Skip to main content
Top
Published in: Pediatric Nephrology 12/2005

01-12-2005 | Brief Report

Partial hypoxanthine-guanine phosphoribosyltransferase deficiency presenting as acute renal failure

Authors: Sarah Cherian, Charles H. Crompton

Published in: Pediatric Nephrology | Issue 12/2005

Login to get access

Abstract

Hyperuricemia and secondary urate nephropathy are uncommon in the paediatric setting outside of tumour lysis syndrome. We describe the case of a 12-year-old boy who presented at 3 years of age with acute renal failure. The cause of this remained unknown until the development of uric acid renal calculi 9 years later. This, and the availability of the previously unknown family history, provided the subsequent diagnosis of partial hypoxanthine-guanine phosphoribosyltransferase (HPRT) deficiency. Detailed family history is important for early detection of this heterogeneous group of disorders. Early treatment may minimise long-term renal morbidity and mortality from renal insufficiency.
Literature
1.
go back to reference Jinnah H, Friedmann T (2001) Lesch-Nyhan disease and its variants. In: Scriver CR (ed) The metabolic and molecular bases of inherited disease, vol 2, 8th edn. McGraw-Hill, New York, pp 2357–2561 Jinnah H, Friedmann T (2001) Lesch-Nyhan disease and its variants. In: Scriver CR (ed) The metabolic and molecular bases of inherited disease, vol 2, 8th edn. McGraw-Hill, New York, pp 2357–2561
2.
go back to reference Mateos F, Puig J (1994) Purine metabolism in Lesch-Nyhan syndrome versus Kelley-Seegmiller syndrome. J Inherit Metab Dis 17:138–142CrossRefPubMed Mateos F, Puig J (1994) Purine metabolism in Lesch-Nyhan syndrome versus Kelley-Seegmiller syndrome. J Inherit Metab Dis 17:138–142CrossRefPubMed
3.
go back to reference Mak BS, Chi C-S, Tsai C-R, Lee W-J, Lin H-Y (2000) New mutations of the HPRT gene in Lesch-Nyhan syndrome. Pediatr Neurol 23:332–335CrossRefPubMed Mak BS, Chi C-S, Tsai C-R, Lee W-J, Lin H-Y (2000) New mutations of the HPRT gene in Lesch-Nyhan syndrome. Pediatr Neurol 23:332–335CrossRefPubMed
4.
go back to reference Hersh JH, Page T, Hand ME, Seegmiller EJ, Nyhan WL, Weisskopf B (1986) Clinical correlations in partial hypoxanthine guanine phosphoribosyltransferase deficiency. Pediatr Neurol 2:302–304CrossRefPubMed Hersh JH, Page T, Hand ME, Seegmiller EJ, Nyhan WL, Weisskopf B (1986) Clinical correlations in partial hypoxanthine guanine phosphoribosyltransferase deficiency. Pediatr Neurol 2:302–304CrossRefPubMed
5.
go back to reference Wilcox W (1996) Abnormal serum uric acid levels in children. J Pediatr 128:731–741PubMed Wilcox W (1996) Abnormal serum uric acid levels in children. J Pediatr 128:731–741PubMed
6.
go back to reference Harkness R, McCreanor G, Greenwood R (1991) The pathogenesis of the Lesch-Nyhan syndrome: ATP use is positively related to hypoxanthine supply to hypoxanthine guanine phosphoribosyltransferase. J Inherit Metab Dis 14:202–214CrossRefPubMed Harkness R, McCreanor G, Greenwood R (1991) The pathogenesis of the Lesch-Nyhan syndrome: ATP use is positively related to hypoxanthine supply to hypoxanthine guanine phosphoribosyltransferase. J Inherit Metab Dis 14:202–214CrossRefPubMed
7.
go back to reference Srivastava T, O’Neill JP, Dasouki M, Simckes AM (2002) Childhood hyperuricemia and acute renal failure resulting from a missense mutation in the HPRT gene. Am J Med Genet 108:219–222CrossRefPubMed Srivastava T, O’Neill JP, Dasouki M, Simckes AM (2002) Childhood hyperuricemia and acute renal failure resulting from a missense mutation in the HPRT gene. Am J Med Genet 108:219–222CrossRefPubMed
8.
go back to reference Kang DH, Nakagawa T, Feng L, Watanabe S, Han L, Mazzali M, Truong L, Harris R, Johnson RJ (2002) A role for uric acid in the progression of renal disease. J Am Soc Nephrol 13:2888–2897CrossRefPubMed Kang DH, Nakagawa T, Feng L, Watanabe S, Han L, Mazzali M, Truong L, Harris R, Johnson RJ (2002) A role for uric acid in the progression of renal disease. J Am Soc Nephrol 13:2888–2897CrossRefPubMed
9.
go back to reference Simmonds H, Cameron J, Barratt T, Dillon M, Meadow S, Trompeter R (1989) Purine enzyme defects as a cause of acute renal failure in childhood. Pediatr Nephrol 3:433–437CrossRefPubMed Simmonds H, Cameron J, Barratt T, Dillon M, Meadow S, Trompeter R (1989) Purine enzyme defects as a cause of acute renal failure in childhood. Pediatr Nephrol 3:433–437CrossRefPubMed
10.
go back to reference Duran M, Dorland L, Meuleman E, Allers P, Berger R (1997) Inherited defects of purine and pyrimidine metabolism: laboratory methods for diagnosis. J Inherit Metab Dis 20:227–236CrossRefPubMed Duran M, Dorland L, Meuleman E, Allers P, Berger R (1997) Inherited defects of purine and pyrimidine metabolism: laboratory methods for diagnosis. J Inherit Metab Dis 20:227–236CrossRefPubMed
11.
go back to reference Augoustides-Savvopoulou P, Papachristou F, Fairbanks L, Dimitrakopoulos K, Marinaki A, Simmonds H (2002)Partial hypoxanthine-guanine phosphoribosyltransferase deficiency as the unsuspected cause of renal disease spanning three generations: a cautionary tale. Pediatrics 109:E17CrossRefPubMed Augoustides-Savvopoulou P, Papachristou F, Fairbanks L, Dimitrakopoulos K, Marinaki A, Simmonds H (2002)Partial hypoxanthine-guanine phosphoribosyltransferase deficiency as the unsuspected cause of renal disease spanning three generations: a cautionary tale. Pediatrics 109:E17CrossRefPubMed
Metadata
Title
Partial hypoxanthine-guanine phosphoribosyltransferase deficiency presenting as acute renal failure
Authors
Sarah Cherian
Charles H. Crompton
Publication date
01-12-2005
Publisher
Springer-Verlag
Published in
Pediatric Nephrology / Issue 12/2005
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-005-2065-8

Other articles of this Issue 12/2005

Pediatric Nephrology 12/2005 Go to the issue