Lesch-Nyhan syndrome is a disorder passed down through families that affects how the body builds and breaks down purines. Purines are a normal part of human tissue and help make up the body’s genetic blueprint. They are also found in many different foods.
Causes, incidence, and risk factors
Lesch-Nyhan syndrome is passed down through families (inherited) as an
Too much uric acid can cause gout-like swelling in some of the joints. In some cases, kidney and bladder stones develop.
Males with Lesch-Nyhan have delayed motor development followed by abnormal movements and increased reflexes. A striking feature of Lesch-Nyhan syndrome is self-destructive behavior including chewing off fingertips and lips. It is unknown how the disease causes these problems.
Signs and tests
There may be a family history of this condition.
The doctor or nurse will perform a physical exam. The exam may show:
- Overexaggerated reflexes
Blood and urine tests may show high uric acid levels. A
No specific treatment exists for Lesch-Nyhan syndrome. Gout medication (allopurinol) can lower uric acid levels. However, treatment does not improve the neurological outcome.
Some symptoms may be relieved with the following medicines:
The outcome is likely to be poor. Persons with this syndrome usually need help walking and sitting and generally need a wheelchair.
Severe, progressive disability is likely.
Calling your health care provider
Call your health care provider if signs of this illness appear in your child or if there is a history of Lesch-Nyhan syndrome in your family.
Genetic counseling for prospective parents with a family history of Lesch-Nyhan syndrome is recommended. Testing can be done to see if a woman is a carrier of this syndrome.