@article{ad210da9fcce4f8cb964047794966ba2,
title = "Grouped papules in Hurler-Scheie syndrome",
abstract = "In a patient with Hurler-Scheie syndrome, a type of mucopolysaccharidosis (1 H/S), an initial presentation was grouped papules on the extensor surfaces on the upper portions of the arms and legs. Other physical findings included progressive flexion contractures and mild developmental delay. The patient had deficient alpha-L-iduronidase activity, and electron microscopy showed large cytoplasmic vacuoles and lysosomes, consistent with Hurler-Scheie syndrome. Findings of grouped papules have not been previously reported in patients with this syndrome.",
author = "Schiro, \{James A.\} and Mallory, \{Susan B.\} and Laurie Demmer and Dowton, \{S. Bruce\} and Luke, \{Markham C.\}",
note = "Funding Information: ORTHO This article is made possible through an educational grant from the Dermatological Division, Ortho Pharmaceutical Corporation. From the Division of Dermatology, Internal Medicine, and Pediatrics \textasciitilde{} and Division of Genetics, Pediatrics? Washington University School of Medicine, St. Louis, Missouri. Reprint requests: Susan B. Mallory, MD, Division of Dermatology, St. Louis Children's Hospital, \#1 Children Place, Armex-A281, St. Louis, MO 63110. Copyright {\textcopyright} 1996 by the American Academy of Dermatology, Inc. 0190-9622/96 \$5.00 + 0 1614475925",
year = "1996",
month = nov,
doi = "10.1016/s0190-9622(96)90107-3",
language = "English",
volume = "35",
pages = "868--870",
journal = "Journal of the American Academy of Dermatology",
issn = "0190-9622",
number = "5 II",
}