TY - JOUR TI - Mucopolysaccharidosis Type-II with Pathognomonic Skin Appearance: A Case with Pebbling Sign AB - Mucopolysaccharidosis type-II (MPS-II) is an X-linked lysosomal storage disorder. Here, we report an 8-year-old boy with pebbling sign in the scapular region, coarse facies, claw hand, diastolic murmur, and hepatomegaly. With decreased iduronate-2-sulfatase activity and hemizygous mutation in the IDS gene, the diagnosis was MPS-II. Pebbling sign is a rare but pathognomonic sign of MPS-II. AU - bulut, fatma derya AU - Telefon, Ayşe Hitay AU - karakaş, mehmet AU - Önenli Mungan, Halise Neslihan AU - KÖR, DENİZ AU - Kilavuz, Sebile AU - Seker Yilmaz, Berna DO - 10.4274/jpr.galenos.2020.82621 PY - 2021 JO - The Journal of Pediatric Research VL - 8 IS - 2 SN - 2147-9445 SP - 206 EP - 208 DB - TRDizin UR - http://search/yayin/detay/516440 ER -