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Living with Mucopolysaccharidosis, MPS-I-H/S

An in-between form of MPS I, an inherited condition causing bone differences, delayed motor skills, and cloudy corneas.

Understanding Mucopolysaccharidosis, MPS-I-H/S

Mucopolysaccharidosis MPS-I-H/S, also called Hurler-Scheie syndrome, is the in-between form of mucopolysaccharidosis type 1, a rare lysosomal storage disease.

It sits between the two ends of MPS 1, Hurler syndrome and Scheie syndrome. It is marked by bone and skeletal differences and a delay in motor development. Signs begin in the newborn period or infancy.

Signs & symptoms

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

  • Skeletal differences and short stature
  • Limited joint movement
  • Coarse facial features
  • Cloudy corneas (corneal opacity)
  • Enlarged liver and spleen
  • Hearing loss from inner ear changes

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, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in IDUA 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

    Little People of America, Children's Cardiomyopathy Foundation and World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America, Children's Cardiomyopathy Foundation, 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 Little People of America 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 for the IDUA gene confirm this diagnosis?
What treatments are available for MPS I?
Which specialists should monitor the heart, eyes, hearing, and joints?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesIDUA

This condition is caused by changes in the IDUA gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: hurler-scheie disease mps type 1h/s; hurler-scheie syndrome; l-iduronidase deficiency, hurler-scheie type; mps i h-s; mps1h/s; mpsih/s

Patient organizations

Source: NIH GARD · Mucopolysaccharidosis, MPS-I-H/SGARD ID 12560 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Mucopolysaccharidosis, MPS-I-H/S.

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