“…Joint stiffness, carpal tunnel syndrome, pain in hips, shoulders, hands, and/or ankles, waddling gait, as well as spinal deformities are common features of ML III, leading to clinical diagnosis in childhood [ 5 , 10 ]. Craniofacial dysmorphism, growth retardation, organomegaly, and cardiorespiratory problems are often absent or appear to be less pronounced than in ML II [ 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. These young patients are often plagued by recurrent respiratory tract infections, including pneumonia, otitis media, and bronchitis.…”