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A rare autosomal recessive disorder of purine metabolism characterized by the isolated deficiency of xanthine dehydrogenase, causing hyperxanthinemia with low or absent uric acid and xanthinuria, leading to urolithiasis, hematuria, renal colic and urinary tract infections, while some patients are asymptomatic and others suffer from kidney failure. Less common manifestations include arthropathy, myopathy and duodenal ulcer.
Features include always present findings: Impaired renal uric acid clearance, Hyperxanthinemia, Hypouricemia, and Reduced circulating xanthine oxidase activity. 10 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 2 | Impaired renal uric acid clearance, Xanthine nephrolithiasis |
XDH function has not been fully characterized.
Xanthinuria type I is associated with mutations in the XDH gene on chromosome 2.
Genetic testing for XDH is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 4 always present features.
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
41 publications have been identified in PubMed for xanthinuria type I. Kisho has analyzed 17 by research type. Research spans Basic Science / Preclinical (47%), Review / Meta-Analysis (29%), and Epidemiology / Natural History (18%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 8 |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 12:58 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles
1 |
Myopathy |
Research summaries | 5 | 29% |
Disease patterns and progression | 3 | 18% |
Patient case studies | 1 | 6% |
Elsaid KA (2026). [PMID: 41715149](https://pubmed.ncbi.nlm.nih.gov/41715149/). *Arthritis Res Ther*. [Basic Science / Preclinical]
Kim MM (2026). [PMID: 41641807](https://pubmed.ncbi.nlm.nih.gov/41641807/). *J Feline Med Surg*. [Review / Meta-Analysis]
Pickering ME (2025). [PMID: 39978583](https://pubmed.ncbi.nlm.nih.gov/39978583/). *Joint Bone Spine*. [Review / Meta-Analysis]
Ivanov AI (2025). [PMID: 39942160](https://pubmed.ncbi.nlm.nih.gov/39942160/). *Materials (Basel)*. [Epidemiology / Natural History]
Elsaid K (2025). [PMID: 41282165](https://pubmed.ncbi.nlm.nih.gov/41282165/). *Res Sq*. [Basic Science / Preclinical]
Bel Y (2025). [PMID: 40870557](https://pubmed.ncbi.nlm.nih.gov/40870557/). *Insects*. [Basic Science / Preclinical]
Snoozy J (2025). [PMID: 39975063](https://pubmed.ncbi.nlm.nih.gov/39975063/). *bioRxiv*. [Basic Science / Preclinical]
Ferdaus SA (2025). [PMID: 39708398](https://pubmed.ncbi.nlm.nih.gov/39708398/). *Biochem Biophys Res Commun*. [Basic Science / Preclinical]
Beltrán JJ (2025). [PMID: 40942417](https://pubmed.ncbi.nlm.nih.gov/40942417/). *Materials (Basel)*. [Epidemiology / Natural History]
Yang H (2025). [PMID: 39617545](https://pubmed.ncbi.nlm.nih.gov/39617545/). *J Environ Sci (China)*. [Review / Meta-Analysis]