U.S. flag

An official website of the United States government

GTR Home > Tests > Lesch-Nyhan syndrome, 300322, X-linked recessive; LNS (Lesch-Nyhan syndrome) (Prenatal) (MLPA)

Indication

This is a clinical test intended for Help: Diagnosis

Clinical summary

Help

Imported from GeneReviews

HPRT1 disorders, caused by deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HGprt), are typically associated with clinical evidence for overproduction of uric acid (hyperuricemia, nephrolithiasis, and/or gouty arthritis) and varying degrees of neurologic and/or behavioral problems. Historically, three phenotypes were identified in the spectrum of HPRT1 disorders: Lesch-Nyhan disease (LND) at the most severe end with motor dysfunction resembling severe cerebral palsy, intellectual disability, and self-injurious behavior; HPRT1-related neurologic dysfunction (HND) in the intermediate range with similar but fewer severe neurologic findings than LND and no self-injurious behavior; and HPRT1-related hyperuricemia (HRH) at the mild end without overt neurologic deficits. It is now recognized that these neurobehavioral phenotypes cluster along a continuum from severe to mild.

Clinical features

Help

Imported from Human Phenotype Ontology (HPO)

  • Megaloblastic anemia
  • Dysphagia
  • Dysarthria
  • Dystonic disorder
  • Hip dislocation
  • Hypotonia
  • Spasticity
  • Nephrocalcinosis
  • Seizure
  • Vomiting
  • Self-injurious behavior
  • Choreoathetosis
  • Opisthotonus
  • Hyperreflexia
  • Testicular atrophy
  • Podagra
  • Abnormality of extrapyramidal motor function
  • Short stature
  • Nephrolithiasis
  • Global developmental delay
  • Hyperuricemia
  • Hyperuricosuria
  • Poor head control
  • Motor delay
  • Intellectual disability
Show all

Inheritance pattern

Help

X-linked inheritance

Conditions tested

Target population

Help

Lesch-Nyhan syndrome, 300322, X-linked recessive; LNS (diagnosis/ clinical suspition/ etiology investigation/ classification)

Citations

Not provided

Clinical validity

Help

Not provided

Clinical utility

Help

Not provided

IMPORTANT NOTE: NIH does not independently verify information submitted to the GTR; it relies on submitters to provide information that is accurate and not misleading. NIH makes no endorsements of tests or laboratories listed in the GTR. GTR is not a substitute for medical advice. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional.