raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:89936

X-linked hypophosphatemia

Synonyms: X-linked hypophosphatemic rickets · XLH

Type
Disease
Group
Disorder
Inheritance
X-linked dominant
Age of onset
Childhood, Infancy
Status
active

A rare hereditary renal phosphate-wasting disorder characterized by hypophosphatemia, rickets and/or osteomalacia, and diminished growth.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked hypophosphatemiaX-linked hypophosphatemic rickets · XLH
frHypophosphatémie liée à l'XRachitisme hypophosphatémique lié à l'X · XLH
deHypophosphatämie, X-chromosomaleRachitis, hypophosphatämische, X-chromosomale · XLH
esHipofosfatemia ligada al cromosoma XRaquitismo hipofosfatémico ligado al cromosoma X · XLH
itIpofosfatemia legata all'XRachitismo ipofosfatemico legato all'X · XLH
nlX-gebonden hypofosfatemieX-gebonden hypofosfatemische rachitis · XLH
ptHipofosfatemia ligada ao X
plHipofosfatemia sprzężona z chromosomem XKrzywica hipofosfatemiczna sprzężona z chromosomem X · XLH
csX-vázaná hypofosfatémieXLH · X-vázaná hypofosfatemická rachitida/křivice
ukХ-зчеплена гіпофосфатеміяXLH · Х-зчеплений гіпофосфатемічний рахіт
zhX-连锁低磷血症X-连锁低磷性佝偻病
trX'e bağlı hipofosfatemiXLH · X'e bağlı hipofosfatemik raşitizm

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM307800Evalidated
ICD-10E83.3NTBTattributedvalidated
ICD-115C63.22NTBTindexvalidated
MONDO0010619Evalidated
MONDO10619Evalidated
UMLSC3540852Evalidated
GARD12943Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PHEXDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:8918ENSG00000102174300550Xp22.11phosphate regulating endopeptidase X-linked22319799[PMID]
5

Prevalence and incidence

5 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 0001.89 / 100 000NorwayValue and classValidated26543054[PMID]
Point prevalence1-9 / 100 0001.54 / 100 000United KingdomValue and classValidated31730177[PMID]
Annual incidence1-9 / 100 0004.5 / 100 000WorldwideValue and classValidated34009447[PMID]_ORPHANET
Point prevalence1-9 / 100 0002.14 / 100 000WorldwideValue and classValidated34009447[PMID]_ORPHANET
Point prevalence1-9 / 100 0001.66 / 100 000EuropeValue and classValidated26543054[PMID]_31730177[PMID]

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

52 annotations · validated 2024-09-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0006490Abnormality of lower-limb metaphyses
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0003127Hypocalciuria
HP:0002148Hypophosphatemia
HP:0000117Renal phosphate wasting
HP:0002748Rickets
Frequent (79-30%)
HP:0010299Abnormality of dentin
HP:0005930Abnormality of epiphysis morphology
HP:0002829Arthralgia
HP:0002653Bone pain
HP:0002979Bowing of the legs
HP:0006487Bowing of the long bones
HP:0025335Delayed ability to stand
HP:0031936Delayed ability to walk
HP:0003498Disproportionate short stature
HP:0008144Flattening of the talar dome
HP:0002857Genu valgum
HP:0002970Genu varum
HP:0001510Growth delay
HP:0000121Nephrocalcinosis
HP:0000694Odontodysplasia
HP:0000897Rachitic rosary
HP:0004349Reduced bone mineral density
HP:0008117Shortening of the talar neck
HP:0030757Tooth abscess
HP:0003856Upper limb metaphyseal widening
Occasional (29-5%)
HP:0001369Arthritis
HP:0007099Chiari type I malformation
HP:0001363Craniosynostosis
HP:0002015Dysphagia
HP:6000407Elevated circulating fibroblast growth factor 23 concentration
HP:0000920Enlargement of the costochondral junction
HP:0100686Enthesitis
HP:0012378Fatigue
HP:0002869Flared iliac wings
HP:0002007Frontal bossing
HP:0001376Limitation of joint mobility
HP:0006640Multiple ribs fractures
HP:0001324Muscle weakness
HP:0000787Nephrolithiasis
HP:0012449Sacroiliac joint synovitis
HP:0000867Secondary hyperparathyroidism
HP:0002360Sleep abnormality
HP:0003416Spinal canal stenosis
HP:0002176Spinal cord compression
HP:0025369Thick growth plates
HP:0000360Tinnitus
HP:0006432Trapezoidal distal femoral condyles
HP:0008442Vertebral hyperostosis
Very rare (<4-1%)
HP:0100658Cellulitis
HP:0005789Generalized osteosclerosis
HP:0000407Sensorineural hearing impairment

Run the differential on the 6 obligate / very frequent terms

Annotation source: 30928313[PMID]_22319799[PMID]_39181153[PMID]

7

Sources for this card