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- Disease Information
- Disease Comparison
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Disease Processes ▼
- Auto Immune
- Vascular-Arteriosclerosis
- Biochemical
- Congenital-developmental
- Deficiency
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Major Organs-Systems ▼
- Systemic
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Disease Information for Lesch-Nyhan syndrome
- Clinical Manifestations
- Signs & Symptoms
- Disfiguring/mutilating/scarring skin lesions
- Mutilating acrodermal areas/digits/nose/ears
- Mutilating/skin lesions/light exposed areas/face
- Bumpy/lumpy lips congenital/sign
- Athetosis
- Chorea signs
- Choreoathetoid movement
- Choreoathetosis
- Equinus Posture/Ankles
- High pain threshold/infant
- Indifference to pain
- Lip biting
- Mental Deficiency Child
- Mental/motor retardation in children/signs
- Movement or gait disorder/signs
- Nail biting/sign
- Neurological symptoms/signs
- Spasticity/Spastic gait
- Behavior/obsessive mannerisms
- Compulsive self-mutilation
- Psychomotor retardation
- Self-inflicted wounds/mutilation
- Wrist biting behavior
- Cloudy or purulent urine
- Short stature Child
- Typical Clinical Presentation
- Males sicker than females/characteristic
- Clinical Presentation & Variations
- Anemia with Low Reticulocyte Count
- Disease Progression
- Course/Chronic disorder
- Course/Chronic only
- Demographics & Risk Factors
- Population Group
- Child
- Population/Pediatrics population
- Family History
- Family history/Metabolic disease
- Sex & Age Groups
- Population/Boy patient
- Population/Child
- Population/Child-Infant Only
- Population/Children/all
- Population/Male
- Laboratory Tests
- Abnormal Lab Findings (Non Measured)
- Macrocytic anemia (Lab)
- Macrocytosis/smear (Lab)
- Abnormal Lab Findings - Decreased
- Hematocrit (Lab)
- Hemoglobin (Lab)
- RBC/Red Blood Count (Lab)
- Abnormal Lab Findings - Increased
- Hypoxanthine serum level
- MCV/Mean Corpuscular Volume (Lab)
- Uric acid, serum (Lab)
- URINE Xanthine
- Diagnostic Test Results
- Pathology
- BX/Renal Kidney urate deposits
- Associated Diseases & Rule outs
- Associated Disease & Complications
- Anemia
- Arthritis, gouty type
- Autoamputation of digit
- Cerebral palsy
- Cerebral spastic diplegia
- Gout
- Gouty nephropathy, chronic
- Growth retardation/failure
- Hyperuricemia
- Kidney stone/Nephrolithiasis/Urolithiasis
- Kidney stone/Uric acid/urates
- Lesch-Nyhan syndrome
- Megaloblastic anemia/disease
- Mental retardation
- Renal colic
- Ureterolithiasis/stone in ureter
- Uric acid kidney stone formation
- Disease Mechanism & Classification
- Class
- CLASS/Pediatric disorders (ex)
- CLASS/Neurologic (category)
- Pathophysiology
- Pathophysiology/Gene locus Chromosome X.
- Pathophysiology/Gene Locus Identified/OMIM database
- Pathophysiology/Gene locus Xq26-q27.2
- Pathophysiology/Genomic indentifiers (polymorphism/snip/mutations)
- Pathophysiology/Hypoxanthine-guan/ PO4-ribotransferase
- Pathophysiology/Purine/pyrimidine metabolic problem
- Pathophysiology/Hypoxanthine Guanine phosphoribosyl transferase HPRT defect
- Process
- PROCESS/Congenital/developmental (category)
- PROCESS/Enzyme defect/Metabolic disorder (ex)
- PROCESS/Eponymic (category)
- PROCESS/Hereditofamilial (category)
- PROCESS/Metabolic/storage disorder (category)
- PROCESS/Sex-linked (X-linked) recessive inheritance (ex)
- PROCESS/Storage disorder (ex)
- PROCESS/Variant expressions/Subsets (ex)
- Synonyms
- Synonym
- Choreoathetosis Self Mutilation Hyperuricemia Syndrome, Choreoathetosis self mutilation syndrome, Comp hypoxan guan phosribo def, COMPLETE HGPRT DEFIC DIS, Complete HGPRT deficiency, Complete HGPRT Deficiency Disease, Complete hypoxanthine guanine phosphoribosyltransferase def, Complete hypoxanthine guanine phosphoribosyltransferase deficiency, DEFIC DIS COMPLETE HGPRT, DEFIC DIS HYPOXANTHINE PHOSPHORIBOSYL TRANSFERASE, Deficiency Disease Complete HGPRT, Deficiency Disease Hypoxanthine Phosphoribosyl Transferase, Deficiency Diseases Hypoxanthine Phosphoribosyl Transferase, deficiency hypoxanthine( guanine) phosphoribosyltransferase, Deficiency of guanine phosphoribosyltransferase, Deficiency of hypoxanthine guanine phosphoribosyltransferase, Deficiency of hypoxanthine phosphoribosyltransferase, Deficiency of hypoxanthine phosphoribosyltransferase (disorder), Deficiency of IMP pyrophosphorylase, Disease Hypoxanthine Phosphoribosyl Transferase Deficiency, Disease Lesch Nyhan, Diseases Hypoxanthine Phosphoribosyl Transferase Deficiency, HEREDITARY HYPERURICEMIA, HG PRT deficiency, HG PRT deficiency syndrome, HGPRT DEFIC DIS COMPLETE, HGPRT deficiency, HGPRT Deficiency Disease Complete, HPRT Hypoxanthine guanine phosphoribosyltransferase deficiency, HPRT DEFICIENCY, HPRT DEFICIENCY COMPLETE, HPRT Hypoxa guan phosribos def, HPRT Hypoxanthine guanine phosphoribosyltransferase defic, HPRT1 DEFICIENCY, HYPERURICEMIA CHOREOATHETOSIS SELF MUTILATION SYNDROME, Hypoxan guan phosphoribosy def, hypoxanthine guanine phosphoribosyltransferase (HGPRT) deficiency, HYPOXANTHINE GUANINE PHOSPHORIBOSYLTRANSFERASE 1 DEFICIENCY, hypoxanthine guanine phosphoribosyltransferase deficiency, Hypoxanthine guanine phosphoribosyltransferase deficiency ((Lesch Nyhan syndrome)), Hypoxanthine guanine phosphoribosyltransferase deficiency (disorder), Hypoxanthine guanine phosphoribosyltransferase deficiency syndrome, HYPOXANTHINE PHOSPHORIBOSYL TRANSFERASE DEFIC DIS, Hypoxanthine Phosphoribosyl Transferase Deficiency Disease, Hypoxanthine Phosphoribosyl Transferase Deficiency Diseases, hypoxanthine phosphoribosyltransferse (HPRT) deficiency, hypoxanthine phosphoribosyltransferse deficiency, hypoxanthine( guanine) phosphoribosyltransferase deficiency, JUVENILE GOUT CHOREOATHETOSIS MENTAL RETARDATION SYNDROME, juvenile hyperuricemia syndrome, Lesch Nyhan syndrome, Lesch Nyhan, LESCH NYHAN DIS, Lesch Nyhan Disease, Lesch Nyhan Syndrome, Lesch Nyhan syndrome (disorder), Lesch Nyhan syndrome (LNS), LNS, NYHAN SYNDROME, primary hyperuricemia syndrome, Total HGPRT deficiency, Total hypoxanthine guanine phosphoribosyl transferase deficiency, X linked hyperuricaemia, X linked hyperuricemia, X linked hyperuricemia (disorder), X linked primary hyperuricemia, X linked uric aciduria enzyme defect, Synonym/Hyperuricemia/choreoathetosis/self-mutil'n, Synonym/Hyperuricemia-oligophrenia syndrome, Synonym/Juvenile gout/choreoathetosis/retardation, Synonym/Nyhan syndrome
- Treatment
- Drug Therapy - Indication
- SX/Stem cell transplant/allogenic
- SX/Stem-cell transplant
- Definition
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An inherited disorder transmitted as a sex-linked trait and caused by a deficiency of an enzyme of purine metabolism; HYPOXANTHINE PHOSPHORIBOSYLTRANSFERASE; Affected individuals are normal in the first year of life and then develop psychomotor retardation, extrapyramidal movement disorders, progressive spasticity, and seizures; Self-destructive behaviors such as biting of fingers and lips are seen frequently; Intellectual impairment may also occur but is typically not severe; Elevation of uric acid in the serum leads to the development of renal calculi and gouty arthritis; (Menkes, Textbook of Child Neurology, 5th ed, )---------------------------------------------------------
Lesch Nyhan Syndrome; HGPRT, Absence of; HPRT, Absence of
Hereditary Hyperuricemia and Choreoathetosis Syndrome;
Hyperuricemia, Choreoathetosis, Self-multilation Syndrome;
Hyperuricemia-Oligophrenia; Hypoxanthine-Guanine Phosphoribosyltranferase Defect (Complete Absense of);
Juvenile Gout, Choreoathetosis, and Mental Retardation Syndrome; Nyhan Syndrome; Lesch-Nyhan syndrome is a rare inborn error of purine metabolism characterized by the absence or deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HPRT)
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- External Links Related to Lesch-Nyhan syndrome
- Wikipedia
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- PubMed (National Library of Medicine)
- NGC (National Guideline Clearinghouse)
- Medscape (eMedicine)
- Harrison's Online (accessmedicine)
- NEJM (The New England Journal of Medicine)