rare hereditary (autosomal recessive) metabolic disease characterized by severe mental retardation. There are three varieties, each caused by a defect in a different enzyme involved in the breakdown of mucopolysaccharides, a group of substances important in the structure and maintenance of connective tissues. All three varieties appear in early childhood, and affected persons usually die by age 20. Features of the disease include excessive hair growth and progressive partial paralysis of all four limbs. Mild growth retardation may occur, causing moderate dwarfism, but this is neither as common nor as severe as in related mucopolysaccharidoses.