raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:157215

Hereditary hypophosphatemic rickets with hypercalciuria

Synonyms: HHRH

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
Childhood, Infancy
Status
active

A rare hereditary disorder of renal phosphate wasting characterized by hypophosphatemia and hypercalciuria associated with rickets and/or osteomalacia. Other features include slow growth, short stature, skeletal deformities, muscle weakness and bone pain that are associated with normal or elevated plasma levels of calcitriol and hyperphosphaturia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHereditary hypophosphatemic rickets with hypercalciuriaHHRH
frRachitisme hypophosphatémique héréditaire avec hypercalciurie= en
deRachitis, hypophosphatämische, mit Hyperkalziurie= en
esRaquitismo hipofosfatémico hereditario con hipercalciuria= en
itRachitismo ipofosfatemico ereditario con ipercalciuria= en
nlErfelijke hypofosfatemische rachitis met hypercalciurie= en
ptRaquitismo hipofosfatémico com hipercalciúria
plDziedziczna krzywica hipofosfatemiczna z hiperkalciurią= en
csHereditární hypofosfatemická křivice s hyperkalciurií= en
ukСпадковий гіпофосфатемічний рахіт з гіперкальціурією= en
zh伴尿钙过多的遗传性低血磷性佝偻病= en
trHiperkalsiürili kalıtsal hipofosfatemik raşitizm= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM241530Evalidated
ICD-10E83.3NTBTattributedvalidated
ICD-115C63.22NTBTindexvalidated
MONDO0009431Evalidated
MeSHC562793Evalidated
UMLSC1853271Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

  • ORPHA:437Hypophosphatemic rickets
    rare developmental anomalies during embryogenesis; rare genetic diseases; rare renal diseases; rare endocrine diseases; rare bone diseases

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SLC34A3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:20305ENSG000001985696098269q34.3solute carrier family 34 member 316358215[PMID]
SLC34A1Disease-causing germline mutation(s) inAssessedHGNC:11019ENSG000001311831823095q35.3solute carrier family 34 member 132311027[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

21 annotations · validated 2021-01-04
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031817Decreased circulating parathyroid hormone level
HP:0010639Elevated alkaline phosphatase of bone origin
HP:0031415High serum calcitriol
HP:0002150Hypercalciuria
HP:0003109Hyperphosphaturia
HP:0002148Hypophosphatemia
HP:0004912Hypophosphatemic rickets
HP:0031425Increased circulating beta-C-terminal telopeptide level
HP:0031428Increased circulating osteocalcin level
Frequent (79-30%)
HP:0000924Abnormality of the skeletal system
HP:0002653Bone pain
HP:0001510Growth delay
HP:0012408Medullary nephrocalcinosis
HP:0000787Nephrolithiasis
HP:0002749Osteomalacia
HP:0004349Reduced bone mineral density
Occasional (29-5%)
HP:0002979Bowing of the legs
HP:0002756Pathologic fracture
HP:0000897Rachitic rosary
HP:0004322Short stature
HP:0002515Waddling gait

Run the differential on the 9 obligate / very frequent terms

Annotation source: 23108197[PMID]_30109410[PMID]_30454743[PMID]

7

Sources for this card