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Inventory - Additional Information (Detail) - USD ($)
$ in Thousands
Dec. 31, 2016
Dec. 31, 2015
Inventory [Line Items]    
Inventory $ 355,126 $ 271,683
Vimizim PreQual Inventory    
Inventory [Line Items]    
Inventory 30,000  
Brineura Inventory    
Inventory [Line Items]    
Inventory $ 39,100