114k views
1 vote
How does Lesch-Nyhan syndrome present?

User Tanerkay
by
8.3k points

1 Answer

4 votes

Final Answer:

Lesch-Nyhan syndrome presents with features such as self-mutilating behaviors, spasticity, and intellectual disability. The hallmark characteristic is the compulsive, purposeless biting of fingers and lips.

Step-by-step explanation:

Lesch-Nyhan syndrome is a rare genetic disorder caused by a deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HGPRT). The enzyme is crucial for recycling purines in the body. Without it, there is an excess production of uric acid, leading to hyperuricemia and the deposition of urate crystals in joints and tissues.

The clinical presentation of Lesch-Nyhan syndrome is characterized by distinctive features. The most striking is the compulsive self-mutilation, where affected individuals engage in biting their fingers and lips. This behavior is often described as purposeless, and it can lead to severe tissue damage. Additionally, patients may experience spasticity, which contributes to mobility difficulties. Intellectual disability is also common in individuals with Lesch-Nyhan syndrome.

The compulsive self-mutilation observed in Lesch-Nyhan syndrome has been linked to disturbances in the basal ganglia, a brain region involved in motor control and habit formation. The exact mechanism remains unclear, but the combination of purine metabolism dysfunction and neurological abnormalities contributes to the complex clinical presentation of this syndrome.

Early diagnosis and comprehensive management strategies, including medications and supportive care, are crucial in addressing the multifaceted challenges faced by individuals with Lesch-Nyhan syndrome.

User Jtht
by
7.7k points