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An atypical case of hypoxanthine-guanine phosphoribosyltransferase deficiency (Lesch-Nyhan syndrome)
Authors:R. A. Geerdink    W. H. M. de  Vries   J. Willemse    T. L. Oei   C. H. M. M. de  Bruyn
Affiliation:Unit of Medical Genetics, University Hospital, Utrecht;Department of Child Neurology, State University, Utrecht;Department of Human Genetics, University of Nijmegen, Nijmegen, The Netherlands
Abstract:This paper describes an adult patient, with gout and without any demonstrable activity of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HG-PRT). Few of the neurological abnormalities generally associated with severe HG-PRT deficiency were exhibited by this patient. Psychological studies, however, disclosed that some characteristics of the behaviour anomaly in the Lesch-Nyhan syndrome are present, but only in a concealed form.
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