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Living with Mucopolysaccharidosis type 7

An inherited condition (Sly syndrome) that affects most tissues and organs, with severity that varies widely.

Understanding Mucopolysaccharidosis type 7

Mucopolysaccharidosis type 7 (MPS VII), also called Sly syndrome, is a progressive inherited condition that affects most tissues and organs.

Severity varies widely. The most severe cases involve hydrops fetalis, a buildup of fluid in the body before birth. Others typically show signs in early childhood. Features include a large head, coarse facial features, a large tongue, an enlarged liver and spleen, heart valve differences, cloudy corneas, hearing loss, and short stature. Some people have developmental delay and intellectual disability, while others have normal intelligence.

Signs & symptoms

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

  • Coarse facial features
  • Cloudy corneas
  • Enlarged spleen
  • Hernias
  • Joint stiffness and scoliosis
  • Intellectual disability in some people

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 GUSB 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); Brain and nervous system specialists (neurologists); 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 National MPS Society 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 GUSB gene confirm this diagnosis?
Which specialists should follow the heart, eyes, hearing, and airway?
What treatments are available for MPS VII?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesGUSB

This condition is caused by changes in the GUSB 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: beta-glucuronidase deficiency; deficiency of beta-glucuronidase; gusb deficiency; mps vii; mps vii - mucopolysaccharidosis vii; mps vii - sly syndrome

Patient organizations

Source: NIH GARD · Mucopolysaccharidosis type 7GARD ID 7096 · 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 type 7.

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