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3 Cards in this Set

  • Front
  • Back
Mutation of PRPP Synthetase
GOUT ----- due to feed forward activation of purine synthesis . Leads to increase purine degradation, resulting in hyperurecemia.
Adenosine deaminase ( ADA) deficiency
Excess ATP and dATP imbalances nucleotide pool via feedback inhibition of ribonucleotide reductase---> prevents DNA synthesis and thus decreased lymphocyte count. Major causes of SCID
Leach - Nyhan sybdrome
Defective purine salvage. Absent HGPRT, which converts hypoxanthine to IMP and guanine to GMP. Excess auric acid production.

CF : self mutilation, intellectual disability, hyperurecemia, gout, dystonia, aggression.

Rx: Allopurinol or febuxosat