Experience with early treatment using febuxostat in a patient with adenine phosphoribosyltransferase deficiency after pediatric kidney transplantation: a case report.
Yujiro Aoki, Maho Maeda, Junya Hashimoto et al.
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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.