Lesch–Nyhan Syndrome ( LNS) De Jesus, Joan Mae V. DMD 2D
• 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) A] DEFINITION :
Athetosis (uncontrolled muscle movements of the arms and legs) Involuntary writhing movements Moderate mental retardation Neuroglial disabilities - Grimacing experience - Spasticity - Chloreathetosis ( involuntary repetitive movement) - Decreased muscle tone Overproduction of uric acid Urate crystal formations, which look like orange sand Kidney stones Blood in the urine Dysphagia (difficulty swallowing) Swelling of the joints Vomiting B] Signs and Symptoms Behavioral Abnormalities Self-mutation Aggression/Impulsion
DENTAL CORRELATION OF DISEASE IN DENTAL TREATMENT C]
SINGLE GENE AUTOSOMAL RECESSIVE D] CLASSIFICATION OF DISEASE
This condition is inherited in an X-linked recessive pattern
F ormation of uric acid crystals in the joints leads to inflammation
Gout causes sudden, yet severe attacks of pain, redness, and tenderness and inflammation of the joints PODAGRA