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De Jesus, Joan Mae V.
      DMD 2D
A] DEFINITION:
•Also known as Nyhan's syndrome,        Kelley-
  Seegmiller syndrome and Juvenile gout
•It is a hereditary disorder of purine
  metabolism, characterized by menntal
  retardation, self-mutilation of the fingers and
  lips by biting, impaired renal function, and
  abnormal physical development.
• It is a recessive disease that is linked to the X
  chromosome
• It is caused by a deficiency of the enzyme
  hypoxanthine-guanine
  phosphoribosyltransferase (HPRT)
Overproduction of uric acid
                               • Athetosis (uncontrolled
 • Urate crystal
   formations, which look like   muscle movements of the
   orange sand                   arms and legs)
 • Kidney stones               • Involuntary writhing
 • Blood in the urine            movements
 • Dysphagia (difficulty       • Moderate mental retardation
   swallowing)
 • Swelling of the joints
 • Vomiting
                                  Neuroglial disabilities
Behavioral Abnormalities
                                  - Grimacing experience
• Self-mutation                    - Spasticity
• Aggression/Impulsion             -Chloreathetosis (involuntary
                                         repetitive movement)
                                    - Decreased muscle tone
D] CLASSIFICATION OF DISEASE
Formation of uric acid crystals in the joints leads
                 to inflammation
PODAGRA




Gout causes sudden, yet severe attacks of pain, redness, and
        tenderness and inflammation of the joints
11. de jesus   lesch–nyhan syndrome
11. de jesus   lesch–nyhan syndrome

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11. de jesus lesch–nyhan syndrome

  • 1. De Jesus, Joan Mae V. DMD 2D
  • 2. A] DEFINITION: •Also known as Nyhan's syndrome, Kelley- Seegmiller syndrome and Juvenile gout •It is a hereditary disorder of purine metabolism, characterized by menntal retardation, self-mutilation of the fingers and lips by biting, impaired renal function, and abnormal physical development. • It is a recessive disease that is linked to the X chromosome • It is caused by a deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HPRT)
  • 3. Overproduction of uric acid • Athetosis (uncontrolled • Urate crystal formations, which look like muscle movements of the orange sand arms and legs) • Kidney stones • Involuntary writhing • Blood in the urine movements • Dysphagia (difficulty • Moderate mental retardation swallowing) • Swelling of the joints • Vomiting Neuroglial disabilities Behavioral Abnormalities - Grimacing experience • Self-mutation - Spasticity • Aggression/Impulsion -Chloreathetosis (involuntary repetitive movement) - Decreased muscle tone
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  • 7. Formation of uric acid crystals in the joints leads to inflammation
  • 8. PODAGRA Gout causes sudden, yet severe attacks of pain, redness, and tenderness and inflammation of the joints