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Two 4-Year-Olds (Charlie and Lisa)have Mucopolysaccharidosis I (MPSI)

Question 19

Multiple Choice

Two 4-year-olds (Charlie and Lisa) have mucopolysaccharidosis I (MPSI) .Charlie has severe dysmorphic features and many skeletal anomalies.Lisa has only mildly coarse features and slight developmental delay.What is the best explanation for these differences?


A) Skewed X inactivation allowed more paternal X expression for Lisa and more maternal X expression for Charlie.
B) Lisa's mother had better prenatal care,including good diet,exercise,and vitamins than Charlie's mother.
C) It is likely that Lisa has been misdiagnosed and really has MPSII.
D) The disorder has wide variability in expression of severity.

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