Diagnosis of α-l-Iduronidase Deficiency in Dried Blood Spots on Filter Paper: The Possibility of Newborn Diagnosis

Abstract
Mucopolisaccharidosis type I (MPS I), produced by a deficiency of α-l-iduronidase (EC 3.2.1.76) activity, can manifest three major clinical phenotypes: Hurler, Scheie, and Hurler-Scheie syndromes. The clinical phenotypes cannot be differentiated by routine biochemical diagnostic procedures. Mutation analysis allows the classification of some patients, but in most cases assignment to an MPS I type can be made only on the basis of clinical criteria (1).