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                  <text>Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results</text>
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              <text>&lt;a href="http://doi.org/10.1016/0270-3092(80)90014-4" target="_blank" rel="noreferrer noopener"&gt;http://doi.org/​10.1016/0270-3092(80)90014-4&lt;/a&gt;</text>
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                <text>Serotonergic approaches to the modification of behavior in the Lesch-Nyhan syndrome</text>
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                <text>Applied Research in Mental Retardation</text>
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                <text>behavioral problems; Lesch-Nyhan syndrome; pharmacologic intervention; 5-hydroxy-tryptophan; self-injurious behavior</text>
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                <text>Nyhan  W L; Johnson  H G; Kaufman  I A; Jones  K L</text>
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                <text>In a series of patients with the Lesch-Nyhan syndrome a pharmacologic attempt was made to alter the balance of biogenic amines in the central nervous system by increasing the level of serotin. Patients were treated with 5-hydroxytryptophan in combination with a peripheral decarboxylase inhibitor carbidopa and with imipramine. Most patients had a striking alteration in self-mutilative behavior. However, within 1–3 months each became tolerant and this pharmacologic effect could not be produced again even a year later. These observations suggest that the characteristic behavior of the patient with the Lesch-Nyhan syndrome is related to neurotransmitter balance, and that there may be ways to modify it.</text>
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