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Living with Partial hypoxanthine-guanine phosphoribosyltransferase deficiency

The mildest form of an inherited metabolism condition causing too much uric acid, with kidney stones and early gout.

Understanding Partial hypoxanthine-guanine phosphoribosyltransferase deficiency

Partial hypoxanthine-guanine phosphoribosyltransferase deficiency (Kelley-Seegmiller syndrome) is the mildest form of HPRT deficiency, an inherited disorder of purine metabolism.

The body makes too much uric acid, which can lead to kidney stones (urolithiasis) and gout at an early age. Some people also have movement and thinking differences. GARD lists the onset as any time in life.

Signs & symptoms

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

  • Uric acid overproduction
  • Kidney stones
  • Early-onset gout
  • Dystonia (muscle contractions)
  • Intellectual disability
  • Kidney problems (nephropathy)

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. Consider genetic testing

    Changes in HPRT1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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 can we lower uric acid and prevent kidney stones?
How should my kidneys be monitored?
Should female relatives be tested as carriers?

Quick facts

Symptoms usually startany time in life
InheritanceX-Linked
GenesHPRT1

Changes in the HPRT1 gene cause this condition. It is X-linked, which means the gene is on the X chromosome.

GeneticNeurologicalKidneyBloodInherited Metabolic

Also known as: gout, hprt-related; gout, hprt1-related; hprt deficiency, grade i; hprt deficiency, partial; hprt partial deficiency; hprt-related gout

Patient organizations

Source: NIH GARD · Partial hypoxanthine-guanine phosphoribosyltransferase deficiencyGARD ID 16710 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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