Hypoxanthine guanine phosphoribosyltransferase (E.C.; HGPRT) deficiency is associated with a marked clinical heterogeneity [1–3]. All patients with HGPRT deficiency exhibit a common characteristic: increased uric acid production [3]. However, the clinical consequences of this uric acid overproduction may differ markedly from patient to patient. This variability depends not only on the rate of uric acid production but also on the factors that determine urate precipitation, some of which remain to be fully delineated. Among the known factors associated with urate precipitation, effective hypouricemic treatment has dramatically changed the spectrum of the clinical manifestations related to urate deposition in HGPRT deficient patients. In addition, HGPRT deficiency may be associated with a neurological syndrome that in its full expression is characterized by spasticity, hyperreflexia, choreoathetoid movements, mental retardation, and compulsive self-injurious behavior (Fig.1) [4–6].


Uric Acid Purine Nucleotide Purine Synthesis Purine Biosynthesis Uric Acid Production 
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Copyright information

© Springer Verlag, Berlin Heidelberg 1993

Authors and Affiliations

  • J. G. Puig
  • F. A. Mateos

There are no affiliations available

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