Experience with early treatment using febuxostat in a patient with adenine phosphoribosyltransferase deficiency after pediatric kidney transplantation: a case report.

CEN Case RepSep 2, 2026 (epub)
Case ReportNephrologyPediatricsOpen access

Yujiro Aoki, Maho Maeda, Junya Hashimoto et al.

✦ AI-curated · Sources linked

Case in brief

A 12-year-old boy with adenine phosphoribosyltransferase (APRT) deficiency underwent kidney transplantation after experiencing acute kidney injury and requiring peritoneal dialysis. He had a history of urinary tract stones and recurrent infections, leading to surgical interventions. Post-transplant, his treatment was switched from allopurinol to febuxostat, with stable graft function and no recurrence of dihydroxyadenine nephropathy observed at four months.

Diagnostic / clinical pearl

Febuxostat may be a viable alternative to allopurinol for managing APRT deficiency in pediatric kidney transplant patients, particularly when allopurinol is ineffective.

Source

Published in CEN Case Rep. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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