Entry - 308950 - LESCH-NYHAN PHENOTYPE WITH NORMAL HGPRT - OMIM
308950

LESCH-NYHAN PHENOTYPE WITH NORMAL HGPRT


Clinical Synopsis
 

Neuro
- Mental retardation
- Choreoathetosis
- Spasticity
Misc
- Self-mutilation
Lab
- Hyperuricemia
- HGPRT and purine salvage normal
Inheritance
- X-linked

TEXT

Nyhan et al. (1978) described a male patient with self-mutilation, mental retardation, choreoathetosis, spasticity and hyperuricemia, identical to the clinical picture of HGPRT deficiency (308000). Although HGPRT and purine salvage were normal, an abnormality in synthesis or catabolism of trinucleotides was suggested by an unusual accumulation of trinucleotides. Nyhan (1989) stated that since subsequent studies of cells from this patient failed to show consistent accumulation of trinucleotides, there is no real evidence of abnormality in purine metabolism. He reiterated that 'the phenotype was absolutely typical.'


REFERENCES

  1. Nyhan, W. L. Personal Communication. San Diego, Calif. 10/13/1989.

  2. Nyhan, W. L., Nissinen, E., Bakay, B. Lesch-Nyhan phenocopy in a patient with normal purine salvage and abnormal nucleotide metabolism. (Abstract) Am. J. Hum. Genet. 30: 36A only, 1978.


Creation Date:
Victor A. McKusick : 6/4/1986
warfield : 4/20/1994
mimadm : 2/27/1994
supermim : 3/17/1992
supermim : 3/20/1990
carol : 12/12/1989
ddp : 10/26/1989

308950

LESCH-NYHAN PHENOTYPE WITH NORMAL HGPRT


ORPHA: 510;  



TEXT

Nyhan et al. (1978) described a male patient with self-mutilation, mental retardation, choreoathetosis, spasticity and hyperuricemia, identical to the clinical picture of HGPRT deficiency (308000). Although HGPRT and purine salvage were normal, an abnormality in synthesis or catabolism of trinucleotides was suggested by an unusual accumulation of trinucleotides. Nyhan (1989) stated that since subsequent studies of cells from this patient failed to show consistent accumulation of trinucleotides, there is no real evidence of abnormality in purine metabolism. He reiterated that 'the phenotype was absolutely typical.'


REFERENCES

  1. Nyhan, W. L. Personal Communication. San Diego, Calif. 10/13/1989.

  2. Nyhan, W. L., Nissinen, E., Bakay, B. Lesch-Nyhan phenocopy in a patient with normal purine salvage and abnormal nucleotide metabolism. (Abstract) Am. J. Hum. Genet. 30: 36A only, 1978.


Creation Date:
Victor A. McKusick : 6/4/1986

Edit History:
warfield : 4/20/1994
mimadm : 2/27/1994
supermim : 3/17/1992
supermim : 3/20/1990
carol : 12/12/1989
ddp : 10/26/1989