Lesch-Nyhan syndrome
Symptoms & Signs
The excess uric acid levels cause children to develop gout-like swelling in some of their joints. In some cases, kidney and bladder stones develop because of the high uric acid levels. Males with Lesch-Nyhan have delayed motor development followed by bizarre, sinuous movements and increased deep tendon reflexes. A striking feature of Lesch-Nyhan syndrome is self-destructive behavior characterized by chewing off fingertips and lips, if not restrained. It is unknown how the enzyme deficiency causes these problems.
Diagnosis & Tests
There may be a family history of this condition. The doctor will perform a physical exam. The exam may show: Blood and urine tests may reveal high uric acid levels. A skin biopsy may show decreased levels of the HGP enzyme.
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