“…With the artificial substrate, phenyl GLiduronide, cc-L-iduronidase activity has been demonstrated to be reduced in leucocytes, serum and cultured skin fibroblasts from obligate heterozygotes for Hurler and Scheie syndromes (Hall & Neufeld, 1973;Singh et al, 1974;Dulaney et al, 1976;Wappner & Brandt, 1976;Liem & Hooghwinkel, 1975;Omura, Higami & Tada, 1976;Momoi, Sudo, Tanioka & Kushida, 1977). Wappner & Brant (1976), in a study of (c-L-iduronidase activity in leucocyte supernatant preparations from 16 obligate heterozygotes, did not observe overlap with their normal range.…”