Nasal Polyposis in mucopolysaccharidosis type II.

ear genetics nasal polyps nose and throat otolaryngology / ENT pathology

Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
05 Mar 2021
Historique:
entrez: 6 3 2021
pubmed: 7 3 2021
medline: 15 5 2021
Statut: epublish

Résumé

Mucopolysaccharidosis (MPS) type II is a rare multisystem disorder resulting from the accumulation of breakdown products of glycosaminoglycans in the body tissues. Many patients with this disease undergo ENT (ear, nose and throat) surgeries such as adenotonsillectomy and tympanocentesis at a very early age, much before the diagnosis of MPS. Nasal polyposis is a rare occurrence, with only one case of MPS II with polyposis reported in the literature. We present a patient who presented with recurrent nasal polyposis from the age of 2 years. Hale's colloidal iron was used to stain these 'nasal polyps', which revealed that they are, in fact, mucopolysaccharide-laden sinonasal mucosa prolapsing into the nasal cavities. We believe this is the first time that this stain has been used to stain nasal polyps in MPS. In addition to the histopathological peculiarities of these nasal masses, we also discuss the natural history of nasal polyposis in MPS II.

Identifiants

pubmed: 33674293
pii: 14/3/e238778
doi: 10.1136/bcr-2020-238778
pmc: PMC7939012
pii:
doi:

Types de publication

Journal Article Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Pediatr Neonatol. 2017 Apr;58(2):198-199
pubmed: 28298256
Int J Pediatr Otorhinolaryngol. 1993 Feb;26(1):79-87
pubmed: 8444549
Arch Dis Child. 1998 Sep;79(3):237-41
pubmed: 9875019
Am J Hum Genet. 1996 Dec;59(6):1202-9
pubmed: 8940265
Genet Med. 2008 Jul;10(7):508-16
pubmed: 18580692
Genet Med. 2010 Dec;12(12):816-22
pubmed: 21045710

Auteurs

Sushmitha Kabekkodu (S)

Otorhinolaryngology, Kasturba Medical College Mangalore, Manipal Academy of Higher Eduction, Mangalore, Karnataka, India.

Suja Sreedharan (S)

Otorhinolaryngology, Kasturba Medical College Mangalore, Manipal Academy of Highe Education, Mangalore, Karnataka, India suja.sreedharan@manipal.edu.

Kirti Gupta (K)

Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Nirupama Murali (N)

Pathology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Mangalore, Karnataka, India.

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Classifications MeSH