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Living with Deficiency of hyaluronoglucosaminidase

A rare form of mucopolysaccharidosis with joint pain and swelling, soft-tissue masses near joints, and short stature.

Understanding Deficiency of hyaluronoglucosaminidase

Deficiency of hyaluronoglucosaminidase is a rare form of mucopolysaccharidosis in which hyaluronan builds up inside cell compartments called lysosomes.

It is caused by a shortage of an enzyme called hyaluronidase 1. Features include knee or hip pain with swelling, joint inflammation, soft-tissue masses near the joints, and short stature. Facial differences can include a flat nasal bridge, split uvula, and cleft palate. GARD lists onset in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these as the most common:

  • Short stature
  • Differences in the hip socket
  • Knee or hip pain with swelling
  • Soft-tissue masses near joints

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in HYAL1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with World Craniofacial Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing of the HYAL1 gene confirm the diagnosis?
Which specialists, such as orthopedics, should follow my joints?
How can joint pain be managed?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesHYAL1

Changes in the HYAL1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited MetabolicLysosomal Storage

Also known as: deficiency of hyaluronidase; hyaluronidase deficiency; mps ix; mps9; mpsix; mucopolysaccharidosis type 9

Patient organizations

Source: NIH GARD · Deficiency of hyaluronoglucosaminidaseGARD ID 16675 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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