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.
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.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Entender a doença
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 32 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 71 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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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.
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
Cell membrane
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.
Medicamentos aprovados (FDA)
1 medicamento encontrado nos registros da FDA americana.
Variantes genéticas (ClinVar)
1,199 variantes patogênicas registradas no ClinVar.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
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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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
Ensaios em destaque
🟢 Recrutando agora
3 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.
Outros ensaios clínicos
49 ensaios clínicos encontrados, 8 ativos.
Publicações mais relevantes
Enamel renal syndrome due to FAM20A mutations: challenging kidney management in view of nephrocalcinosis, hypophosphatemia and hypocalciuria.
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.
Addressing the unmet challenge of pain in rare bone diseases: new insights from the RUDY UK registry.
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.
Beyond expensive innovations: affordable and effective strategies for managing tubulopathies in adults.
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.
Impact of oral phosphate supplements and active vitamin D treatment on dentoalveolar features of X-linked hypophosphatemia.
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.
Postprandial serum phosphorus and calcium concentrations in adults and children with X-linked hypophosphatemia during burosumab treatment.
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
Age-Specific Centiles for Fibroblast Growth Factor 23 and Its Associations with Mineral and Bone Metabolism in Healthy Children.
📖 RevisãoAssociation of PHEX Gene Dosage With Meniere Disease and Related Audiovestibular Phenotypes in X-Linked Hypophosphatemia.
Anthropometric characteristics at birth and growth outcome in patients with X-linked hypophosphatemia treated with oral phosphate and active vitamin D.
Real-world Effectiveness of Burosumab Across Age Groups: X-linked Hypophosphatemia (XLH) Disease Monitoring Program.
Clinical features of Italian adult individuals with X-linked hypophosphatemia: a multicenter retrospective study.
📚 EuropePMC445 artigos no totalmostrando 195
Beyond expensive innovations: affordable and effective strategies for managing tubulopathies in adults.
Clinical kidney journalImpact of oral phosphate supplements and active vitamin D treatment on dentoalveolar features of X-linked hypophosphatemia.
JBMR plusPostprandial serum phosphorus and calcium concentrations in adults and children with X-linked hypophosphatemia during burosumab treatment.
JBMR plusAutoimmune osteomalacia: a novel FGF23-related hypophosphatemic osteomalacia.
Journal of bone and mineral metabolismManagement of X-Linked Hypophosphatemia During Pregnancy: Case Report and Literature Review.
Calcified tissue internationalEnamel renal syndrome due to FAM20A mutations: challenging kidney management in view of nephrocalcinosis, hypophosphatemia and hypocalciuria.
Orphanet journal of rare diseasesBone Age Delay in X-linked Hypophosphatemia.
Journal of the Endocrine SocietyAddressing the unmet challenge of pain in rare bone diseases: new insights from the RUDY UK registry.
Orphanet journal of rare diseasesBurosumab in Chinese adults with X-linked hypophosphatemia: a phase 4 study.
JBMR plusBiochemical evaluation of X-linked hypophosphatemia and tumor-induced osteomalacia: insights into diagnosis and management.
Frontiers in endocrinologyReclassification of Hypophosphatemic Bone Disease as X-Linked Hypophosphatemia Following Genetic Testing in Adulthood.
AACE endocrinology and diabetesHarmonized Tubular Maximum Phosphate reabsorption per Glomerular Filtration Rate reporting in adults and children in Australia and New Zealand.
JBMR plusA case and review of fibroblast growth factor-23-mediated hypophosphatemic osteomalacia in the absence of pathogenic PHEX variants.
JBMR plusHearing impairment in X-linked hypophosphatemia: a review.
JBMR plusPatient and carer perceptions and acceptability of current management practices in paediatric X-linked hypophosphatemia treated with burosumab therapy.
JBMR plusWhat is it like living with X-linked hypophosphatemia?: results from an Australian consumer survey.
JBMR plusBurosumab in adults with X-linked hypophosphatemia: real-world experience from a retrospective study in Sydney.
JBMR plusSecondary and Tertiary Hyperparathyroidism among Patients with X-Linked Hypophosphatemia: A Systematic Review and Meta-analysis.
Calcified tissue internationalX-linked hypophosphatemia in childhood: dental involvement, diagnosis, and treatment.
European journal of paediatric dentistryGenetic reduction or deletion of osteopontin in osteomalacic Hyp mice fails to ameliorate dentoalveolar defects.
JBMR plusTwo-year structural skeletal outcomes of burosumab therapy in pediatric X-linked hypophosphatemia: A radiographic cohort study.
Journal of children's orthopaedicsA bibliometric approach to worldwide scientific production of familial hypophosphataemic rickets in Scopus (2000-2022).
Orphanet journal of rare diseasesX-Linked Hypophosphatemia in a Family Cohort: Clinical Variability, Genetic Confirmation and Modern Therapeutic Perspectives.
Journal of clinical medicineProof-of-principle for enhanced dentoalveolar mineralization using exogenous tissue-nonspecific alkaline phosphatase in the Hyp mouse model of X-linked hypophosphatemia.
JBMR plusCase Report: Increased FGF23 and new insufficiency fractures at burosumab discontinuation in X-linked hypophosphatemia.
Frontiers in endocrinologyDelayed diagnosis of X-linked hypophosphatemia in the absence of family history: a global unmet need.
JBMR plusIndications for the evaluation and supplementation of hypophosphatemia: an umbrella systematic review of reviews and guidelines.
BMC medicineTreatment of Children and Adults With X-Linked Hypophosphatemia With Calcitriol Alone: A Prospective, Open-Label Study.
The Journal of clinical endocrinology and metabolismProceedings 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 DensitometryBridging 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 USATargeted Alkaline Phosphatase Therapy Enhances Alveolar Bone Healing in X-Linked Hypophosphatemia in Mice.
Journal of periodontal researchX-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 diseasesSurgical and Nonsurgical Endodontic Treatment of a Patient with Vitamin D-resistant Rickets and Extraoral Sinus Tract: A Case Report.
Journal of endodonticsDistribution 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 journalA deep intronic PHEX variant in a large Danish family with hereditary hypophosphatemia and a milder skeletal, but more severe dental phenotype.
BoneHealth-related quality of life in French pediatric patients with X-linked hypophosphatemia: real-world data from the International XLH Registry.
JBMR plusBurosumab prevents further height deficit in toddlers affected by XLH.
Endocrine connectionsIncreased lifelong burden of comorbidities without increased early mortality in hereditary hypophosphatemia: a Danish register study.
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BiomoleculesImprovement in Physical Function Associated With Burosumab in a Patient With X-linked Hypophosphatemia: A Case Report.
CureusAdvancing Patient Evidence in XLH (APEX): Baseline analysis of a global data unification program.
BoneRefractory Hypophosphatemia Secondary to Tumor-Induced Osteomalacia: Diagnostic Challenges and Successful Management With Burosumab.
CureusX-Linked Hypophosphatemia: Role of Fibroblast Growth Factor 23 on Human Skeletal Muscle-Derived Cells.
Calcified tissue internationalChallenges in Estimating Renal Function in X-linked Hypophosphatemia Because of Formula Overestimation and FGF23 Effects.
The Journal of clinical endocrinology and metabolismLower limb deformity correction in X-linked hypophosphatemia (XLH) with intramedullary nails: A strategy to reduce deformity recurrence and improve limb function.
BoneBurosumab 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 plusA case report of X-linked hypophosphatemia combined with primary hyperparathyroidism.
Frontiers in endocrinologyPrevalence of enthesopathies in X-linked hypophosphatemia: an explorative ultrasound study.
JBMR plusThe genetic polymorphism of XPR1 associated with Fanconi syndrome in Chinese patients with X-linked hypophosphatemia.
Journal of endocrinological investigationBurosumab: 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 Research3D-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 ResearchClustered Structural Variants Involving <italic>PHEX</italic> at Xp22 in a Female Patient with X-Linked Hypophosphatemia.
Cytogenetic and genome researchExperts' consensus on the management and treatment of individuals with X-linked hypophosphatemia across lifespan.
Journal of endocrinological investigationPain and physical function affecting quality of life in patients with osteogenesis imperfecta, X-linked hypophosphatemia, and hypermobile Ehlers-Danlos syndrome.
JBMR plusFirst 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 biologyExtracellular Matrix Proximity Biotinylation Identifies Periostin as a PHEX Proteolytic Substrate.
FASEB journal : official publication of the Federation of American Societies for Experimental BiologyA Mosaic PHEX Variant in Hypophosphatemic Rickets: Distinguishing Postzygotic Mutation from Sex Chromosome Aneuploidy.
Calcified tissue internationalPHEX Protein in the Parathyroid Gland Contributes to Phosphate Sensing.
The Journal of clinical endocrinology and metabolismSwitching 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 ResearchGrowth 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)Double burdened yet resilient: quality of life of caregivers of people with X-linked hypophosphatemia.
JBMR plusInadequate pediatric reference ranges impede the diagnosis of X-linked hypophosphatemia and hypophosphatasia in Austria.
Wiener klinische WochenschriftReal-world characteristics & disease history of patients with X-linked hypophosphatemia before treatment with burosumab.
Archives of osteoporosisOncogenic 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 USAShort stature in pre-pubertal children with X-linked hypophosphatemia.
Endocrine connectionsPredictors of response to burosumab in adults with X-linked hypophosphatemia: real-world data from an Italian cohort.
Journal of endocrinological investigationReal-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 ResearchQuality of life of 26 family members from four generations with X-linked hypophosphatemia: a cross-sectional study.
Frontiers in endocrinologyThe Diagnosis and Therapy of XLH.
Calcified tissue internationalThe Burden of Adult X-Linked Hypophosphatemia on Carers and Family Members: A Mixed-Methods Study.
Journal of health economics and outcomes researchAdvancing patient evidence in XLH (APEX): rationale and design of a real-world XLH global data unification program.
Frontiers in endocrinologyCalcium isotope ratio in patients with monogenic bone diseases: a prospective, cross-sectional, single-center pilot study.
JBMR plusX-Linked Hypophosphatemia Management in Adults: An International Working Group Clinical Practice Guideline.
The Journal of clinical endocrinology and metabolismCraniosynostosis among children with X-linked hypophosphatemia: A systematic review and meta-analysis.
BoneCharacterization of adult patients with X-linked hypophosphatemia at a specialized center in Buenos Aires, Argentina.
Archives of endocrinology and metabolismSignificance 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 EndocrinologyOffice Blood Pressure and Obesity in Children with X-Linked Hypophosphatemia.
Calcified tissue internationalMethodology for the international working group clinical practice guidelines on X-linked hypophosphatemia in children and adults.
Journal of bone and mineral metabolismCurrent Practices in Monitoring Children and Adults With X-linked Hypophosphatemia: A Global Survey of Expert Experience.
The Journal of clinical endocrinology and metabolismFactors associated with impaired physical functionality in X-linked hypophosphatemia.
JBMR plusQualitative analysis of pain impact in adult patients with X-linked hypophosphatemia.
JBMR plus[Rare osteological diseases in the rheumatological consultation: hypophosphatasia and phosphate loss syndromes].
Zeitschrift fur RheumatologiePain, Quality of Life, and Mental Health in Adults with X-linked Hypophosphatemia: A Cross-sectional Study.
The Journal of clinical endocrinology and metabolismX-Linked Hypophosphatemia Management in Children: An International Working Group Clinical Practice Guideline.
The Journal of clinical endocrinology and metabolismDental Management of Genetic Dental Disorders: A Critical Review.
Journal of dental researchCombined Treatment With Leuprolide Acetate and Burosumab in X-linked Hypophosphatemia and Precocious Puberty: A Therapeutic Response.
AACE clinical case reportsUnderstanding 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 plusA deep intronic PHEX variant associated with X-linked hypophosphatemia in a Finnish family.
JBMR plus18F-Sodium Fluoride PET/CT as a Tool to Assess Enthesopathies in X-Linked Hypophosphatemia.
Calcified tissue internationalComprehensive Metabolomic Profiling in Adults with X-Linked Hypophosphatemia: A Case-Control Study.
BiomedicinesCase report: Prolonged and severe hungry bone syndrome after parathyroidectomy in X-linked hypophosphatemia.
Frontiers in endocrinologyProceedings 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 DensitometrySystematic Review: Efficacy of Medical Therapy on Outcomes Important to Pediatric Patients With X-Linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismSpecial Collection on Rare Musculoskeletal Diseases 2024.
JBMR plusSystematic Review: Efficacy of Medical Therapy on Outcomes Important to Adult Patients With X-Linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismIntragenic duplication of PHEX in a girl with X-linked hypophosphatemia: a case report with review of literature.
Endocrine journalClinical and Molecular Genetic Characteristics of Patients with Hereditary Hypophosphatemia.
The Journal of clinical endocrinology and metabolismImpact of stopping burosumab treatment at the end of skeletal growth in adolescents with X-linked hypophosphatemia (XLH).
Bone reportsPhosphorus-independent role of FGF23 in erythropoiesis and iron homeostasis.
PloS oneUse of Whole-Exome Sequencing and Pedigree Analysis to Identify X-linked Hypophosphatemia in Saudi Arabian Families.
Journal of the Endocrine SocietyImprovements with burosumab treatment in an early access programme for adults with X-linked hypophosphataemia: A case series of three patients.
Bone reportsMidfoot and Forefoot Disorders in Adolescents and Adults with X-Linked Hypophosphatemia.
Journal of clinical medicineReal-World Clinical and Healthcare Resource Burden Among Burosumab-Naïve Patients With Familial Hypophosphatemia.
Journal of the Endocrine SocietyBone Microarchitecture Evaluated by HR-PQCT in Chinese Adolescent and Pediatric Patients With X-Linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismTertiary hyperparathyroidism in two paediatric patients with X-linked hypophosphatemia during Burosumab treatment.
BoneRNA-first Approach Identifies Deep Intronic PHEX Variants in X-linked Hypophosphatemic Rickets.
The Journal of clinical endocrinology and metabolismEffect of Mutation Type on Ectopic Ossification Among Adult Patients With X-Linked Hypophosphatemia.
Journal of the Endocrine SocietyAssociation between work productivity and characteristics of adults with X-linked hypophosphatemia: an analysis of the XLH disease monitoring program.
JBMR plusModel-Informed Approach to Recommend Burosumab Dosing Regimens for Pediatric and Adult Patients With the Ultrarare Disease Tumor-Induced Osteomalacia.
Clinical pharmacology and therapeuticsAreas of uncertainty on the diagnosis, treatment, and follow-up of hypophosphatemia in adults: an Italian Delphi consensus.
Journal of endocrinological investigationLower limb maltorsion and acetabular deformity in children and adolescents with X-linked hypophosphatemia.
Frontiers in endocrinologyPharmacodynamic Exposure-Response Analysis of Fracture Count Data Following Treatment with Burosumab in Patients with XLH.
Journal of clinical pharmacologyAutosomal recessive hypophosphatemic rickets type 2 due to ENPP1 deficiency (ARHR2).
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieFGF23 and Cell Stress in SaOS-2 Cells-A Model Reflecting X-Linked Hypophosphatemia Dynamics.
CellsRare diseases: a challenge in paediatric dentistry.
European journal of paediatric dentistryMeta-analysis and systematic review: burosumab as a promising treatment for children with X-linked hypophosphatemia.
Frontiers in endocrinologyNephrocalcinosis 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 ResearchItem Response Theory Quantifies the Relationship Between Improvements in Serum Phosphate and Patient-Reported Outcomes in Adults With X-Linked Hypophosphatemia.
Clinical pharmacology and therapeuticsInherited phosphate and pyrophosphate disorders: New insights and novel therapies changing the oral health landscape.
Journal of the American Dental Association (1939)Metabolically healthy obesity in adults with X-linked hypophosphatemia.
European journal of endocrinologyX-linked hypophosphatemia: long-term outcomes of different treatment strategies.
NefrologiaEvaluation of dental manifestations in X-linked hypophosphatemia using orthopantomography.
PloS onePretreatments to bonding on enamel and dentin disorders: a systematic review.
Evidence-based dentistryLongitudinal 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 USAHypophosphatemic osteomalacia due to cadmium toxicity in silverware industry: A curious case of aches and pains.
Journal of family medicine and primary careNFATc1 Is Required for Vitamin D- and Phosphate-Mediated Regulation of Osteocyte Lacuno-Canalicular Remodeling.
EndocrinologyBurosumab treatment of X-linked hypophosphatemia patients: interim analysis of the SUNFLOWER longitudinal, observational cohort study.
JBMR plusLessons learned from the real-world diagnosis and management of hereditary hypophosphatemic rickets.
Bone reportsBurosumab Efficacy and Safety in Patients with X-Linked Hypophosphatemia: Systematic Review and Meta-analysis of Real-World Data.
Calcified tissue internationalSclerostin inhibition in rare bone diseases: Molecular understanding and therapeutic perspectives.
Journal of orthopaedic translationHypophosphatemic rickets and short stature.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchEvaluation of bone density and microarchitecture in adult patients with X-linked hypophosphatemic rickets: A pilot longitudinal study.
Bone[Effect and safety of Burosumab in the treatment of 4 children with X-linked hypophosphatemia].
Zhonghua er ke za zhi = Chinese journal of pediatricsNutritional Behavior of Patients with Bone Diseases: A Cross-Sectional Study from Austria.
NutrientsA Mild Presentation of X-Linked Hypophosphatemia Caused by a Non-Canonical Splice Site Variant in the PHEX Gene.
GenesHealth-related quality of life of children with X-linked hypophosphatemia in Germany.
Pediatric nephrology (Berlin, Germany)Improved Oral Health in Adults With X-Linked Hypophosphatemia Treated With Burosumab.
The Journal of clinical endocrinology and metabolismThree exonic variants in the PHEX gene cause aberrant splicing in a minigene assay.
Frontiers in geneticsX-Linked hypophosphatemia. Data from a Spanish adult population cohort.
Journal of nephrologyThe 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 ResearchInflammatory myofibroblastic tumor in a patient with X-Linked hypophosphatemia: A case of Occam's razor or Hickam's dictum?
Urology case reportsCharacteristics of oral health of patients with X-linked hypophosphatemia: case reports and literature review.
BDJ openCardiovascular health in pediatric patients with X-linked hypophosphatemia under two years of burosumab therapy.
Frontiers in endocrinologyEfficacy and safety of burosumab compared with conventional therapy in patients with X-linked hypophosphatemia: A systematic review.
Archives of endocrinology and metabolismReal-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 diseaseIdentification of Rare and Novel PHEX Variants in X-linked Hypophosphatemia.
The Journal of clinical endocrinology and metabolismBurosumab vs conventional therapy in children with X-linked hypophosphatemia: results of the open-label, phase 3 extension period.
JBMR plusNon-Surgical Strategies for Managing Skeletal Deformities in a Child with X-Linked Hereditary Hypophosphatemic Ricket: Insights and Perspectives.
Children (Basel, Switzerland)Orthodontic treatment in children and adolescent patients with X-linked hypophosphatemia: A case-control study.
Orthodontics & craniofacial researchEpidemiological analysis to identify predictors of X-linked hypophosphatemia (XLH) diagnosis in an Italian pediatric population: the EPIX project.
EndocrineEmerging concepts on the FGF23 regulation and activity.
Molecular and cellular biochemistryUse of Complementary and Alternative Medicine in Patients with Rare Bone Diseases and Osteoporosis.
NutrientsMetabolomics of Plasma in XLH Patients with Arterial Hypertension: New Insights into the Underlying Mechanisms.
International journal of molecular sciencesCharacterization of Novel PHEX Variants in X-linked Hypophosphatemic Rickets and Genotype-PHEX Activity Correlation.
The Journal of clinical endocrinology and metabolismImpact of burosumab on lower limb alignment in children with X-linked hypophosphatemia.
Journal of the Pediatric Orthopaedic Society of North AmericaOral health and oral-health-related quality of life in people with X-linked hypophosphatemia.
BMC oral healthReal-world data of Brazilian adults with X-linked hypophosphatemia (XLH) treated with burosumab and comparison with other worldwide cohorts.
Molecular genetics & genomic medicineThe Diagnostic Odyssey in Children and Adolescents With X-linked Hypophosphatemia: Population-Based, Case-Control Study.
The Journal of clinical endocrinology and metabolismComplex intrinsic abnormalities in osteoblast lineage cells of X-linked hypophosphatemia: Analysis of human iPS cell models generated by CRISPR/Cas9-mediated gene ablation.
BoneHealth-related quality of life and fatigue in adult rare bone disease patients: A cross-sectional study from Austria.
BoneSwitching 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 EndocrinologyX-linked hypophosphatemia: The value of feedback focus groups to assess patient and caregiver needs.
European journal of medical geneticsTubular phosphate transport: a comparison between different methods of urine sample collection in FGF23-dependent hypophosphatemic syndromes.
Clinical chemistry and laboratory medicineRare Causes of Musculoskeletal Pain: Thinking beyond Common Rheumatologic Diseases.
Case reports in rheumatologyX-linked hypophosphatemia, fibroblast growth factor 23 signaling, and craniosynostosis.
Experimental biology and medicine (Maywood, N.J.)Burosumab for the treatment of cutaneous-skeletal hypophosphatemia syndrome.
Bone reportsDisease Manifestations and Complications in Dutch X-Linked Hypophosphatemia Patients.
Calcified tissue internationalX-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 reportsSuccessful Burosumab Treatment in an Adult Patient with X-Linked Hypophosphatemia and Chronic Kidney Disease Stage 3b.
Calcified tissue internationalΤhe story of sclerostin inhibition: the past, the present, and the future.
Hormones (Athens, Greece)Spectrum of PHEX Mutations and FGF23 Profiles in a Taiwanese Cohort With X-Linked Hypophosphatemia Including 102 Patients.
In vivo (Athens, Greece)X-Linked Hypophosphatemia: Does Targeted Therapy Modify Dental Impairment?
Journal of clinical medicineLatin-American consensus on the transition into adult life of patients with X-linked hypophosphatemia.
EndocrineA Novel Case of Concomitant PHEX and ALPL Mutation In a Family With Rickets.
JCEM case reportsImpaired Growth Plate Maturation in XLH Is due to Both Excess FGF23 and Decreased 1,25-Dihydroxyvitamin D Signaling.
EndocrinologyDental impact of anti-fibroblast growth factor 23 therapy in X-linked hypophosphatemia.
International journal of oral scienceA PAI-1 antagonist ameliorates hypophosphatemia in the Hyp vitamin D-resistant rickets model mouse.
FEBS open bioProceedings 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 DensitometryFGF23 directly inhibits osteoprogenitor differentiation in Dmp1-knockout mice.
JCI insightTumour-induced osteomalacia: 18 months of 2-weekly burosumab treatment.
Endocrinology, diabetes & metabolism case reportsEffect 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 metabolismDiagnostic and New Therapeutic Approaches to Two Challenging Pediatric Metabolic Bone Disorders: Hypophosphatasia and X-linked Hypophosphatemic Rickets.
Current pediatric reviewsA De Novo Deleterious PHEX Variant Without Clinical Features of X-Linked Hypophosphatemia.
JCEM case reportsMRI quantitative muscle characterization in children with X-linked hypophosphatemia.
Orthopaedics & traumatology, surgery & research : OTSRCirculating Levels of Leptin and Lipocalin-2 in Patients With X-Linked Hypophosphatemia.
Journal of the Endocrine SocietyReassuring Data on the Cardiovascular Risk in Adults With X-linked Hypophosphatemia Receiving Conventional Therapy.
The Journal of clinical endocrinology and metabolismThe sacroiliac joint: An original and highly sensitive tool to highlight altered bone phenotype in murine models of skeletal disorders.
BoneAdult height improved over decades in patients with X-linked hypophosphatemia: a cohort study.
European journal of endocrinologySclerostin antibody improves alveolar bone quality in the Hyp mouse model of X-linked hypophosphatemia (XLH).
International journal of oral scienceX-Linked Familial Hypophosphatemia: A Case Report of 27-Year Old Male and Review of Literature.
Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolismeBiomechanical Impact of Phosphate Wasting on Articular Cartilage Using the Murine Hyp Model of X-linked hypophosphatemia.
JBMR plusA genetic study of a Brazilian cohort of patients with X-linked hypophosphatemia reveals no correlation between genotype and phenotype.
Frontiers in pediatricsThe International X-Linked Hypophosphatemia (XLH) Registry: first interim analysis of baseline demographic, genetic and clinical data.
Orphanet journal of rare diseasesLinear growth of children with X-linked hypophosphatemia treated with burosumab: a real-life observational study.
European journal of pediatricsContributions of increased osteopontin and hypophosphatemia to dentoalveolar defects in osteomalacic Hyp mice.
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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.
- Enamel renal syndrome due to FAM20A mutations: challenging kidney management in view of nephrocalcinosis, hypophosphatemia and hypocalciuria.
- Addressing the unmet challenge of pain in rare bone diseases: new insights from the RUDY UK registry.
- Beyond expensive innovations: affordable and effective strategies for managing tubulopathies in adults.
- Impact of oral phosphate supplements and active vitamin D treatment on dentoalveolar features of X-linked hypophosphatemia.
- Postprandial serum phosphorus and calcium concentrations in adults and children with X-linked hypophosphatemia during burosumab treatment.
- Age-Specific Centiles for Fibroblast Growth Factor 23 and Its Associations with Mineral and Bone Metabolism in Healthy Children.
- Association of PHEX Gene Dosage With Meniere Disease and Related Audiovestibular Phenotypes in X-Linked Hypophosphatemia.
- Anthropometric characteristics at birth and growth outcome in patients with X-linked hypophosphatemia treated with oral phosphate and active vitamin D.
- Real-world Effectiveness of Burosumab Across Age Groups: X-linked Hypophosphatemia (XLH) Disease Monitoring Program.
- Clinical features of Italian adult individuals with X-linked hypophosphatemia: a multicenter retrospective study.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:89936(Orphanet)
- OMIM OMIM:307800(OMIM)
- MONDO:0010619(MONDO)
- GARD:12943(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- 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