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Case Report
©The Author(s) 2026.
World J Orthop. Feb 18, 2026; 17(2): 113473
Published online Feb 18, 2026. doi: 10.5312/wjo.v17.i2.113473
Table 2 Enzyme activity in the differential diagnosis of lysosomal storage disorders
Enzyme (associated disorder)
Activity (μmol/L/hour)
Reference range (μmol/L/hour)
N-acetyl-α-D-glucosaminidase (MPS IIIB)5.411-20
Acetylgalactosamine-6-sulfatase (MPS IVA)1.830.5-10
Arylsulfatase B (MPS VI)2.951-15
β-D-galactosidase (GM1 gangliosidosis, MPS IVB)8.572-30
β-D-glucuronidase (MPS VII)33.6910-65
Iduronate-2-sulfatase (MPS II)16.3110-50
Tripeptidyl peptidase 1 (neuronal ceroid lipofuscinosis type 2, CLN2)58.0515-85


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