All

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 C16 Congenital, Hereditary, and Neonatal Diseases and Abnormalities D009358 +
  C16.320 Genetic Diseases, Inborn D030342 +
   C16.320.565 Metabolism, Inborn Errors D008661 +
    C16.320.565.798 Purine-Pyrimidine Metabolism, Inborn Errors D011686 +
      C16.320.565.798.368 Gout D006073 +
      C16.320.565.798.594 Lesch-Nyhan Syndrome D007926 
 C18 Nutritional and Metabolic Diseases D009750 +
  C18.452 Metabolic Diseases D008659 +
   C18.452.648 Metabolism, Inborn Errors D008661 +
    C18.452.648.798 Purine-Pyrimidine Metabolism, Inborn Errors D011686 +
      C18.452.648.798.368 Gout D006073 +
      C18.452.648.798.594 Lesch-Nyhan Syndrome D007926