PMC8994450_01
PMC8994450_02
facial dysmorphia with thickened features
PAMJ-41-116-g001.jpg
PMC8994450_02_PAMJ-41-116-g001.jpg
F1
Patient information: a 14-year-old female patient from a non-consanguineous marriage was followed in pediatrics for a moderate form of MPS type 1 with multi-visceral involvement: facial dysmorphia (Figure 1), ear, nose, and throat (ENT) involvement, hepatomegaly, ophthalmic involvement, pulmonary involvement and joint involvement with bilateral genu valgum.
deficit of digital pollicis pincer
PAMJ-41-116-g002.jpg
PMC8994450_02_PAMJ-41-116-g002.jpg
F2
amyotrophy in thenar muscles
PAMJ-41-116-g003.jpg
PMC8994450_02_PAMJ-41-116-g003.jpg
F3
intra-operative photo showing the reduced bluish aspect of the medial nerve
PAMJ-41-116-g004.jpg
PMC8994450_02_PAMJ-41-116-g004.jpg
F4