DiseaseDisorder infobox
Name = Xanthinuria
ICD10 = ICD10|E|79|8|e|70
ICD9 = ICD9|277.2
ICDO =
Caption = Xanthine
OMIM = 278300
OMIM_mult = OMIM2|603592
MedlinePlus =
eMedicineSubj = ped
eMedicineTopic = 2452
DiseasesDB = 14194
DiseasesDB_mult = DiseasesDB2|29821
MeshName =
MeshNumber =
Xanthinuria, also known as xanthine oxidase deficiency, is a rare genetic disorder causing the accumulation of xanthine. It is caused by a deficiency of the enzyme xanthine oxidase.
It was first formally characterized in 1954. [cite journal
author = Dent CE, Philpot GR
title = Xanthinuria, an inborn error (or deviation) of metabolism
journal = Lancet
year = 1954
volume = 266
issue = 6804
pages= 182–5 |pmid=13118765
doi =10.1016/S0140-6736(54)91257-X ]
Causes
It can be caused by a deficiency of xanthine oxidase, which is an enzyme necessary for converting xanthine to uric acid. [cite journal |author=Ichida K, Amaya Y, Kamatani N, Nishino T, Hosoya T, Sakai O |title=Identification of two mutations in human xanthine dehydrogenase gene responsible for classical type I xanthinuria |journal=J. Clin. Invest. |volume=99 |issue=10 |pages=2391–7 |year=1997 |pmid=9153281 |pmc=508078 |doi=10.1172/JCI119421] ]Presentation
Sufferers have unusually high concentrations of xanthine in their blood and urine, which can lead to health problems such as renal failure and xanthine kidney stones, one of the rarest types of kidney stones.
Treatment
There is no specific treatment beyond maintaining a high fluid intake and avoiding foods that are high in purine.
References
*
cite journal
author = Kojima T., Nishina T., Kitamura M., Hosoya T., Nishioka K.
title = Biochemical studies on the purine metabolism of four cases with hereditary xanthinuria
journal= Clin Chim Acta.
year= 1984
volume = 137
issue = 2
pages= 189–98
pmid = 6423323
doi = 10.1016/0009-8981(84)90179-7*cite journal
author = Hille R.
title = Structure and Function of Xanthine Oxidoreductase
journal= European Journal of Inorganic Chemistry
year = 2006
volume = 2006
issue = 10
pages= 1905–2095
doi = 10.1002/ejic.200600087
External links
*GPnotebook|644546576
*RareDiseases|5621|Xanthinuria