LESCH-NYHAN SYNDROME (HGPRT, HPRT) | |
HYPOXANTHIN GUANINE PHOSPHORIBOSYLTRANSFERASE; LESCH-NYHAN SYNDROME | |
300322
OMIM = Online Mendelian Inheritance of Men | |
510 | |
Hypoxanthine-guanine phosphoribosyltransferase | |
2.4.2.8 | |
Xq26.2-q26.3 |
|
E79.1 | |
rare (1:100000 males) X-linked mutations in HPRT1 complete: Lesch-Nyhan syndrome partial: Kelley-Seegmiller syndrome | |
Laboratory findings | Xanthine inc (urine) Oxypurinol (Allopurinol-metabolite) normal/inc (urine) Folate dec (serum) Hypoxanthin guanine phosphoribosyl transferase (HPRT) dec (fibroblasts) Hypoxanthine inc (urine) Hypoxanthine inc (plasma) Uric acid inc (serum) Uric acid inc (urine) |
Symptoms | renal failure, acute anemia behavior, self-mutilating or destructive chorea or athetosis dysarthria dysphagia dystonia feeding difficulties, poor feeding gout growth retardation, poor growth hematuria hyperuricemia hypotonia infections (urinary tract) intellectual disability/intellectual developmental disorder mental retardation nephrosis onset, infancy renal failure, acute/chronic short stature spastic diplegia/quadriplegia/tetraplegia urolithiasis, nephrolithiasis, kidney stones vomiting |