Legg-Perthes disease-like joint involvement and diagnosis delay in Scheie syndrome: a case report

Clin Rheumatol. 2007 Nov;26(11):1937-9. doi: 10.1007/s10067-007-0549-6. Epub 2007 Jan 31.


Mucopolysaccharidosis (MPS) type I is an inherited disease caused by the absence or malfunctioning of lysosomal enzymes. Three subtypes, based on severity of symptoms, were described, and Scheie syndrome (also called MPS I S) is the mildest form. Although there may be some typical extra-articular manifestations, musculoskeletal involvement may be the only presenting sign in the absence of other symptoms in the patients with less severe forms. The patients with MPS I S, especially in attenuated phenotypes, may be sometimes difficult to recognize for physicians not familiar with the disease. With this case presentation, it is aimed to draw attention to this disease, which could be delayed for the correct diagnosis. An increased awareness of the disease may contribute to more accurate diagnosis, and patients may benefit from early intervention.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Diagnosis, Differential
  • Femur Head / abnormalities
  • Femur Head / diagnostic imaging
  • Hand Deformities
  • Humans
  • Iduronidase / deficiency
  • Joints / pathology
  • Legg-Calve-Perthes Disease / diagnosis*
  • Legg-Calve-Perthes Disease / pathology*
  • Male
  • Mucopolysaccharidosis I / diagnosis*
  • Mucopolysaccharidosis I / pathology*
  • Musculoskeletal System / pathology*
  • Phenotype
  • Radiography


  • Iduronidase