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Living with Pseudo-Hurler polydystrophy

A rare genetic condition, also called mucolipidosis III alpha/beta, with slow growth, stiff joints, and bone problems.

Understanding Pseudo-Hurler polydystrophy

Pseudo-Hurler polydystrophy, also called mucolipidosis III alpha/beta, is a rare disorder that affects many parts of the body.

Signs usually start around age 3 and slowly worsen. Children grow slowly and have short stature, stiff joints, and skeletal differences on X-ray. Many develop weak, thin bones and bone pain that increases over time. Heart valve differences, mild clouding of the eye surface, and frequent ear and breathing infections can occur. About half have mild intellectual disability or learning problems.

Signs & symptoms

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

  • Slow growth and short stature
  • Stiff joints
  • Bone changes seen on X-ray (dysostosis multiplex)
  • Claw-hand deformity
  • Slightly coarse facial features
  • Heart muscle disease (cardiomyopathy)

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 and genetic specialists.

  3. Consider genetic testing

    Changes in GNPTAB 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

    The International Advocates for Glycoprotein Storage Diseases (ISMRD) may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Expert lists: The International Advocates for Glycoprotein Storage Diseases (ISMRD)
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 Cure Mucolipidosis 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
Would genetic testing for the GNPTAB gene help our family?
How should bone health and joint pain be managed?
How often should the heart and eyes be checked?

Quick facts

InheritanceAutosomal Recessive
GenesGNPTAB

This condition is caused by changes in the GNPTAB gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticInherited MetabolicLysosomal Storage

Also known as: ml 3 alpha/beta; ml iii; ml iii alpha/beta; ml iiia; mliii; mucolipidosis iii

Patient organizations

Source: NIH GARD · Pseudo-Hurler polydystrophyGARD ID 17704 · 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 Pseudo-Hurler polydystrophy.

Explore the Pseudo-Hurler polydystrophy blog

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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