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Autosomal Recessive Hypophosphatemic Vitamin D Refractory Rickets C0342643

Published: July 22, 2026Updated: August 25, 2026

A metabolic bone disorder causing weak, soft bones due to the body's inability to properly use phosphate and vitamin D. It is inherited in an autosomal recessive manner. Treatment involves phosphate and active vitamin D supplementation.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ICD-10
E88.9
ICD-11
5A00.0
Body system
metabolic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Bone pain

(musculoskeletal)

Fatigue or weight changes

(metabolic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Skeletal deformities

(musculoskeletal)

Dental abnormalities

(dental)

Hearing loss

(ENT)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Lifestyle modification and dietary intervention

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Phosphate Supplementation

Oral phosphate salts to correct hypophosphatemia and promote bone mineralization. Typically combined with active vitamin D metabolites to enhance intestinal absorption and prevent secondary hyperparathyroidism.

medication
3

Active Vitamin D Analogs

Calcitriol or alfacalcidol administration to improve calcium and phosphate homeostasis. Essential adjunct therapy to phosphate supplementation to optimize bone health outcomes.

medication

Additional treatment options

Phosphate-Rich Food Sources

Incorporation of dietary sources high in phosphate such as dairy products, fish, nuts, and legumes to complement medical therapy. Nutritional counseling helps optimize phosphate intake.

dietary

Musculoskeletal Support and Rehabilitation

Targeted physical therapy program focusing on improving muscle strength, joint mobility, and weight-bearing activities to support bone development and prevent deformities.

physical_therapy

Biochemical and Radiographic Monitoring

Regular assessment of serum minerals, renal function, and growth parameters combined with periodic imaging to evaluate treatment response and bone architecture.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Autosomal Recessive Hypophosphatemic Vitamin D Refractory Rickets C0342643?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Linglart A, Biosse-Duplan M, Briot K, et al. Therapeutic management of hypophosphatemic rickets from infancy to adulthood. Endocr Connect. 2014.

guideline2014
2

Baroncelli GI, Mora S. Genetic disorders of phosphate homeostasis: from mice to humans. Bone. 2019.

review2019
3

Carpenter TO, Imel EA, Holm IA, et al. A randomized, double-blind, placebo-controlled trial of burosumab in X-linked hypophosphatemia. N Engl J Med. 2018.

clinical_trial2018
4

Haffner D, Emma F, Eastwood DM, et al. Clinical practice recommendations for the diagnosis and management of X-linked hypophosphatemia. Nat Rev Nephrol. 2019.

meta_analysis2019

Medication Comparisons

Compare medications used to treat Autosomal Recessive Hypophosphatemic Vitamin D Refractory Rickets C0342643. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy