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Healthcare providers across specialties should have a high degree of suspicion for MPS IVA in all patients with suspected spondylo-epiphyseal dysplasia as early diagnosis and early treatment significantly improve the clinical outcome and activity of daily living.<\/jats:p>","DOI":"10.1136\/bcr-2017-221156","type":"journal-article","created":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T10:40:10Z","timestamp":1508496010000},"page":"bcr-2017-221156","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Mucopolysaccharidosis type IVA (Morquio A): a close differential diagnosis of spondylo-epiphyseal dysplasia"],"prefix":"10.1136","volume":"2017","author":[{"given":"Sugata Narayan","family":"Biswas","sequence":"first","affiliation":[{"name":"Department of Medicine, Midnapore Medical College and Hospital, Midnapore, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinjan","family":"Patra","sequence":"additional","affiliation":[{"name":"Department of Medicine, Midnapore Medical College and Hospital, Midnapore, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partha Pratim","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Department of Medicine, Midnapore Medical College and Hospital, Midnapore, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu","family":"Barman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Midnapore Medical College and Hospital, Midnapore, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,10,20]]},"reference":[{"key":"2025082800074463000_2017.oct20_1.bcr-2017-221156.1","unstructured":"Neufeld EU , Muenzer J . 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