raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:510

Lesch-Nyhan syndrome

Synonyms: HPRT complete deficiency · HPRT deficiency grade IV · Hypoxanthine guanine phosphoribosyltransferase complete deficiency · Hypoxanthine guanine phosphoribosyltransferase deficiency, grade IV

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy
Status
active

A form of hypoxanthine-guanine phosphoribosyltransferase (HPRT) deficiency characterized by uric acid overproduction, severe motor dysfunction, intellectual disability, and self-injurious behaviour (SIB).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLesch-Nyhan syndromeHPRT complete deficiency · HPRT deficiency grade IV · Hypoxanthine guanine phosphoribosyltransferase complete deficiency · Hypoxanthine guanine phosphoribosyltransferase deficiency, grade IV
frSyndrome de Lesch-NyhanDéficit complet en HPRT · Déficit complet en hypoxanthine guanine phosphoribosyltransférase · Déficit en HPRT grade IV · Déficit en hypoxanthine guanine phosphoribosyltransférase grade IV
deLesch-Nyhan-SyndromHPRT-Mangel vom Grad IV · HPRT-Mangel, kompletter · Hypoxanthin-Guanin-Phosphoribosyltransferase-Mangel, Grad IV
esSíndrome de Lesch-NyhanDeficiencia completa de HPRT · Deficiencia completa de hipoxantina guanina fosforribosiltransferasa · Deficiencia de HPRT, grado 4 · Deficiencia de hipoxantina guanina fosforribosiltransferasa, grado 4
itSindrome di Lesch-NyhanDeficit completo di HPRT · Deficit completo di ipoxantina guanina fosforibosiltransferasi · Deficit di HPRT, grado IV · Deficit di ipoxantina guanina fosforibosiltransferasi, grado IV
nlSyndroom van Lesch-NyhanComplete HPRT-deficiëntie · Complete deficiëntie van hypoxanthine-guanine-fosforibosyltransferase · Deficiëntie van hypoxanthine-guanine-fosforibosyltransferase, graad IV · HPRT-deficiëntie graad IV
ptSíndrome Lesch-NyhanDeficiência de hipoxantina guanina fosforribosiltransferase
plZespół Lescha i NyhanaCałkowity Niedobór fosforybozylotransferazy hipoksantynowo-guaninowej · Całkowity Niedobór HPRT · Niedobór fosforybozylotransferazy hipoksantynowo-guaninowej, IV stopnia · Niedobór HPRT IV stopnia
csLeschův-Nyhanův syndromKompletní deficit HPRT · Kompletní deficit hypoxanthinguaninfosforibosyltransferázy · Deficit HPRT stupně IV · Deficit hypoxanthinguaninfosforibosyltransferázy, stupeň IV · Lesch-Nyhanův syndrom
ukСиндром Леша-НіханаПовна недостатність HPRT · Дефіцит HPRT IV ступеня · Повна недостатність гіпоксантин-гуанін-фосфорибозилтрансферази · Дефіцит гіпоксантин-гуанін-фосфорибозилтрансферази, ступінь IV
zhLesch-Nyhan综合征次黄嘌呤-鸟嘌呤磷酸核糖基转移酶缺乏症4级
trLesch-Nyhan sendromuHPRT tam eksikliği · HPRT eksikliği derece IV · Hipoksantin guanin fosforibosiltransferaz tam eksikliği · Hipoksantin guanin fosforibosiltransferaz eksikliği, derece IV

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300322Evalidated
OMIM308950NDvalidated
ICD-10E79.1Especificvalidated
ICD-115C55.01Especificvalidated
MONDO0010298Evalidated
MeSHD007926Evalidated
UMLSC0023374Evalidated
GARD7226Evalidated
MedDRA10057589Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HPRT1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:5157ENSG00000165704308000Xq26.2-q26.3hypoxanthine phosphoribosyltransferase 1
5

Prevalence and incidence

10 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.43 / 100 000ItalyValue and classValidated11953730[PMID]
Prevalence at birth1-9 / 1 000 0000.34 / 100 000EuropeValue and classValidated[EXPERT]_ORPHANET
Prevalence at birth1-9 / 1 000 0000.42 / 100 000SpainValue and classValidated18067674[PMID]
Point prevalence1-9 / 1 000 000—SpainClass onlyNot yet validated18067674[PMID]
Prevalence at birth1-9 / 1 000 0000.18 / 100 000CanadaValue and classValidated4558815[PMID]
Point prevalence1-9 / 1 000 000—CanadaClass onlyNot yet validated4558815[PMID]
Point prevalence1-9 / 1 000 000—ItalyClass onlyValidated11953730[PMID]
Prevalence at birth1-9 / 1 000 0000.18 / 100 000United KingdomValue and classNot yet validated21152085[PMID]_21126241[PMID]
Point prevalence1-9 / 1 000 0000.5 / 100 000United KingdomValue and classValidated21152085[PMID]_21126241[PMID]
Point prevalence1-9 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

11 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0100022Abnormality of movement
HP:0000708Atypical behavior
HP:0001997Gout
HP:0004374Hemiplegia/hemiparesis
HP:0002149Hyperuricemia
HP:0001256Intellectual disability, mild
HP:0002342Intellectual disability, moderate
HP:0001257Spasticity
Frequent (79-30%)
HP:0001903Anemia
HP:0000790Hematuria
HP:0000083Renal insufficiency

Run the differential on the 8 obligate / very frequent terms

7

Sources for this card