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Living with Mucopolysaccharidosis-plus syndrome

A rare genetic condition with early breathing problems, heart defects, bone and organ differences, and developmental delay.

Understanding Mucopolysaccharidosis-plus syndrome

Mucopolysaccharidosis-plus syndrome is a rare genetic condition that combines features of mucopolysaccharidosis with heart, lung, kidney, and blood differences.

It is marked by early breathing difficulties and frequent respiratory infections, heart defects present from birth, multiple bone differences (dysostosis multiplex), an enlarged liver and spleen, kidney involvement, and blood abnormalities. Facial features are coarse, and there is global developmental delay. Lab tests show extra sugar chains in the urine but no missing lysosomal enzyme. It begins in infancy.

Signs & symptoms

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

  • Breathing difficulties and respiratory infections
  • Heart defects and heart muscle thickening
  • Enlarged liver and spleen
  • Coarse facial features and a large tongue
  • Delays in reaching developmental milestones
  • Stiff joints (contractures)

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, genetic specialists and lung and breathing specialists.

  3. Consider genetic testing

    Changes in VPS33A are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Lung and breathing specialists (pulmonologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 VPS33A gene confirm this diagnosis?
Which specialists should follow the heart, lungs, and blood?
What breathing and developmental supports are available?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesVPS33A

This condition is caused by changes in the VPS33A gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticRespiratoryNeurological

Also known as: mpsps; mucopolysaccharidosis-like plus disease; mucopolysaccharidosis-like syndrome with congenital heart defects and hematopoietic disorders

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Mucopolysaccharidosis-plus syndromeGARD ID 17944 · 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-plus syndrome.

Explore the Mucopolysaccharidosis-plus syndrome blog

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