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Start free with EleplanMucopolysaccharidosis type 1
ORPHA:579Disease
Also called Alpha-L-iduronidase deficiency · MPS1 · MPSI · Mucopolysaccharidosis type I
What it is
Mucopolysaccharidosis type 1 (MPS 1) is a rare lysosomal storage disease belonging to the group of mucopolysaccharidoses. There are three variants, differing widely in their severity, with Hurler syndrome being the most severe, Scheie syndrome the mildest and Hurler-Scheie syndrome giving an intermediate phenotype.
Key facts
- Prevalence
- 1-9 / 1 000 000 (Europe)
- Age of onset
- All ages
- Inheritance
- Autosomal recessive
- Classified as
- Disease
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%
17- Abnormal form of the vertebral bodies
- Abnormality of epiphysis morphology
- Abnormality of the voice
- Abnormal metaphysis morphology
- Chronic otitis media
- Coarse facial features
- Corneal opacity
- Generalized hirsutism
- Hernia
- Inguinal hernia
- Joint stiffness
- Mucopolysacchariduria
- Scoliosis
- Short stature
- Sinusitis
- Splenomegaly
- Split hand
Common30–79%
28- Abnormality of the face
- Abnormality of the hip bone
- Abnormality of the tonsils
- Abnormal nasal morphology
- Apnea
- Arthralgia
- Cough
- Depressed nasal bridge
- Developmental regression
- Dolichocephaly
- Enlarged thorax
- Everted lower lip vermilion
- Full cheeks
- Gingival overgrowth
- Glaucoma
- Hearing impairment
- Intellectual disability
- Low anterior hairline
- Macrocephaly
- Malabsorption
- Microdontia
- Paresthesia
- Recurrent respiratory infections
- Retinopathy
- Sensorineural hearing impairment
- Thick lower lip vermilion
- Thick nasal alae
- Widely spaced teeth
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.
Genes reported in subtypes
Orphanet records this gene on 3 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
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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