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Living with Hereditary xanthinuria

An inherited condition with high xanthine and low uric acid that can form kidney stones, though some people have no problems.

Understanding Hereditary xanthinuria

Hereditary xanthinuria is an inherited condition that most often affects the kidneys, with high xanthine and very low uric acid in the blood and urine.

Extra xanthine can form tiny crystals in the kidneys, which sometimes build up into kidney stones that can impair kidney function. Related signs include belly pain, repeated urinary tract infections, and blood in the urine. Less often crystals build up in muscles, causing pain and cramping. Some people have no health problems. Types I and II involve different enzymes but have the same signs.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Kidney stones (xanthine stones)
  • Belly or side pain
  • Blood in the urine
  • Repeated urinary tract infections
  • Muscle pain and cramping

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Kidney Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of xanthinuria do I have?
How can I lower my chance of kidney stones?
How often should kidney function be checked?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

GARD says changes in genes (also called variants) cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticKidneyInherited Metabolic

Also known as: classic xanthinuria; classical xanthinuria; xanthic urolithiasis; xanthine dehydrogenase deficiency; xanthine stone disease

Patient organizations

Source: NIH GARD · Hereditary xanthinuriaGARD ID 16628 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hereditary xanthinuria.

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