Gout Quiz: Ace Your Exams
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A 17-month-old boy is brought to the physician for developmental delay and aggressive behavior. The patient constantly bites his own finger tips, which has forced his parents to put mittens on his hands. He is unable to walk without assistance and has not yet said words like “mama.” His parent states that she has occasionally noticed yellow, sand-like crystals in his diaper when she changes him. Vital signs are within normal limits. There is increased muscle tone in the extremities. Serum studies show an increased level of uric acid. Activity of which of the following enzymes is increased in this patient?
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