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Test: Hypoxanthine-guanine phosphoribosyltransferase
Alternate names: HPRT
Description: Lesch-Nyhan syndrome (LNS) is an X-linked recessive inborn error of metabolism caused by a deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HPRT). LNS is characterized by motor dysfunction, cognitive and behavioral disturbances, and uric acid overproduction (hyperuricemia). Patients have both extra-pyramidal signs (dystonia, choreoathetosis) and may also have pyramidal features including hyperreflexia and clonus. There is cognitive impairment and self-injurious behavior. Overproduction of uric acid may lead to deposition of uric acid crystals or calculi in the kidneys, ureters, or bladder. Definitive diagnosis is obtained by measurement of HPRT enzyme activity in blood or tissue.
Clinical: Lesh Nyhan
Methodology: gene sequence
Turn around time: 3 months
Transit stability:
Comments: If possible HPRT enzyme activity
Sample: Blood EDTA 2 ml, dried blood spots or buccal swabs
Type: Genetics
Method: Gene sequencing
Consultant/scientist: Dr Fierdoz Omar
Tel: 021 404 4118
email: fierdoz.omar@uct.ac.za
Contact for results: Ms Surita Meldau
Tel: 021 404 4449
email: surita.meldau@uct.ac.za
Delivery address C17 NHLS Labs, NGSH, Observatory, 7925
for samples: Cape Town