Mucopolysaccharidosis (MPS) is a metabolic storage disorder caused by the deficiency of any lysosomal enzyme required for the breakdown of glycosaminoglycans. A 15-month-old Boston Terrier presented with clinical signs consistent with lysosomal storage disease including corneal opacities, multifocal central nervous system disease and progressively worsening clinical course. Diagnosis was confirmed at necropsy based on histopathologic evaluation of multiple organs demonstrating accumulation of mucopolysaccharides. Whole genome sequencing was used to uncover a frame-shift insertion affecting the alpha-L-iduronidase (IDUA) gene (c.19_20insCGGCCCCC), a mutation confirmed in another Boston Terrier presented 2 years later with a similar clinical picture. Both dogs were homozygous for the IDUA mutation and shared coat colors not recognized as normal for the breed by the American Kennel Club. In contrast, the mutation was not detected in 120 unrelated Boston Terriers as well as 202 dogs from other breeds. Recent inbreeding to select for recessive and unusual coat colors may have concentrated this relatively rare allele in the breed. The identification of the variant enables ante-mortem diagnosis of similar cases and selective breeding to avoid the spread of this disease in the breed. Boston Terriers carrying this variant represent a promising model for MpS i with neurological abnormalities in humans.Mucopolysaccharidosis (MPS) is a type of lysosomal storage disease caused by a deficiency of enzymes integral to the breakdown of glycosaminoglycans (GAGs). This serious condition, described in many species including humans and dogs, leads to the accumulation of metabolites of the GAG degradation pathway within lysosomes along with increased urinary excretion of these metabolites 1 . There are 11 known enzymes that regulate the catabolism of four different GAGs. The GAGs affected in each variant of MPS are dependent upon which enzyme is deficient 2 .In people, MPS is a chronic disease with a progressive course. Neurological abnormalities are a major component of the disease. The progressive cerebral disease typically occurs in MPS III and severe forms of MPS I, II, and VII but chronic hearing loss and vision impairment can occur in all types. Thickening of meninges and diffuse changes to the brain's white matter are also common 3,4 . Most MPS types, except for MPS III, are associated with skeletal abnormalities, joint disease, short stature and abnormal facies 5 . Cardiovascular dysfunctions like valvular heart disease, narrowing of coronary arteries, and eccentric hypertrophy are universal to all subtypes