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Living with Hypoxanthine-guanine phosphoribosyltransferase deficiency

An inherited metabolism condition with too much uric acid and a range of nervous system effects.

Understanding Hypoxanthine-guanine phosphoribosyltransferase deficiency

Hypoxanthine-guanine phosphoribosyltransferase (HPRT) deficiency is an inherited condition of purine metabolism with extra uric acid in the body.

Along with making too much uric acid, people can have a range of nervous system (neurological) effects. How strong these are depends on how much of the HPRT enzyme is lacking. It can appear at any time in life.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary points to these:

  • Too much uric acid
  • Neurological symptoms that range from mild to more severe

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 blood and bone marrow specialists, brain and nervous system specialists, 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
Blood and bone marrow specialists (hematologists); Brain and nervous system specialists (neurologists); 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
How is my uric acid level checked, and how often?
Which specialists should be on my care team?
What does X-linked inheritance mean for other family members?

Quick facts

Symptoms usually startany time in life
InheritanceX-Linked

Changes in genes cause this condition. It is inherited in an X-linked pattern, which means the gene involved is on the X chromosome.

GeneticNeurologicalKidneyBloodInherited Metabolic

Also known as: deficiency of guanine phosphoribosyltransferase; deficiency of hypoxanthine phosphoribosyltransferase; deficiency of hypoxanthine-guanine phosphoribosyltransferase; deficiency of imp pyrophosphorylase; hprt deficiency; hprt1 deficiency

Patient organizations

Source: NIH GARD · Hypoxanthine-guanine phosphoribosyltransferase deficiencyGARD ID 2943 · 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 Hypoxanthine-guanine phosphoribosyltransferase deficiency.

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