<prompt> THEME AND FOCUS: METABOLISM OF NUCLEOTIDES Case Study: A 17- month- old girl suffered from recurring respiratory infections. Injection of Diphtheria-Peussis-Tetanus DPT and Typhoid vaccine produced only a minimal response. The lysate of girls erythrocytes were found to lack detectable adenosine deaminase activity. Her mother and father both showed approximately 50 of the normal red cell adenosine deaminase activity. Lead Question: Diagnose the disease.SCIDCrushing Muscular TraumaLesch -Nyhan SyndromeHypokalemia  <response>: Severe combined immunodeficiencySCID Crushing Muscular Trauma Lesch-Nyhan syndrome ADA Adenosine Deaminase deficiency Muscle cell damage resulting from pressure or crushing. Deficiency of Hypoxanthine Guanine Phospho Ribosyl Transferase HGP. Required for both B T lymphocytes. Hyperuricemia Self -mutilation 