Preferred Label : Multiple sulfatase deficiency;
Symbol : MSD;
CISMeF acronym : MSD;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : MUCOSULFATIDOSIS; Sulfatidosis, juvenile, austin type;
Description : Multiple sulfatase deficiency is an autosomal recessive inborn error of metabolism
resulting in tissue accumulation of sulfatides, sulfated glycosaminoglycans, sphingolipids,
and steroid sulfates. The enzymatic defect affects the whole family of sulfatase enzymes;
thus, the disorder combines features of metachromatic leukodystrophy (250100) and
of various mucopolysaccharidoses (see, e.g., MPS6; 253200). Affected individuals show
neurologic deterioration with mental retardation, skeletal anomalies, organomegaly,
and ichthyosis. Different types of MSD can be distinguished according to the age of
onset: neonatal, late infantile (0 to 2 years), and juvenile (2 to 4 years). Neonatal
MSD is the most severe form with a broad range of mucopolysaccharidosis-like symptoms
and death within the first year of life. Late-infantile MSD, which includes the majority
of cases, resembles late-infantile metachromatic leukodystrophy with progressive loss
of mental and motor abilities and skeletal changes. There is also an attenuated form
of late-infantile MSD with onset beyond the second year of life. Rare cases of juvenile-onset
MSD have been reported with onset of symptoms in late childhood and slower progression
(Blanco-Aguirre et al., 2001) (summary by Schlotawa et al., 2011).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the sulfatase-modifying factor 1 gene (SUMF1, 607939.0001);
Laboratory abnormalities : Decreased activities of multiple sulfatases; Urinary excretion of mucopolysaccharides; Accumulation of sulfatides, glycosaminoglycans, sphingolipids, and steroid sulfates
in tissues and body fluids;
Prefixed ID : #272200;
Origin ID : 272200;
UMLS CUI : C0268263;
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)