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Correspondence
January 1998

Extensive Mongolian Spots in an Infant With Hurler Syndrome

Arch Dermatol. 1998;134(1):108-109. doi:

Hurler syndrome (HS), the most common of the mucopolysaccharidoses, is not usually associated with specific cutaneous manifestations.1 However, recent reports2-4 document the association of extensive and unusual mongolian spots with HS. In 1976, Stevenson et al2 reported a case of HS, emphasizing the radiologic features. In that report, the patient is described as being "generally hirsute with several mongolian spots." More recently, 2 reports3,4 from Brazil document 20 patients with HS and extensive mongolian spots.

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