections%22%3A%5B%22WSXVZUQX%22%5D%2C%22dateModified%22%3A%222025-11-10T04%3A33%3A16Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-4169-332710-V94WAFP5\" data-zp-author-date='Galimberti-et-al.-2018-11-16' data-zp-date-author='2018-11-16-Galimberti-et-al.' data-zp-date='2018-11-16' data-zp-year='2018' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Galimberti C, Madeo A, Di Rocco M, Fiumara A. Mucopolysaccharidoses: early diagnostic signs in infants and children. Italian Journal of Pediatrics [Internet]. 2018 Nov 16 [cited 2023 Jan 22];44(2):133. Available from: <a class='zp-ItemURL' href='https:\/\/doi.org\/10.1186\/s13052-018-0550-5'>https:\/\/doi.org\/10.1186\/s13052-018-0550-5<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"495\" height=\"482\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2022\/12\/imagen-15.png\" alt=\"\" class=\"wp-image-4170\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/12\/imagen-15.png 495w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/12\/imagen-15-300x292.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2022\/12\/imagen-15-12x12.png 12w\" sizes=\"(max-width: 495px) 100vw, 495px\" \/><figcaption class=\"wp-element-caption\"><div id=\"zotpress-9e1530a771aa589db9e905f90768772b\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">332710<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{332710:RIIMELFG}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">4169<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22RIIMELFG%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Escolar%20et%20al.%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BEscolar%20M%2C%20Bradshaw%20J%2C%20Byers%20VT%2C%20Giugliani%20R%2C%20Golightly%20L%2C%20Louren%26%23xE7%3Bo%20CM%2C%20et%20al.%20Development%20of%20a%20Clinical%20Algorithm%20for%20the%20Early%20Diagnosis%20of%20Mucopolysaccharidosis%20III.%20J%20inborn%20errors%20metab%20screen%20%5BInternet%5D.%202020%20%5Bcited%202023%20Jan%2022%5D%3B8%3Ae20200002.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fwww.scielo.br%5C%2Fscielo.php%3Fscript%3Dsci_arttext%26amp%3Bpid%3DS2326-45942020000100401%26amp%3Btlng%3Den%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fwww.scielo.br%5C%2Fscielo.php%3Fscript%3Dsci_arttext%26amp%3Bpid%3DS2326-45942020000100401%26amp%3Btlng%3Den%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Development%20of%20a%20Clinical%20Algorithm%20for%20the%20Early%20Diagnosis%20of%20Mucopolysaccharidosis%20III%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%22%2C%22lastName%22%3A%22Escolar%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jessica%22%2C%22lastName%22%3A%22Bradshaw%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valerie%20Tharp%22%2C%22lastName%22%3A%22Byers%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Giugliani%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lynn%22%2C%22lastName%22%3A%22Golightly%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Charles%20Marques%22%2C%22lastName%22%3A%22Louren%5Cu00e7o%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kimberly%22%2C%22lastName%22%3A%22McDonald%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nicole%22%2C%22lastName%22%3A%22Muschol%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Imogen%22%2C%22lastName%22%3A%22Newsom-Davis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cara%22%2C%22lastName%22%3A%22O%5Cu2019Neill%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Holly%20L.%22%2C%22lastName%22%3A%22Peay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jennifer%22%2C%22lastName%22%3A%22Siedman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martha%20L.%22%2C%22lastName%22%3A%22Solano%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tessa%22%2C%22lastName%22%3A%22Wirt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tim%22%2C%22lastName%22%3A%22Wood%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lonnie%22%2C%22lastName%22%3A%22Zwaigenbaum%22%7D%5D%2C%22abstractNote%22%3A%22Mucopolysaccharidosis%20III%20%28MPS%20III%29%20is%20a%20rare%20inherited%20metabolic%20disease%20primarily%20affecting%20the%20central%20nervous%20system%2C%20leading%20to%20developmental%20and%5C%2For%20speech%20regression.%20Early%20diagnosis%20of%20the%20disease%20is%20important%20to%20introduce%20appropriate%20management%20measures%20and%20to%20optimize%20therapeutic%20outcomes.%20The%20diagnosis%20of%20MPS%20III%20is%20often%20significantly%20delayed%20due%20to%20the%20rarity%20of%20the%20disease%2C%20the%20more%20attenuated%20somatic%20presentation%20compared%20to%20other%20MPS%20types%2C%20and%20the%20symptom%20overlap%20with%20other%20developmental%20disorders.%20To%20shorten%20the%20time%20to%20diagnosis%2C%20a%20list%20of%20eight%20early%20signs%20and%20symptoms%20was%20identified%20through%20an%20expert%20system%20approach%20by%20a%20global%2C%20multidisciplinary%20working%20group%20of%2013%20specialists%20with%20expertise%20in%20various%20aspects%20of%20MPS%20and%20developmental%20disorders%20and%20three%20parents%20of%20MPS%20III%20patients.%20Coarse%20facial%20features%20and%20persistent%20hirsutism%20or%20prominent%2C%20thick%20eyebrows%20were%20identified%20as%20the%20most%20important%20MPS%20III%20early%20signs.%20The%20list%20of%20eight%20early%20MPS%20III%20signs%20and%20symptoms%20is%20the%20first%20step%20towards%20the%20development%20of%20a%20clinical%20algorithm%20aiming%20to%20identify%20neonates%20and%20infants%20with%20MPS%20III%20before%20the%20onset%20of%20neurocognitive%20damage%2C%20ultimately%20shortening%20the%20diagnostic%20journey%20of%20MPS%20III%20patients.%22%2C%22date%22%3A%222020%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1590%5C%2F2326-4594-jiems-2020-0002%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.scielo.br%5C%2Fscielo.php%3Fscript%3Dsci_arttext%26pid%3DS2326-45942020000100401%26tlng%3Den%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222326-4594%22%2C%22language%22%3A%22en%22%2C%22collections%22%3A%5B%22WSXVZUQX%22%5D%2C%22dateModified%22%3A%222025-09-27T22%3A44%3A46Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-4169-332710-RIIMELFG\" data-zp-author-date='Escolar-et-al.-2020' data-zp-date-author='2020-Escolar-et-al.' data-zp-date='2020' data-zp-year='2020' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Escolar M, Bradshaw J, Byers VT, Giugliani R, Golightly L, Louren\u00e7o CM, et al. Development of a Clinical Algorithm for the Early Diagnosis of Mucopolysaccharidosis III. J inborn errors metab screen [Internet]. 2020 [cited 2023 Jan 22];8:e20200002. Available from: <a class='zp-ItemURL' href='http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S2326-45942020000100401&tlng=en'>http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S2326-45942020000100401&tlng=en<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n<\/figcaption><\/figure>\n\n\n\n<div id=\"wp-block-themeisle-blocks-accordion-65d2c210\" class=\"wp-block-themeisle-blocks-accordion exclusive\">\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>MPS I (S\u00edndrome de Hurler-Scheie).<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/image-5.png\" alt=\"\" class=\"wp-image-4370\" width=\"912\" height=\"596\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-5.png 474w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-5-300x196.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-5-18x12.png 18w\" sizes=\"(max-width: 912px) 100vw, 912px\" \/><figcaption class=\"wp-element-caption\"><div id=\"zotpress-df73fe539f74c9e8ac2c70bf99b7cdea\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">332710<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{332710:VFBGNRDJ}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">4169<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22VFBGNRDJ%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3Bhome%20%5BInternet%5D.%20%5Bcited%202023%20Jan%2022%5D.%20MPS%20I%20Disease%20Spectrum%20%7C%20Patients.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.mps1disease.com%5C%2Fpatients%5C%2Fabout%5C%2Fdisease-spectrum%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.mps1disease.com%5C%2Fpatients%5C%2Fabout%5C%2Fdisease-spectrum%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22webpage%22%2C%22title%22%3A%22MPS%20I%20Disease%20Spectrum%20%7C%20Patients%22%2C%22creators%22%3A%5B%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.mps1disease.com%5C%2Fpatients%5C%2Fabout%5C%2Fdisease-spectrum%22%2C%22language%22%3A%22en-US%22%2C%22collections%22%3A%5B%22WSXVZUQX%22%5D%2C%22dateModified%22%3A%222025-09-27T17%3A35%3A25Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-4169-332710-VFBGNRDJ\" data-zp-author-date='-0000-00-00' data-zp-date-author='0000-00-00-' data-zp-date='0000-00-00' data-zp-year='0000' data-zp-itemtype='webpage' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">home [Internet]. [cited 2023 Jan 22]. MPS I Disease Spectrum | Patients. Available from: <a class='zp-ItemURL' href='https:\/\/www.mps1disease.com\/patients\/about\/disease-spectrum'>https:\/\/www.mps1disease.com\/patients\/about\/disease-spectrum<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n<\/figcaption><\/figure>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>MPS II (S\u00edndrome de Hunter). <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><a href=\"https:\/\/www.hunterpatients.com\/signs-symptoms-of-hunter-syndrome\/hunter-syndrome-symptoms-images-en\/\">Atlas del s\u00edndrome de Hunter. <\/a><\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/1707_hunter-syndrome-case-study_aiden-and-aj_hcp_2020.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 1707_hunter-syndrome-case-study_aiden-and-aj_hcp_2020.\"><\/object><a id=\"wp-block-file--media-85f2eceb-f35d-4352-8e88-ebc13d8bcf6c\" href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/1707_hunter-syndrome-case-study_aiden-and-aj_hcp_2020.pdf\">1707_hunter-syndrome-case-study_aiden-and-aj_hcp_2020<\/a><a href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/1707_hunter-syndrome-case-study_aiden-and-aj_hcp_2020.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-85f2eceb-f35d-4352-8e88-ebc13d8bcf6c\">Descarga<\/a><\/div>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/1993_hunter-syndrome-case-study_silas_hcp_2020.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 1993_hunter-syndrome-case-study_silas_hcp_2020.\"><\/object><a id=\"wp-block-file--media-7a78ea7f-084f-405e-be19-64818c4f159f\" href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/1993_hunter-syndrome-case-study_silas_hcp_2020.pdf\">1993_hunter-syndrome-case-study_silas_hcp_2020<\/a><a href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/1993_hunter-syndrome-case-study_silas_hcp_2020.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-7a78ea7f-084f-405e-be19-64818c4f159f\">Descarga<\/a><\/div>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/3352_hunter-syndrome-case-study_leander_hcp_2020.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 3352_hunter-syndrome-case-study_leander_hcp_2020.\"><\/object><a id=\"wp-block-file--media-37f1b949-e282-4775-ba9d-aadf5ba315e1\" href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/3352_hunter-syndrome-case-study_leander_hcp_2020.pdf\">3352_hunter-syndrome-case-study_leander_hcp_2020<\/a><a href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/3352_hunter-syndrome-case-study_leander_hcp_2020.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-37f1b949-e282-4775-ba9d-aadf5ba315e1\">Descarga<\/a><\/div>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/3169_hunter-syndrome-case-study_hunter-and-kingston_hcp_2020.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 3169_hunter-syndrome-case-study_hunter-and-kingston_hcp_2020.\"><\/object><a id=\"wp-block-file--media-79d9adeb-3140-48ee-9403-6c118cb95d51\" href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/3169_hunter-syndrome-case-study_hunter-and-kingston_hcp_2020.pdf\">3169_hunter-syndrome-case-study_hunter-and-kingston_hcp_2020<\/a><a href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/3169_hunter-syndrome-case-study_hunter-and-kingston_hcp_2020.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-79d9adeb-3140-48ee-9403-6c118cb95d51\">Descarga<\/a><\/div>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/2747_hunter-syndrome-ebook_hcp_2020.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of 2747_hunter-syndrome-ebook_hcp_2020.\"><\/object><a id=\"wp-block-file--media-e7dc65f5-4b01-40b3-a188-b0da75dd814f\" href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/2747_hunter-syndrome-ebook_hcp_2020.pdf\">2747_hunter-syndrome-ebook_hcp_2020<\/a><a href=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/2747_hunter-syndrome-ebook_hcp_2020.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-e7dc65f5-4b01-40b3-a188-b0da75dd814f\">Descarga<\/a><\/div>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>MPS III (Sanfilippo). <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"538\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/image-2-1024x538.png\" alt=\"\" class=\"wp-image-4361\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-2-1024x538.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-2-300x158.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-2-768x403.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-2-18x9.png 18w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-2.png 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"330\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/image-3-1024x330.png\" alt=\"\" class=\"wp-image-4363\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-3-1024x330.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-3-300x97.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-3-768x247.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-3-18x6.png 18w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-3.png 1500w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Sanfilippo.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/image-4.png\" alt=\"\" class=\"wp-image-4365\" width=\"957\" height=\"660\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-4.png 600w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-4-300x207.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/image-4-18x12.png 18w\" sizes=\"(max-width: 957px) 100vw, 957px\" \/><figcaption class=\"wp-element-caption\">Sanfilippo.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/neuropediaclinic.com\/wp-content\/uploads\/2023\/01\/imagen-18.png\" alt=\"\" class=\"wp-image-4388\" width=\"745\" height=\"648\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/imagen-18.png 500w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/imagen-18-300x261.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2023\/01\/imagen-18-14x12.png 14w\" sizes=\"(max-width: 745px) 100vw, 745px\" \/><\/figure>\n\n\n<div id=\"zotpress-2c1b028e01a8b515e14be36020bbe76d\" class=\"zp-Zotpress zp-Zotpress-Bib wp-block-group\">\n\n\t\t<span class=\"ZP_API_USER_ID ZP_ATTR\">332710<\/span>\n\t\t<span class=\"ZP_ITEM_KEY ZP_ATTR\">{332710:RIIMELFG},{332710:354VCQ8M},{332710:SJN8DP8I}<\/span>\n\t\t<span class=\"ZP_COLLECTION_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TAG_ID ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_AUTHOR ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_YEAR ZP_ATTR\"><\/span>\n        <span class=\"ZP_ITEMTYPE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_INCLUSIVE ZP_ATTR\">1<\/span>\n\t\t<span class=\"ZP_STYLE ZP_ATTR\">vancouver<\/span>\n\t\t<span class=\"ZP_LIMIT ZP_ATTR\">50<\/span>\n\t\t<span class=\"ZP_SORTBY ZP_ATTR\">default<\/span>\n\t\t<span class=\"ZP_ORDER ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TITLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWIMAGE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_SHOWTAGS ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_DOWNLOADABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_NOTES ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_ABSTRACT ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_CITEABLE ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_TARGET ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_URLWRAP ZP_ATTR\"><\/span>\n\t\t<span class=\"ZP_FORCENUM ZP_ATTR\"><\/span>\n        <span class=\"ZP_HIGHLIGHT ZP_ATTR\"><\/span>\n        <span class=\"ZP_POSTID ZP_ATTR\">4169<\/span>\n\t\t<span class=\"ZOTPRESS_PLUGIN_URL ZP_ATTR\">https:\/\/neuropediatoolkit.org\/wp-content\/plugins\/zotpress\/<\/span>\n\n\t\t<div class=\"zp-List loading\">\n\t\t\t<div class=\"zp-SEO-Content\">\n\t\t\t\t<span class=\"ZP_JSON ZP_ATTR\">%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22SJN8DP8I%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Wijburg%20et%20al.%22%2C%22parsedDate%22%3A%222013%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BWijburg%20FA%2C%20W%26%23x119%3Bgrzyn%20G%2C%20Burton%20BK%2C%20Tylki-Szyma%26%23x144%3Bska%20A.%20Mucopolysaccharidosis%20type%20III%20%28Sanfilippo%20syndrome%29%20and%20misdiagnosis%20of%20idiopathic%20developmental%20delay%2C%20attention%20deficit%5C%2Fhyperactivity%20disorder%20or%20autism%20spectrum%20disorder.%20Acta%20Paediatrica%20%5BInternet%5D.%202013%20%5Bcited%202018%20Oct%2018%5D%3B102%285%29%3A462%26%23x2013%3B70.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fdoi.wiley.com%5C%2F10.1111%5C%2Fapa.12169%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fdoi.wiley.com%5C%2F10.1111%5C%2Fapa.12169%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Mucopolysaccharidosis%20type%20III%20%28Sanfilippo%20syndrome%29%20and%20misdiagnosis%20of%20idiopathic%20developmental%20delay%2C%20attention%20deficit%5C%2Fhyperactivity%20disorder%20or%20autism%20spectrum%20disorder%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Frits%20A%22%2C%22lastName%22%3A%22Wijburg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Grzegorz%22%2C%22lastName%22%3A%22W%5Cu0119grzyn%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Barbara%20K%22%2C%22lastName%22%3A%22Burton%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anna%22%2C%22lastName%22%3A%22Tylki-Szyma%5Cu0144ska%22%7D%5D%2C%22abstractNote%22%3A%22Mucopolysaccharidosis%20III%20is%20a%20rare%20genetic%20disease%20characterized%20by%20progressive%20cognitive%20decline%20and%20severe%20hyperactivity%20that%20does%20not%20respond%20to%20stimulants.%20Somatic%20features%20are%20relatively%20mild.%20Patients%20are%20often%20initially%20misdiagnosed%20as%20having%20idiopathic%20developmental%20delay%2C%20attention%20de%5Cufb01cit%5C%2Fhyperactivity%20disorder%20and%5C%2For%20autism%20spectrum%20disorders%2C%20putting%20them%20at%20risk%20for%20unnecessary%20testing%20and%20treatments.%20Conclusion%3A%20Children%20with%20developmental%20or%20speech%20delay%2C%20especially%20those%20with%20a%20characteristic%20somatic%20feature%20or%20behavioural%20abnormalities%2C%20should%20be%20screened%20for%20MPS%20III.%22%2C%22date%22%3A%2205%5C%2F2013%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1111%5C%2Fapa.12169%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fdoi.wiley.com%5C%2F10.1111%5C%2Fapa.12169%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%2208035253%22%2C%22language%22%3A%22en%22%2C%22collections%22%3A%5B%22WSXVZUQX%22%5D%2C%22dateModified%22%3A%222025-09-28T21%3A31%3A00Z%22%7D%7D%2C%7B%22key%22%3A%22354VCQ8M%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Delgadillo%20et%20al.%22%2C%22parsedDate%22%3A%222013-12-06%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BDelgadillo%20V%2C%20O%26%23x2019%3BCallaghan%20M%20del%20M%2C%20Gort%20L%2C%20Coll%20MJ%2C%20Pineda%20M.%20Natural%20history%20of%20Sanfilippo%20syndrome%20in%20Spain.%20Orphanet%20Journal%20of%20Rare%20Diseases%20%5BInternet%5D.%202013%20Dec%206%20%5Bcited%202023%20Jan%2022%5D%3B8%281%29%3A189.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2F1750-1172-8-189%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2F1750-1172-8-189%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Natural%20history%20of%20Sanfilippo%20syndrome%20in%20Spain%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ver%5Cu00f3nica%22%2C%22lastName%22%3A%22Delgadillo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%20del%20Mar%22%2C%22lastName%22%3A%22O%5Cu2019Callaghan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Laura%22%2C%22lastName%22%3A%22Gort%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%20Josep%22%2C%22lastName%22%3A%22Coll%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mercedes%22%2C%22lastName%22%3A%22Pineda%22%7D%5D%2C%22abstractNote%22%3A%22Mucopolysaccharidosis%20type%20III%20%28MPS%20III%29%2C%20or%20Sanfilippo%20syndrome%2C%20is%20caused%20by%20a%20deficiency%20in%20one%20of%20the%20four%20enzymes%20involved%20in%20the%20lysosomal%20degradation%20of%20heparan%20sulphate.%20Four%20MPS%20III%20types%20have%20been%20recognized%2C%20characterized%20by%20a%20large%20phenotypic%20heterogeneity.%20This%20is%20the%20first%20Spanish%20study%20describing%20the%20natural%20history%20of%20Sanfilippo%20patients%20%28MPSIIIA%2C%20MPSIIIB%20and%20MPSIIIC%29%2C%20representing%20an%20essential%20step%20for%20understanding%20patient%20prognosis%20and%20for%20the%20establishment%20and%20application%20of%20future%20therapies.%22%2C%22date%22%3A%222013-12-06%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1186%5C%2F1750-1172-8-189%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2F1750-1172-8-189%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221750-1172%22%2C%22language%22%3A%22%22%2C%22collections%22%3A%5B%22WSXVZUQX%22%5D%2C%22dateModified%22%3A%222025-09-27T22%3A46%3A50Z%22%7D%7D%2C%7B%22key%22%3A%22RIIMELFG%22%2C%22library%22%3A%7B%22id%22%3A332710%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Escolar%20et%20al.%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BEscolar%20M%2C%20Bradshaw%20J%2C%20Byers%20VT%2C%20Giugliani%20R%2C%20Golightly%20L%2C%20Louren%26%23xE7%3Bo%20CM%2C%20et%20al.%20Development%20of%20a%20Clinical%20Algorithm%20for%20the%20Early%20Diagnosis%20of%20Mucopolysaccharidosis%20III.%20J%20inborn%20errors%20metab%20screen%20%5BInternet%5D.%202020%20%5Bcited%202023%20Jan%2022%5D%3B8%3Ae20200002.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttp%3A%5C%2F%5C%2Fwww.scielo.br%5C%2Fscielo.php%3Fscript%3Dsci_arttext%26amp%3Bpid%3DS2326-45942020000100401%26amp%3Btlng%3Den%26%23039%3B%26gt%3Bhttp%3A%5C%2F%5C%2Fwww.scielo.br%5C%2Fscielo.php%3Fscript%3Dsci_arttext%26amp%3Bpid%3DS2326-45942020000100401%26amp%3Btlng%3Den%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Development%20of%20a%20Clinical%20Algorithm%20for%20the%20Early%20Diagnosis%20of%20Mucopolysaccharidosis%20III%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maria%22%2C%22lastName%22%3A%22Escolar%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jessica%22%2C%22lastName%22%3A%22Bradshaw%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Valerie%20Tharp%22%2C%22lastName%22%3A%22Byers%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Roberto%22%2C%22lastName%22%3A%22Giugliani%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lynn%22%2C%22lastName%22%3A%22Golightly%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Charles%20Marques%22%2C%22lastName%22%3A%22Louren%5Cu00e7o%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kimberly%22%2C%22lastName%22%3A%22McDonald%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nicole%22%2C%22lastName%22%3A%22Muschol%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Imogen%22%2C%22lastName%22%3A%22Newsom-Davis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cara%22%2C%22lastName%22%3A%22O%5Cu2019Neill%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Holly%20L.%22%2C%22lastName%22%3A%22Peay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jennifer%22%2C%22lastName%22%3A%22Siedman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martha%20L.%22%2C%22lastName%22%3A%22Solano%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tessa%22%2C%22lastName%22%3A%22Wirt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tim%22%2C%22lastName%22%3A%22Wood%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lonnie%22%2C%22lastName%22%3A%22Zwaigenbaum%22%7D%5D%2C%22abstractNote%22%3A%22Mucopolysaccharidosis%20III%20%28MPS%20III%29%20is%20a%20rare%20inherited%20metabolic%20disease%20primarily%20affecting%20the%20central%20nervous%20system%2C%20leading%20to%20developmental%20and%5C%2For%20speech%20regression.%20Early%20diagnosis%20of%20the%20disease%20is%20important%20to%20introduce%20appropriate%20management%20measures%20and%20to%20optimize%20therapeutic%20outcomes.%20The%20diagnosis%20of%20MPS%20III%20is%20often%20significantly%20delayed%20due%20to%20the%20rarity%20of%20the%20disease%2C%20the%20more%20attenuated%20somatic%20presentation%20compared%20to%20other%20MPS%20types%2C%20and%20the%20symptom%20overlap%20with%20other%20developmental%20disorders.%20To%20shorten%20the%20time%20to%20diagnosis%2C%20a%20list%20of%20eight%20early%20signs%20and%20symptoms%20was%20identified%20through%20an%20expert%20system%20approach%20by%20a%20global%2C%20multidisciplinary%20working%20group%20of%2013%20specialists%20with%20expertise%20in%20various%20aspects%20of%20MPS%20and%20developmental%20disorders%20and%20three%20parents%20of%20MPS%20III%20patients.%20Coarse%20facial%20features%20and%20persistent%20hirsutism%20or%20prominent%2C%20thick%20eyebrows%20were%20identified%20as%20the%20most%20important%20MPS%20III%20early%20signs.%20The%20list%20of%20eight%20early%20MPS%20III%20signs%20and%20symptoms%20is%20the%20first%20step%20towards%20the%20development%20of%20a%20clinical%20algorithm%20aiming%20to%20identify%20neonates%20and%20infants%20with%20MPS%20III%20before%20the%20onset%20of%20neurocognitive%20damage%2C%20ultimately%20shortening%20the%20diagnostic%20journey%20of%20MPS%20III%20patients.%22%2C%22date%22%3A%222020%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%2210.1590%5C%2F2326-4594-jiems-2020-0002%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.scielo.br%5C%2Fscielo.php%3Fscript%3Dsci_arttext%26pid%3DS2326-45942020000100401%26tlng%3Den%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%222326-4594%22%2C%22language%22%3A%22en%22%2C%22collections%22%3A%5B%22WSXVZUQX%22%5D%2C%22dateModified%22%3A%222025-09-27T22%3A44%3A46Z%22%7D%7D%5D%7D<\/span>\n\n\t\t\t\t<div id=\"zp-ID-4169-332710-SJN8DP8I\" data-zp-author-date='Wijburg-et-al.-2013' data-zp-date-author='2013-Wijburg-et-al.' data-zp-date='2013' data-zp-year='2013' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Wijburg FA, W\u0119grzyn G, Burton BK, Tylki-Szyma\u0144ska A. Mucopolysaccharidosis type III (Sanfilippo syndrome) and misdiagnosis of idiopathic developmental delay, attention deficit\/hyperactivity disorder or autism spectrum disorder. Acta Paediatrica [Internet]. 2013 [cited 2018 Oct 18];102(5):462\u201370. Available from: <a class='zp-ItemURL' href='http:\/\/doi.wiley.com\/10.1111\/apa.12169'>http:\/\/doi.wiley.com\/10.1111\/apa.12169<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\t\t\t\t<div id=\"zp-ID-4169-332710-354VCQ8M\" data-zp-author-date='Delgadillo-et-al.-2013-12-06' data-zp-date-author='2013-12-06-Delgadillo-et-al.' data-zp-date='2013-12-06' data-zp-year='2013' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Delgadillo V, O\u2019Callaghan M del M, Gort L, Coll MJ, Pineda M. Natural history of Sanfilippo syndrome in Spain. Orphanet Journal of Rare Diseases [Internet]. 2013 Dec 6 [cited 2023 Jan 22];8(1):189. Available from: <a class='zp-ItemURL' href='https:\/\/doi.org\/10.1186\/1750-1172-8-189'>https:\/\/doi.org\/10.1186\/1750-1172-8-189<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\t\t\t\t<div id=\"zp-ID-4169-332710-RIIMELFG\" data-zp-author-date='Escolar-et-al.-2020' data-zp-date-author='2020-Escolar-et-al.' data-zp-date='2020' data-zp-year='2020' data-zp-itemtype='journalArticle' class=\"zp-Entry zpSearchResultsItem\">\n<div class=\"csl-bib-body\" style=\"line-height: 1.35; \">\n  <div class=\"csl-entry\" style=\"clear: left; \">\n    <div class=\"csl-left-margin\" style=\"float: left; padding-right: 0.5em; text-align: right; width: 1em;\">1.<\/div><div class=\"csl-right-inline\" style=\"margin: 0 .4em 0 1.5em;\">Escolar M, Bradshaw J, Byers VT, Giugliani R, Golightly L, Louren\u00e7o CM, et al. Development of a Clinical Algorithm for the Early Diagnosis of Mucopolysaccharidosis III. J inborn errors metab screen [Internet]. 2020 [cited 2023 Jan 22];8:e20200002. Available from: <a class='zp-ItemURL' href='http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S2326-45942020000100401&tlng=en'>http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S2326-45942020000100401&tlng=en<\/a><\/div>\n  <\/div>\n<\/div>\n\t\t\t\t<\/div><!-- .zp-Entry .zpSearchResultsItem -->\n\t\t\t<\/div><!-- .zp-zp-SEO-Content -->\n\t\t<\/div><!-- .zp-List -->\n\t<\/div><!--.zp-Zotpress-->\n\n\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>MPS IV (Morquio).<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>MPS VI (Maroteaux-Lamy). <\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><\/p>\n<\/div><\/details>\n\n\n\n<details class=\"wp-block-themeisle-blocks-accordion-item\"><summary class=\"wp-block-themeisle-blocks-accordion-item__title\"><div>MPS VII (Sly).<\/div><\/summary><div class=\"wp-block-themeisle-blocks-accordion-item__content\">\n<p><\/p>\n<\/div><\/details>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Existe una multitud de enfermedades metab\u00f3licas caracterizadas por la presencia de facies tosca. La mayor\u00eda de ellas son enfermedades por ac\u00famulo y presentan un fenotipo progresivo que va haci\u00e9ndose m\u00e1s evidente con la edad, por lo que el diagn\u00f3stico temprano es dificultoso. La mejor estrategia es implementar un screening dirigido, utilizando los GAG de forma &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/neuropediatoolkit.org\/en\/facies-tosca\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> \u00abFacies tosca.\u00bb<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":4171,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[22,7],"tags":[],"class_list":["post-4169","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exploracion-morfologica","category-metabolismo","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/4169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=4169"}],"version-history":[{"count":2,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/4169\/revisions"}],"predecessor-version":[{"id":7052,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/4169\/revisions\/7052"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/4171"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=4169"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=4169"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=4169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}