Abstract
Gout is a heterogeneous group of disorders of purine metabolism which leads to hyperuricemia and arthritis as well as gout nodules (tophi) from deposition of urate crystals in and around the joints and in the skin. The hyperuricemia in primary gout is related to overproduction or reduced renal excretion of uric acid, while in secondary gout it is due to increased purine biosynthesis and the consequent overproduction of uric acid. The latter is known as a complication in chronic leukemia and other myeloproliferative diseases, in polycythemia vera and after cytostatic treatment, and in extensive psoriasis vulgaris (elevated nucleolysis with secondary hyperuricemia).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Bibliography: Disorders of Purine Metabolism
General
Itakura M, Sabina RL, Heald PW (1981) Basis for the control of purine biosynthesis by purine ribonucleotides. J Clin Invest 67: 994–1002
Gout
Fox IH (1985) Gout and related disorders of purine metabolism. In: Kelley WN et al. (eds) Textbook of rheumatology. Saunders, Philadelphia, pp 1359–1397
Gottron HA, Korting GW (1957) Chronische Hautgicht. Arch Klin Exp Dermatol 204: 483–499
Lichtenstein L, Scott HW, Levin MH (1956) Pathologic changes in gout. Am J Pathol 32: 871–895
Seegmiller JE (1987) Skin manifestations of gout. In: Fitzpatrick TB, Eisen AZ, Wolff K et al. (eds) Dermatology in general medicine, 3rd edn. McGraw-Hill, New York, pp 1717–1722
Wyngaarden JB, Kelley WN (1983) Gout. In: Stanbury JB, Wyngaarden JB, Fredrickson DS et al. (eds) The metabolic basis of inherited disease, 5th edn. McGraw-Hill, New York, pp 1043–1114
Yü T, Talbott JH (1980) Changing trends of mortality in gout. Semin Arthritis Rheum 10: 1–9
Lesch-Nyhan Syndrome
Boyle JA, Raivio KO, Astrin KH et al. (1970) Lesch-Nyhan syndrome: preventive control by prenatal diagnosis. Science 169: 688–689
Kelley WN, Wyngaarden JB (1983) Clinical syndromes associated with hypoxanthine-guanine phosphoribosyltransferase deficiency. In: Stanbury JB, Wyngaarden JB, Fredrickson DS et al. (eds) The metabolic basis of inherited disease, 5th edn. McGraw-Hill, New York, pp 1115–1143
Lesch M, Nyhan WL (1964) A familiar disorder of uric acid metabolism and central nervous system function. Am J Med 36: 561–570
McKeran RO, Andrews TM, Howell A et al. (1975) The diagnosis of the carrier state for the Lesch-Nyhan syndrome. Q J Med NS 44: 189–205
Meigel W, Braun-Falco 0 (1973) Automutilation der Unterlippe, verbunden mit Athetose und Oligophrenie ohne Purinstoffwechselstörung (“Pseudo-Lesch-Nyhan-Syndrom ”). Hautarzt 24: 158–160
Wilson JM, Young AB, Kelley WN (1983) Hypoxanthineguanine phosphoribosyltransferase deficiency. The molecular basis of the clinical syndromes. N Engl J Med 309: 900–910
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Braun-Falco, O., Plewig, G., Wolff, H.H., Winkelmann, R.K. (1991). Disorders of Purine Metabolism. In: Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-00181-3_47
Download citation
DOI: https://doi.org/10.1007/978-3-662-00181-3_47
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-00183-7
Online ISBN: 978-3-662-00181-3
eBook Packages: Springer Book Archive