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Hipofosfatemia ligada ao X
ORPHA:89936CID-10 · E83.3CID-11 · 5C63.22OMIM 307800DOENÇA RARA

A Hipofosfatemia Ligada ao X (XLH) é uma doença hereditária que afeta os rins, fazendo com que o corpo perca muito fosfato. Ela é caracterizada por: níveis baixos de fosfato no sangue, raquitismo (enfraquecimento dos ossos em crianças) e/ou osteomalácia (amolecimento dos ossos em adultos), e crescimento abaixo do normal.

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Introdução

O que você precisa saber de cara

📋

A Hipofosfatemia Ligada ao X (XLH) é uma doença hereditária que afeta os rins, fazendo com que o corpo perca muito fosfato. Ela é caracterizada por: níveis baixos de fosfato no sangue, raquitismo (enfraquecimento dos ossos em crianças) e/ou osteomalácia (amolecimento dos ossos em adultos), e crescimento abaixo do normal.

Pesquisas ativas
8 ensaios
49 total registrados no ClinicalTrials.gov
Publicações científicas
763 artigos
Último publicado: 2026 Apr 14

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
1.89
Norway
Início
Childhood
+ infancy
🏥
SUS: Sem cobertura SUSScore: 0%
1 medicamentos CEAFCID-10: E83.3
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🦴
Ossos e articulações
21 sintomas
📏
Crescimento
5 sintomas
🫘
Rins
4 sintomas
🫃
Digestivo
3 sintomas
🦷
Dentes
3 sintomas
👂
Ouvidos
2 sintomas

+ 32 sintomas em outras categorias

Características mais comuns

100%prev.
Início na infância
Obrigatório (100%)
100%prev.
Marcha anserina
Obrigatório (100%)
100%prev.
Atraso no desenvolvimento motor grosso
Obrigatório (100%)
100%prev.
Metáfises em concha dos ossos da mão
Obrigatório (100%)
100%prev.
Hepatoesplenomegalia
Obrigatório (100%)
100%prev.
Encurvamento femoral
Obrigatório (100%)
71sintomas
Muito frequente (19)
Frequente (17)
Ocasional (22)
Muito raro (3)
Sem dados (10)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 71 características clínicas mais associadas, ordenadas por frequência.

Início na infânciaInfantile onset
Obrigatório (100%)100%
Marcha anserinaWaddling gait
Obrigatório (100%)100%
Atraso no desenvolvimento motor grossoDelayed gross motor development
Obrigatório (100%)100%
Metáfises em concha dos ossos da mãoCupped metaphyses of hand bones
Obrigatório (100%)100%
HepatoesplenomegaliaHepatosplenomegaly
Obrigatório (100%)100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico763PubMed
Últimos 10 anos200publicações
Pico202592 papers
Linha do tempo
2026Hoje · 2026🧪 2004Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: X-linked dominant.

PHEXPhosphate-regulating neutral endopeptidase PHEXDisease-causing germline mutation(s) (loss of function) inAltamente restrito
FUNÇÃO

Peptidase that cleaves SIBLING (small integrin-binding ligand, N-linked glycoprotein)-derived ASARM peptides, thus regulating their biological activity (PubMed:15664000, PubMed:18162525, PubMed:18597632, PubMed:9593714). Cleaves ASARM peptides between Ser and Glu or Asp residues (PubMed:18597632). Regulates osteogenic cell differentiation and bone mineralization through the cleavage of the MEPE-derived ASARM peptide (PubMed:18597632). Promotes dentin mineralization and renal phosphate reabsorpti

LOCALIZAÇÃO

Cell membrane

MECANISMO DE DOENÇA

Hypophosphatemic rickets, X-linked dominant

A disorder characterized by impaired phosphate uptake in the kidney, which is likely to be caused by abnormal regulation of sodium phosphate cotransport in the proximal tubules. Clinical manifestations include skeletal deformities, growth failure, craniosynostosis, paravertebral calcifications, pseudofractures in lower extremities, and muscular hypotonia with onset in early childhood. X-linked hypophosphatemic rickets is the most common form of hypophosphatemia with an incidence of 1 in 20000.

EXPRESSÃO TECIDUAL(Tecido-específico)
Pulmão
5.1 TPM
Útero
3.6 TPM
Brain Spinal cord cervical c-1
2.1 TPM
Cervix Endocervix
2.0 TPM
Tireoide
1.6 TPM
OUTRAS DOENÇAS (1)
X-linked dominant hypophosphatemic rickets
HGNC:8918UniProt:P78562

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 CRYSVITA (BUROSUMAB)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

1,199 variantes patogênicas registradas no ClinVar.

🧬 PHEX: NM_000444.6(PHEX):c.1949T>G (p.Leu650Arg) ()
🧬 PHEX: GRCh38/hg38 Xp22.33-11.4(chrX:251888-42476276)x2 ()
🧬 PHEX: NM_000444.6(PHEX):c.910G>T (p.Glu304Ter) ()
🧬 PHEX: NM_000444.6(PHEX):c.1080-687A>G ()
🧬 PHEX: NM_000444.6(PHEX):c.1849T>C (p.Cys617Arg) ()
Ver todas no ClinVar

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
Aprovado2
3Fase 33
2Fase 24
1Fase 12
·Pré-clínico9
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Hipofosfatemia ligada ao X

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Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

3 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

49 ensaios clínicos encontrados, 8 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

📖Melhor nível de evidência: Revisão
Timeline de publicações
511 papers (10 anos)
#1

Enamel renal syndrome due to FAM20A mutations: challenging kidney management in view of nephrocalcinosis, hypophosphatemia and hypocalciuria.

Orphanet journal of rare diseases2026 Feb 05

Enamel Renal Syndrome (ERS) is a rare disorder characterized by a combination of dental and renal abnormalities, including stones and hypophosphatemia. ERS is genetically heterogeneous. We report on four pediatric cases of homozygous LoF FAM20A mutations (2 families). Biological (including oral calcium load) and imaging (dental and renal) data were reviewed. Results are presented as median(range). All patients were referred for renal screening by the specialized dental team at a median age of 14.5 [11–19] years. None of them presented symptoms of microscopic/macroscopic hematuria, nor renal colic despite the presence of multiple bilateral nephrolithiasis in all and nephrocalcinosis in one family. Biological parameters were vastly similar, with preserved renal function (eGFR 109(93–111) mL/min/1.73 m²), hypophosphatemia (median − 1.9(-3.4;-1.7) SDS for age), elevated FGF-23 (98(84–117) RU/mL, normal range 21–91 RU/mL) with hypocalciuria and low TmP/GFR. Oral calcium load tests confirmed the absence of resorptive and absorptive hypercalciuria, with adequate PTH inhibition during the test; of note, “baseline” PTH levels tended to be at the upper normal limit (83(65–131) ng/L, local upper normal limit 65ng/L) that was not adequate in view of hypophosphatemia, with 25D levels at 44(19–92) nmol/L. All patients were subsequently followed in pediatric nephrology and received hyperhydration and prudent vitamin D supplementation. These cases highlight the need for interdisciplinary collaboration between pediatric nephrologists, dental specialists and geneticists, to ensure that patients receive timely renal evaluation. The identification of elevated FGF-23 levels in FAM20A-related ERS with severe nephrolithiasis and hypophosphatemia raises the question of the interest of burosumab as targeted therapy. The online version contains supplementary material available at 10.1186/s13023-026-04232-6.

#2

Addressing the unmet challenge of pain in rare bone diseases: new insights from the RUDY UK registry.

Orphanet journal of rare diseases2026 Jan 29

Pain is a common symptom in many rare bone disorders, often linked to depression and a substantial decline in quality of life. However, there is little information on the quality of the pain which may provide insights into pain mechanisms. This study aimed to describe and compare the frequency and characteristics of self-reported pain in adults with Fibrous Dysplasia of Bone/McCune-Albright Syndrome (FD/MAS), Osteogenesis Imperfecta (OI), and X-linked Hypophosphatemia (XLH). A cross-sectional study was conducted using the online UK RUDY registry. Adults with self -reported FD/MAS, OI, and XLH who completed the painDETECT questionnaire (PD-Q) were included. Pain prevalence and phenotypes were assessed using baseline PD-Q responses which were also mapped to a modified widespread pain index as a measure of generalized pain. Descriptive analyses were performed using R®. A total of 281 adults completed the baseline PD-Q (94 FD/MAS, 94 OI, and 93 XLH). Among these, 86% of patients currently experienced pain and 47% reported severe strongest pain in the past four weeks, with no significant differences between conditions. Pain prevalence and phenotype were similar across diseases, though pain sites differed. Neuropathic-like pain and female sex were significantly associated with poorer pain outcomes, including higher pain prevalence and intensity (p < 0.05). Generalized pain (18%) was significantly associated with moderate to severe anxiety (p = 0.03), depression (p < 0.001) and sleep impairment (p < 0.001). Despite distinct pathophysiological mechanisms, pain distribution appears similar across these bone diseases, suggesting a major role for non-skeletal factors. Generalized pain was frequent and associated with anxiety, depression, and sleep disturbances, suggesting nociplastic features maybe a significant driver of pain in adults with rare bone diseases. The online version contains supplementary material available at 10.1186/s13023-025-04167-4.

#3

Beyond expensive innovations: affordable and effective strategies for managing tubulopathies in adults.

Clinical kidney journal2026 Mar

Tubulopathies comprise a heterogeneous and still poorly defined group of inherited and acquired disorders in which tubular transport is disproportionately impaired, resulting in chronic electrolyte and acid-base disturbances with downstream complications such as nephrocalcinosis, nephrolithiasis, bone fragility and, in some entities, progressive chronic kidney disease. Over the past decade, high-cost targeted therapies have transformed outcomes for a subset of tubulopathy-related disorders with secondary tubular involvement (e.g. anti-fibroblast growth factor 23 therapy in X-linked hypophosphatemia), yet comparable innovations remain largely unavailable for primary tubular transport defects and access to these therapies is uneven across healthcare systems. In this narrative review, we synthesize current evidence and expert recommendations for pragmatic, phenotype-driven interventions that support daily care and may help prevent complications. Core management still relies on non-targeted measures, including individualized nutritional counselling, optimization of hydration and solute load, and tailored electrolyte and alkali supplementation. We also discuss the rational use of widely available drugs that can be repurposed in selected tubular phenotypes, such as thiazide and thiazide-like diuretics, potassium-sparing agents, azole antifungals in calcitriol-driven hypercalcaemic states and emerging data on sodium-glucose cotransporter 2 inhibitors. Finally, we emphasize supportive care components often overlooked in 'drug-centred' approaches, including structured patient education, adherence support and monitoring of extra-renal manifestations. Overall, this review argues for a more resource-conscious approach to tubulopathies: one that recognizes the lack of a consensual definition, prioritizes phenotype-based care bundles, and underscores the urgent need for larger prospective studies incorporating patient-reported outcomes and robust economic endpoints, particularly the out-of-pocket burden borne by patients and families.

#4

Impact of oral phosphate supplements and active vitamin D treatment on dentoalveolar features of X-linked hypophosphatemia.

JBMR plus2026 Apr

X-linked hypophosphatemia (XLH), the most common form of genetic rickets (1/20000 births), results in the disruption of skeletal and dental mineralization. Oral features include dentinomalacia, spontaneous dental abscesses, and a high susceptibility to periodontitis. The association of phosphate supplementation and active vitamin D analogs (PO4/VitD) aims to counteract the consequences of FGF23 excess and the impaired production of active vitamin D. Despite a significant improvement in the long bone phenotype, the impact on dentoalveolar tissues remains poorly documented. Here, we aimed to determine whether the PO4/VitD treatment improves dental features in the Hyp mouse model of XLH and in XLH patients. Hyp mice were treated with oral phosphate supplementation and calcitriol injections from 3 wk to 3 mo and were compared with untreated Hyp and WT mice. Histological analyses were also performed on teeth from patients with XLH treated with PO4/VitD and on control teeth. Micro-CT analyses showed that the PO4/VitD treatment did not significantly correct dentin/cementum volume and density, pulp chamber enlargement, and alveolar bone parameters in Hyp mice. Histological analyses also revealed that dentinomalacia and periodontal attachment were not rescued by the treatment. Remarkably, permanent teeth from XLH patients treated with PO4/VitD during childhood displayed a significant reduction in predentin thickness and a thinner layer of globular dentin. Taken together, our data show that the PO4/VitD treatment does not significantly improve dentoalveolar features in Hyp mice treated at the prepubertal stage. However, the impact observed on dentin in human teeth supports the interest of this treatment regarding the occurrence of spontaneous dental abscesses.

#5

Postprandial serum phosphorus and calcium concentrations in adults and children with X-linked hypophosphatemia during burosumab treatment.

JBMR plus2026 Apr

X-linked hypophosphatemia (XLH) is caused by PHEX gene variants that result in increased circulating levels of fibroblast growth factor 23 (FGF23). FGF23 in turn decreases renal reabsorption of phosphate and suppresses renal production of 1,25(OH)2D, leading to rickets and growth impairment in children and osteomalacia in children and adults. Burosumab is a fully human FGF23-blocking monoclonal antibody approved for treating XLH. Limited data are available on the impact of phosphorus-containing meals or supplements or diurnal variation on serum phosphorus levels, with increases observed in some, but not all studies. It is recommended that serum phosphorus be measured in the morning fasted state when monitoring treatment in patients with XLH. The present substudy of the pivotal pediatric and adult phase 3 clinical trials of burosumab examined the impact of meal consumption and timing around meals on serum phosphorus and calcium levels in children and adults with XLH during burosumab treatment. Thirty-nine participants (pediatric, n = 13; adult, n = 26) were included. The mean (SD) duration of burosumab treatment prior to the substudy was 15.4 (6.6) mo for pediatric and 24.2 (3.7) mo for adult participants. Serum phosphorus and calcium levels were measured before and after breakfast in children, and before and after both breakfast and lunch in adults. In both age groups, there was no clinically meaningful difference in mean levels of serum phosphorus measured at 1 and 2 h after meals compared to fasted levels, and serum calcium levels remained within the normal range for all pediatric participants and most adults, although interpatient variation was observed. These results suggest that, when fasting is not possible, nonfasting serum phosphorus levels may be a suitable alternative in patients with XLH receiving a stable dose of burosumab.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC445 artigos no totalmostrando 195

2026

Beyond expensive innovations: affordable and effective strategies for managing tubulopathies in adults.

Clinical kidney journal
2026

Impact of oral phosphate supplements and active vitamin D treatment on dentoalveolar features of X-linked hypophosphatemia.

JBMR plus
2026

Postprandial serum phosphorus and calcium concentrations in adults and children with X-linked hypophosphatemia during burosumab treatment.

JBMR plus
2026

Autoimmune osteomalacia: a novel FGF23-related hypophosphatemic osteomalacia.

Journal of bone and mineral metabolism
2026

Management of X-Linked Hypophosphatemia During Pregnancy: Case Report and Literature Review.

Calcified tissue international
2026

Enamel renal syndrome due to FAM20A mutations: challenging kidney management in view of nephrocalcinosis, hypophosphatemia and hypocalciuria.

Orphanet journal of rare diseases
2026

Bone Age Delay in X-linked Hypophosphatemia.

Journal of the Endocrine Society
2026

Addressing the unmet challenge of pain in rare bone diseases: new insights from the RUDY UK registry.

Orphanet journal of rare diseases
2025

Burosumab in Chinese adults with X-linked hypophosphatemia: a phase 4 study.

JBMR plus
2025

Biochemical evaluation of X-linked hypophosphatemia and tumor-induced osteomalacia: insights into diagnosis and management.

Frontiers in endocrinology
2025

Reclassification of Hypophosphatemic Bone Disease as X-Linked Hypophosphatemia Following Genetic Testing in Adulthood.

AACE endocrinology and diabetes
2025

Harmonized Tubular Maximum Phosphate reabsorption per Glomerular Filtration Rate reporting in adults and children in Australia and New Zealand.

JBMR plus
2025

A case and review of fibroblast growth factor-23-mediated hypophosphatemic osteomalacia in the absence of pathogenic PHEX variants.

JBMR plus
2025

Hearing impairment in X-linked hypophosphatemia: a review.

JBMR plus
2025

Patient and carer perceptions and acceptability of current management practices in paediatric X-linked hypophosphatemia treated with burosumab therapy.

JBMR plus
2025

What is it like living with X-linked hypophosphatemia?: results from an Australian consumer survey.

JBMR plus
2025

Burosumab in adults with X-linked hypophosphatemia: real-world experience from a retrospective study in Sydney.

JBMR plus
2025

Secondary and Tertiary Hyperparathyroidism among Patients with X-Linked Hypophosphatemia: A Systematic Review and Meta-analysis.

Calcified tissue international
2026

X-linked hypophosphatemia in childhood: dental involvement, diagnosis, and treatment.

European journal of paediatric dentistry
2025

Genetic reduction or deletion of osteopontin in osteomalacic Hyp mice fails to ameliorate dentoalveolar defects.

JBMR plus
2026

Two-year structural skeletal outcomes of burosumab therapy in pediatric X-linked hypophosphatemia: A radiographic cohort study.

Journal of children's orthopaedics
2025

A bibliometric approach to worldwide scientific production of familial hypophosphataemic rickets in Scopus (2000-2022).

Orphanet journal of rare diseases
2025

X-Linked Hypophosphatemia in a Family Cohort: Clinical Variability, Genetic Confirmation and Modern Therapeutic Perspectives.

Journal of clinical medicine
2025

Proof-of-principle for enhanced dentoalveolar mineralization using exogenous tissue-nonspecific alkaline phosphatase in the Hyp mouse model of X-linked hypophosphatemia.

JBMR plus
2025

Case Report: Increased FGF23 and new insufficiency fractures at burosumab discontinuation in X-linked hypophosphatemia.

Frontiers in endocrinology
2025

Delayed diagnosis of X-linked hypophosphatemia in the absence of family history: a global unmet need.

JBMR plus
2025

Indications for the evaluation and supplementation of hypophosphatemia: an umbrella systematic review of reviews and guidelines.

BMC medicine
2026

Treatment of Children and Adults With X-Linked Hypophosphatemia With Calcitriol Alone: A Prospective, Open-Label Study.

The Journal of clinical endocrinology and metabolism
2025

Proceedings of the 2025 Santa Fe Bone Symposium: Current concepts in the care of patients with osteoporosis, parathyroid disorders, and rare bone diseases.

Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
2025

Bridging the knowledge gap in rare bone disorders: insights from the APCO Asia-Pacific Rare Bone Disorders Engagement (ASPIRE) survey.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
2025

Targeted Alkaline Phosphatase Therapy Enhances Alveolar Bone Healing in X-Linked Hypophosphatemia in Mice.

Journal of periodontal research
2025

X-linked hypophosphatemia and tumor-induced osteomalacia: a narrative review and expert opinion on the diagnostic and therapeutic challenges in the era of burosumab.

Orphanet journal of rare diseases
2026

Surgical and Nonsurgical Endodontic Treatment of a Patient with Vitamin D-resistant Rickets and Extraoral Sinus Tract: A Case Report.

Journal of endodontics
2026

Distribution of blood pressure and its positive association with body mass index standard deviation score in pediatric patients with X-linked hypophosphatemia: a sub-group analysis from the SUNFLOWER observational study.

Endocrine journal
2026

A deep intronic PHEX variant in a large Danish family with hereditary hypophosphatemia and a milder skeletal, but more severe dental phenotype.

Bone
2025

Health-related quality of life in French pediatric patients with X-linked hypophosphatemia: real-world data from the International XLH Registry.

JBMR plus
2025

Burosumab prevents further height deficit in toddlers affected by XLH.

Endocrine connections
2025

Increased lifelong burden of comorbidities without increased early mortality in hereditary hypophosphatemia: a Danish register study.

JBMR plus
2025

Approach to a Child with Hypophosphatemia.

Biomolecules
2025

Improvement in Physical Function Associated With Burosumab in a Patient With X-linked Hypophosphatemia: A Case Report.

Cureus
2025

Advancing Patient Evidence in XLH (APEX): Baseline analysis of a global data unification program.

Bone
2025

Refractory Hypophosphatemia Secondary to Tumor-Induced Osteomalacia: Diagnostic Challenges and Successful Management With Burosumab.

Cureus
2025

X-Linked Hypophosphatemia: Role of Fibroblast Growth Factor 23 on Human Skeletal Muscle-Derived Cells.

Calcified tissue international
2026

Challenges in Estimating Renal Function in X-linked Hypophosphatemia Because of Formula Overestimation and FGF23 Effects.

The Journal of clinical endocrinology and metabolism
2025

Lower limb deformity correction in X-linked hypophosphatemia (XLH) with intramedullary nails: A strategy to reduce deformity recurrence and improve limb function.

Bone
2025

Burosumab treatment for fibroblast growth factor-23-associated hypophosphatemia in an adult patient with severe fibrous dysplasia in McCune-Albright syndrome: case report and review of the literature.

JBMR plus
2025

A case report of X-linked hypophosphatemia combined with primary hyperparathyroidism.

Frontiers in endocrinology
2025

Prevalence of enthesopathies in X-linked hypophosphatemia: an explorative ultrasound study.

JBMR plus
2025

The genetic polymorphism of XPR1 associated with Fanconi syndrome in Chinese patients with X-linked hypophosphatemia.

Journal of endocrinological investigation
2025

Burosumab: what can it do in children and adult patients with X-linked hypophosphatemia?

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2025

3D-DXA reveals significant effects of burosumab on trabecular and cortical skeletal envelopes in symptomatic adults with X-linked hypophosphatemia.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2025

Clustered Structural Variants Involving <italic>PHEX</italic> at Xp22 in a Female Patient with X-Linked Hypophosphatemia.

Cytogenetic and genome research
2025

Experts' consensus on the management and treatment of individuals with X-linked hypophosphatemia across lifespan.

Journal of endocrinological investigation
2025

Pain and physical function affecting quality of life in patients with osteogenesis imperfecta, X-linked hypophosphatemia, and hypermobile Ehlers-Danlos syndrome.

JBMR plus
2025

First case of preimplantation genetic testing of X-linked dominantly inherited hypophosphatemia family lines using next-generation sequencing technology.

European journal of obstetrics, gynecology, and reproductive biology
2025

Extracellular Matrix Proximity Biotinylation Identifies Periostin as a PHEX Proteolytic Substrate.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2025

A Mosaic PHEX Variant in Hypophosphatemic Rickets: Distinguishing Postzygotic Mutation from Sex Chromosome Aneuploidy.

Calcified tissue international
2025

PHEX Protein in the Parathyroid Gland Contributes to Phosphate Sensing.

The Journal of clinical endocrinology and metabolism
2025

Switching from active vitamin D and phosphate supplementation to burosumab significantly corrects lower limb malalignment in pediatric X-linked hypophosphatemia.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2025

Growth dynamics of transversal body dimensions and proportions, with related clinical determinants in children with X-linked hypophosphatemia treated with phosphate supplements and active vitamin D.

Pediatric nephrology (Berlin, Germany)
2025

Double burdened yet resilient: quality of life of caregivers of people with X-linked hypophosphatemia.

JBMR plus
2025

Inadequate pediatric reference ranges impede the diagnosis of X-linked hypophosphatemia and hypophosphatasia in Austria.

Wiener klinische Wochenschrift
2025

Real-world characteristics & disease history of patients with X-linked hypophosphatemia before treatment with burosumab.

Archives of osteoporosis
2025

Oncogenic rickets diagnosed at age 8 and the risk of persistent rickets: a rare case of pediatric-onset tumor-induced osteomalacia.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
2025

Short stature in pre-pubertal children with X-linked hypophosphatemia.

Endocrine connections
2025

Predictors of response to burosumab in adults with X-linked hypophosphatemia: real-world data from an Italian cohort.

Journal of endocrinological investigation
2025

Real-world effectiveness of burosumab vs oral phosphate and active vitamin D in adults with X-linked hypophosphatemia.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2025

Quality of life of 26 family members from four generations with X-linked hypophosphatemia: a cross-sectional study.

Frontiers in endocrinology
2025

The Diagnosis and Therapy of XLH.

Calcified tissue international
2025

The Burden of Adult X-Linked Hypophosphatemia on Carers and Family Members: A Mixed-Methods Study.

Journal of health economics and outcomes research
2025

Advancing patient evidence in XLH (APEX): rationale and design of a real-world XLH global data unification program.

Frontiers in endocrinology
2025

Calcium isotope ratio in patients with monogenic bone diseases: a prospective, cross-sectional, single-center pilot study.

JBMR plus
2025

X-Linked Hypophosphatemia Management in Adults: An International Working Group Clinical Practice Guideline.

The Journal of clinical endocrinology and metabolism
2025

Craniosynostosis among children with X-linked hypophosphatemia: A systematic review and meta-analysis.

Bone
2025

Characterization of adult patients with X-linked hypophosphatemia at a specialized center in Buenos Aires, Argentina.

Archives of endocrinology and metabolism
2025

Significance of assessing the severity of craniosynostosis in patients with X-linked hypophosphatemia (XLH) at diagnosis.

Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology
2025

Office Blood Pressure and Obesity in Children with X-Linked Hypophosphatemia.

Calcified tissue international
2025

Methodology for the international working group clinical practice guidelines on X-linked hypophosphatemia in children and adults.

Journal of bone and mineral metabolism
2025

Current Practices in Monitoring Children and Adults With X-linked Hypophosphatemia: A Global Survey of Expert Experience.

The Journal of clinical endocrinology and metabolism
2025

Factors associated with impaired physical functionality in X-linked hypophosphatemia.

JBMR plus
2025

Qualitative analysis of pain impact in adult patients with X-linked hypophosphatemia.

JBMR plus
2025

[Rare osteological diseases in the rheumatological consultation: hypophosphatasia and phosphate loss syndromes].

Zeitschrift fur Rheumatologie
2025

Pain, Quality of Life, and Mental Health in Adults with X-linked Hypophosphatemia: A Cross-sectional Study.

The Journal of clinical endocrinology and metabolism
2025

X-Linked Hypophosphatemia Management in Children: An International Working Group Clinical Practice Guideline.

The Journal of clinical endocrinology and metabolism
2025

Dental Management of Genetic Dental Disorders: A Critical Review.

Journal of dental research
2025

Combined Treatment With Leuprolide Acetate and Burosumab in X-linked Hypophosphatemia and Precocious Puberty: A Therapeutic Response.

AACE clinical case reports
2025

Understanding the structural biology of osteomalacia through multiscale 3D X-ray and electron tomographic imaging: a review of X-linked hypophosphatemia, the Hyp mouse model, and imaging methods.

JBMR plus
2025

A deep intronic PHEX variant associated with X-linked hypophosphatemia in a Finnish family.

JBMR plus
2025

18F-Sodium Fluoride PET/CT as a Tool to Assess Enthesopathies in X-Linked Hypophosphatemia.

Calcified tissue international
2024

Comprehensive Metabolomic Profiling in Adults with X-Linked Hypophosphatemia: A Case-Control Study.

Biomedicines
2024

Case report: Prolonged and severe hungry bone syndrome after parathyroidectomy in X-linked hypophosphatemia.

Frontiers in endocrinology
2025

Proceedings of the 2024 Santa Fe Bone Symposium: Update on the Management of Osteoporosis and Rare Bone Diseases.

Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
2025

Systematic Review: Efficacy of Medical Therapy on Outcomes Important to Pediatric Patients With X-Linked Hypophosphatemia.

The Journal of clinical endocrinology and metabolism
2025

Special Collection on Rare Musculoskeletal Diseases 2024.

JBMR plus
2025

Systematic Review: Efficacy of Medical Therapy on Outcomes Important to Adult Patients With X-Linked Hypophosphatemia.

The Journal of clinical endocrinology and metabolism
2025

Intragenic duplication of PHEX in a girl with X-linked hypophosphatemia: a case report with review of literature.

Endocrine journal
2025

Clinical and Molecular Genetic Characteristics of Patients with Hereditary Hypophosphatemia.

The Journal of clinical endocrinology and metabolism
2025

Impact of stopping burosumab treatment at the end of skeletal growth in adolescents with X-linked hypophosphatemia (XLH).

Bone reports
2024

Phosphorus-independent role of FGF23 in erythropoiesis and iron homeostasis.

PloS one
2024

Use of Whole-Exome Sequencing and Pedigree Analysis to Identify X-linked Hypophosphatemia in Saudi Arabian Families.

Journal of the Endocrine Society
2024

Improvements with burosumab treatment in an early access programme for adults with X-linked hypophosphataemia: A case series of three patients.

Bone reports
2024

Midfoot and Forefoot Disorders in Adolescents and Adults with X-Linked Hypophosphatemia.

Journal of clinical medicine
2024

Real-World Clinical and Healthcare Resource Burden Among Burosumab-Naïve Patients With Familial Hypophosphatemia.

Journal of the Endocrine Society
2025

Bone Microarchitecture Evaluated by HR-PQCT in Chinese Adolescent and Pediatric Patients With X-Linked Hypophosphatemia.

The Journal of clinical endocrinology and metabolism
2025

Tertiary hyperparathyroidism in two paediatric patients with X-linked hypophosphatemia during Burosumab treatment.

Bone
2025

RNA-first Approach Identifies Deep Intronic PHEX Variants in X-linked Hypophosphatemic Rickets.

The Journal of clinical endocrinology and metabolism
2024

Effect of Mutation Type on Ectopic Ossification Among Adult Patients With X-Linked Hypophosphatemia.

Journal of the Endocrine Society
2024

Association between work productivity and characteristics of adults with X-linked hypophosphatemia: an analysis of the XLH disease monitoring program.

JBMR plus
2024

Model-Informed Approach to Recommend Burosumab Dosing Regimens for Pediatric and Adult Patients With the Ultrarare Disease Tumor-Induced Osteomalacia.

Clinical pharmacology and therapeutics
2025

Areas of uncertainty on the diagnosis, treatment, and follow-up of hypophosphatemia in adults: an Italian Delphi consensus.

Journal of endocrinological investigation
2024

Lower limb maltorsion and acetabular deformity in children and adolescents with X-linked hypophosphatemia.

Frontiers in endocrinology
2025

Pharmacodynamic Exposure-Response Analysis of Fracture Count Data Following Treatment with Burosumab in Patients with XLH.

Journal of clinical pharmacology
2024

Autosomal recessive hypophosphatemic rickets type 2 due to ENPP1 deficiency (ARHR2).

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
2024

FGF23 and Cell Stress in SaOS-2 Cells-A Model Reflecting X-Linked Hypophosphatemia Dynamics.

Cells
2024

Rare diseases: a challenge in paediatric dentistry.

European journal of paediatric dentistry
2024

Meta-analysis and systematic review: burosumab as a promising treatment for children with X-linked hypophosphatemia.

Frontiers in endocrinology
2024

Nephrocalcinosis and kidney function in children and adults with X-linked hypophosphatemia: baseline results from a large longitudinal study.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2024

Item Response Theory Quantifies the Relationship Between Improvements in Serum Phosphate and Patient-Reported Outcomes in Adults With X-Linked Hypophosphatemia.

Clinical pharmacology and therapeutics
2024

Inherited phosphate and pyrophosphate disorders: New insights and novel therapies changing the oral health landscape.

Journal of the American Dental Association (1939)
2024

Metabolically healthy obesity in adults with X-linked hypophosphatemia.

European journal of endocrinology
2024

X-linked hypophosphatemia: long-term outcomes of different treatment strategies.

Nefrologia
2024

Evaluation of dental manifestations in X-linked hypophosphatemia using orthopantomography.

PloS one
2024

Pretreatments to bonding on enamel and dentin disorders: a systematic review.

Evidence-based dentistry
2024

Longitudinal assessment of physical function in adults with X-linked hypophosphatemia following initiation of burosumab therapy.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
2024

Hypophosphatemic osteomalacia due to cadmium toxicity in silverware industry: A curious case of aches and pains.

Journal of family medicine and primary care
2024

NFATc1 Is Required for Vitamin D- and Phosphate-Mediated Regulation of Osteocyte Lacuno-Canalicular Remodeling.

Endocrinology
2024

Burosumab treatment of X-linked hypophosphatemia patients: interim analysis of the SUNFLOWER longitudinal, observational cohort study.

JBMR plus
2024

Lessons learned from the real-world diagnosis and management of hereditary hypophosphatemic rickets.

Bone reports
2024

Burosumab Efficacy and Safety in Patients with X-Linked Hypophosphatemia: Systematic Review and Meta-analysis of Real-World Data.

Calcified tissue international
2024

Sclerostin inhibition in rare bone diseases: Molecular understanding and therapeutic perspectives.

Journal of orthopaedic translation
2024

Hypophosphatemic rickets and short stature.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2024

Evaluation of bone density and microarchitecture in adult patients with X-linked hypophosphatemic rickets: A pilot longitudinal study.

Bone
2024

[Effect and safety of Burosumab in the treatment of 4 children with X-linked hypophosphatemia].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2024

Nutritional Behavior of Patients with Bone Diseases: A Cross-Sectional Study from Austria.

Nutrients
2024

A Mild Presentation of X-Linked Hypophosphatemia Caused by a Non-Canonical Splice Site Variant in the PHEX Gene.

Genes
2024

Health-related quality of life of children with X-linked hypophosphatemia in Germany.

Pediatric nephrology (Berlin, Germany)
2025

Improved Oral Health in Adults With X-Linked Hypophosphatemia Treated With Burosumab.

The Journal of clinical endocrinology and metabolism
2024

Three exonic variants in the PHEX gene cause aberrant splicing in a minigene assay.

Frontiers in genetics
2024

X-Linked hypophosphatemia. Data from a Spanish adult population cohort.

Journal of nephrology
2024

The role of GDF5 in regulating enthesopathy development in the Hyp mouse model of XLH.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2024

Inflammatory myofibroblastic tumor in a patient with X-Linked hypophosphatemia: A case of Occam's razor or Hickam's dictum?

Urology case reports
2024

Characteristics of oral health of patients with X-linked hypophosphatemia: case reports and literature review.

BDJ open
2024

Cardiovascular health in pediatric patients with X-linked hypophosphatemia under two years of burosumab therapy.

Frontiers in endocrinology
2024

Efficacy and safety of burosumab compared with conventional therapy in patients with X-linked hypophosphatemia: A systematic review.

Archives of endocrinology and metabolism
2024

Real-world non-interventional post-authorization safety study of long-term use of burosumab in children and adolescents with X-linked hypophosphatemia: first interim analysis.

Therapeutic advances in chronic disease
2024

Identification of Rare and Novel PHEX Variants in X-linked Hypophosphatemia.

The Journal of clinical endocrinology and metabolism
2024

Burosumab vs conventional therapy in children with X-linked hypophosphatemia: results of the open-label, phase 3 extension period.

JBMR plus
2024

Non-Surgical Strategies for Managing Skeletal Deformities in a Child with X-Linked Hereditary Hypophosphatemic Ricket: Insights and Perspectives.

Children (Basel, Switzerland)
2024

Orthodontic treatment in children and adolescent patients with X-linked hypophosphatemia: A case-control study.

Orthodontics &amp; craniofacial research
2024

Epidemiological analysis to identify predictors of X-linked hypophosphatemia (XLH) diagnosis in an Italian pediatric population: the EPIX project.

Endocrine
2025

Emerging concepts on the FGF23 regulation and activity.

Molecular and cellular biochemistry
2024

Use of Complementary and Alternative Medicine in Patients with Rare Bone Diseases and Osteoporosis.

Nutrients
2024

Metabolomics of Plasma in XLH Patients with Arterial Hypertension: New Insights into the Underlying Mechanisms.

International journal of molecular sciences
2024

Characterization of Novel PHEX Variants in X-linked Hypophosphatemic Rickets and Genotype-PHEX Activity Correlation.

The Journal of clinical endocrinology and metabolism
2024

Impact of burosumab on lower limb alignment in children with X-linked hypophosphatemia.

Journal of the Pediatric Orthopaedic Society of North America
2024

Oral health and oral-health-related quality of life in people with X-linked hypophosphatemia.

BMC oral health
2024

Real-world data of Brazilian adults with X-linked hypophosphatemia (XLH) treated with burosumab and comparison with other worldwide cohorts.

Molecular genetics &amp; genomic medicine
2024

The Diagnostic Odyssey in Children and Adolescents With X-linked Hypophosphatemia: Population-Based, Case-Control Study.

The Journal of clinical endocrinology and metabolism
2024

Complex intrinsic abnormalities in osteoblast lineage cells of X-linked hypophosphatemia: Analysis of human iPS cell models generated by CRISPR/Cas9-mediated gene ablation.

Bone
2024

Health-related quality of life and fatigue in adult rare bone disease patients: A cross-sectional study from Austria.

Bone
2024

Switching to burosumab from conventional therapy in siblings with relatively well-controlled X-linked hypophosphatemia.

Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology
2024

X-linked hypophosphatemia: The value of feedback focus groups to assess patient and caregiver needs.

European journal of medical genetics
2024

Tubular phosphate transport: a comparison between different methods of urine sample collection in FGF23-dependent hypophosphatemic syndromes.

Clinical chemistry and laboratory medicine
2024

Rare Causes of Musculoskeletal Pain: Thinking beyond Common Rheumatologic Diseases.

Case reports in rheumatology
2023

X-linked hypophosphatemia, fibroblast growth factor 23 signaling, and craniosynostosis.

Experimental biology and medicine (Maywood, N.J.)
2024

Burosumab for the treatment of cutaneous-skeletal hypophosphatemia syndrome.

Bone reports
2024

Disease Manifestations and Complications in Dutch X-Linked Hypophosphatemia Patients.

Calcified tissue international
2024

X-linked hypophosphatemia due to a de novo novel splice-site variant in a 7-year-old girl with scaphocephaly, Chiari syndrome type I and syringomyelia.

Bone reports
2024

Successful Burosumab Treatment in an Adult Patient with X-Linked Hypophosphatemia and Chronic Kidney Disease Stage 3b.

Calcified tissue international
2025

Τhe story of sclerostin inhibition: the past, the present, and the future.

Hormones (Athens, Greece)
2024

Spectrum of PHEX Mutations and FGF23 Profiles in a Taiwanese Cohort With X-Linked Hypophosphatemia Including 102 Patients.

In vivo (Athens, Greece)
2023

X-Linked Hypophosphatemia: Does Targeted Therapy Modify Dental Impairment?

Journal of clinical medicine
2024

Latin-American consensus on the transition into adult life of patients with X-linked hypophosphatemia.

Endocrine
2023

A Novel Case of Concomitant PHEX and ALPL Mutation In a Family With Rickets.

JCEM case reports
2023

Impaired Growth Plate Maturation in XLH Is due to Both Excess FGF23 and Decreased 1,25-Dihydroxyvitamin D Signaling.

Endocrinology
2023

Dental impact of anti-fibroblast growth factor 23 therapy in X-linked hypophosphatemia.

International journal of oral science
2024

A PAI-1 antagonist ameliorates hypophosphatemia in the Hyp vitamin D-resistant rickets model mouse.

FEBS open bio
2023

Proceedings of the 2023 Santa Fe Bone Symposium: Progress and Controversies in the Management of Patients with Skeletal Diseases.

Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
2023

FGF23 directly inhibits osteoprogenitor differentiation in Dmp1-knockout mice.

JCI insight
2023

Tumour-induced osteomalacia: 18 months of 2-weekly burosumab treatment.

Endocrinology, diabetes &amp; metabolism case reports
2024

Effect of Burosumab on Muscle Function and Strength, and Rates of ATP Synthesis in Skeletal Muscle in Adults With XLH.

The Journal of clinical endocrinology and metabolism
2024

Diagnostic and New Therapeutic Approaches to Two Challenging Pediatric Metabolic Bone Disorders: Hypophosphatasia and X-linked Hypophosphatemic Rickets.

Current pediatric reviews
2023

A De Novo Deleterious PHEX Variant Without Clinical Features of X-Linked Hypophosphatemia.

JCEM case reports
2024

MRI quantitative muscle characterization in children with X-linked hypophosphatemia.

Orthopaedics &amp; traumatology, surgery &amp; research : OTSR
2023

Circulating Levels of Leptin and Lipocalin-2 in Patients With X-Linked Hypophosphatemia.

Journal of the Endocrine Society
2024

Reassuring Data on the Cardiovascular Risk in Adults With X-linked Hypophosphatemia Receiving Conventional Therapy.

The Journal of clinical endocrinology and metabolism
2024

The sacroiliac joint: An original and highly sensitive tool to highlight altered bone phenotype in murine models of skeletal disorders.

Bone
2023

Adult height improved over decades in patients with X-linked hypophosphatemia: a cohort study.

European journal of endocrinology
2023

Sclerostin antibody improves alveolar bone quality in the Hyp mouse model of X-linked hypophosphatemia (XLH).

International journal of oral science
2023

X-Linked Familial Hypophosphatemia: A Case Report of 27-Year Old Male and Review of Literature.

Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme
2023

Biomechanical Impact of Phosphate Wasting on Articular Cartilage Using the Murine Hyp Model of X-linked hypophosphatemia.

JBMR plus
2023

A genetic study of a Brazilian cohort of patients with X-linked hypophosphatemia reveals no correlation between genotype and phenotype.

Frontiers in pediatrics
2023

The International X-Linked Hypophosphatemia (XLH) Registry: first interim analysis of baseline demographic, genetic and clinical data.

Orphanet journal of rare diseases
2023

Linear growth of children with X-linked hypophosphatemia treated with burosumab: a real-life observational study.

European journal of pediatrics
2023

Contributions of increased osteopontin and hypophosphatemia to dentoalveolar defects in osteomalacic Hyp mice.

Bone
Ver todos os 445 no EuropePMC

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Enamel renal syndrome due to FAM20A mutations: challenging kidney management in view of nephrocalcinosis, hypophosphatemia and hypocalciuria.
    Orphanet journal of rare diseases· 2026· PMID 41645214mais citado
  2. Addressing the unmet challenge of pain in rare bone diseases: new insights from the RUDY UK registry.
    Orphanet journal of rare diseases· 2026· PMID 41612382mais citado
  3. Beyond expensive innovations: affordable and effective strategies for managing tubulopathies in adults.
    Clinical kidney journal· 2026· PMID 41800319mais citado
  4. Impact of oral phosphate supplements and active vitamin D treatment on dentoalveolar features of X-linked hypophosphatemia.
    JBMR plus· 2026· PMID 41777642mais citado
  5. Postprandial serum phosphorus and calcium concentrations in adults and children with X-linked hypophosphatemia during burosumab treatment.
    JBMR plus· 2026· PMID 41777640mais citado
  6. Age-Specific Centiles for Fibroblast Growth Factor 23 and Its Associations with Mineral and Bone Metabolism in Healthy Children.
    J Steroid Biochem Mol Biol· 2026· PMID 41991079recente
  7. Association of PHEX Gene Dosage With Meniere Disease and Related Audiovestibular Phenotypes in X-Linked Hypophosphatemia.
    JAMA Otolaryngol Head Neck Surg· 2026· PMID 41989789recente
  8. Anthropometric characteristics at birth and growth outcome in patients with X-linked hypophosphatemia treated with oral phosphate and active vitamin D.
    Pediatr Nephrol· 2026· PMID 41963716recente
  9. Real-world Effectiveness of Burosumab Across Age Groups: X-linked Hypophosphatemia (XLH) Disease Monitoring Program.
    J Clin Endocrinol Metab· 2026· PMID 41934635recente
  10. Clinical features of Italian adult individuals with X-linked hypophosphatemia: a multicenter retrospective study.
    Endocr Connect· 2026· PMID 41921026recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:89936(Orphanet)
  2. OMIM OMIM:307800(OMIM)
  3. MONDO:0010619(MONDO)
  4. GARD:12943(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q1779987(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Compêndio · Raras BR

Hipofosfatemia ligada ao X

ORPHA:89936 · MONDO:0010619
🇧🇷 Brasil SUS
CEAF
1ABurosumabe
Geral
Prevalência
1-9 / 100 000
Herança
X-linked dominant
CID-10
E83.3 · Distúrbios do metabolismo do fósforo
CID-11
Ensaios
8 ativos
Início
Childhood, Infancy
Prevalência
1.89 (Norway)
MedGen
UMLS
C0733682
Repurposing
1 candidato
ergocalciferolvitamin analog
EuropePMC
Wikidata
Papers 10a
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