Introduction
• Xanthinuria isa rare, inherited
genetic disorder that causes a
deficiency in the enzyme
xanthine oxidase, which leads to high
levels of the substance xanthine in
the urine
• This can cause xanthine to form
crystals and stones in the urinary
tract, leading to symptoms like
abdominal pain and urinary tract
infections.
3.
CAUSES
• Genetic: Autosomalrecessive mutation in
XDH or MOCOS gene.
• Acquired: Rarely due to inhibitors of
xanthine oxidase (e.g., allopurinol therapy).
• Cofactor deficiency: Molybdenum cofactor
deficiency (in Type III).
4.
SYMTOMS
The excess ofxanthinuria can leads to formation of stones
and crystals.
Kidney stones : This is most common symtoms
found in
the people with this condition.
Abdominal
pain
Renal failure ( in severe
condtion)
Xanthinuria crystal in
urine
5.
TREATMENT
There is currentlyno cure for hereditary xanthinuria. Treatment
focuses on managing symptoms and preventing the formation of
xanthine stones:
• High Fluid Intake: The most crucial treatment is drinking a large amount
of water to keep the urine diluted and reduce the risk of crystal
formation.15
• Low-Purine Diet:16 Dietary modifications to reduce the intake of purine-
rich foods (which the body breaks down into xanthine) are often
recommended.17
• Urine Alkalinization: Unlike some other kidney stones, changing the
urine's pH (alkalinization) is generally not effective for dissolving
xanthine stones.19