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Start free with EleplanMucopolysaccharidosis-like syndrome with congenital heart defects and hematopoietic disorders
ORPHA:505248Malformation syndrome
Also called Mucopolysaccharidosis-like plus disease
What it is
A rare genetic disease characterized by early-onset respiratory difficulties and frequent respiratory infections, congenital heart defects, dysostosis multiplex, hepatosplenomegaly, renal involvement, hematopoietic abnormalities, facial dysmorphism (coarse facial features, large forehead, synophrys, long eyelashes, broad nasal bridge, macroglossia, short neck, and low hairline), and global developmental delay. Laboratory examination shows increased urinary excretion of glycosaminoglycans and increased plasma heparan sulfate, but no lysosomal enzyme deficiency. The disease is usually fatal in the first years of life.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy
- Inheritance
- Autosomal recessive
- Classified as
- Malformation syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
10Common30–79%
22- Abnormal heart morphology
- Absent speech
- Airway obstruction
- Atrial septal defect
- Congestive heart failure
- Heparan sulfate excretion in urine
- Hypertrophic cardiomyopathy
- Hypoalbuminemia
- Hyporeflexia
- Inability to walk
- Joint stiffness
- Leukopenia
- Macroglossia
- Nephrotic syndrome
- Optic atrophy
- Patent ductus arteriosus
- Pulmonary arterial hypertension
- Recurrent gastroenteritis
- Respiratory distress
- Tachycardia
- Thickened skin
- Urinary glycosaminoglycan excretion
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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