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LESCH-NYHAN SYNDROME (HGPRT, HPRT)

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 findingsXanthine 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