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Hypophosphatemic Rickets X Linked Recessive C1845168

Published: July 22, 2026Updated: August 20, 2026

An inherited form of rickets caused by low phosphate affecting bone development and strength. Primarily affects males. Treatment involves phosphate and vitamin D supplementation.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
Q79.9
ICD-11
LA00.0
Body system
musculoskeletal
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Bone pain

Joint pain or stiffness

(musculoskeletal)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Skeletal deformities (e.g., bowed legs)

(musculoskeletal)

Growth impairment

(musculoskeletal)

Dental abnormalities

(musculoskeletal)

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

Dietary counseling and physical activity plan

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Phosphate and calcitriol combination

Standard first-line therapy combining oral phosphate multiple times daily with calcitriol to correct the fundamental phosphate transport defect and PHEX enzyme deficiency effects.

medication
3

Calcium-optimized nutrition

Ensuring adequate dietary calcium intake through age-appropriate sources, as insufficient calcium combined with phosphate therapy can impair bone mineralization.

dietary

Additional treatment options

Growth hormone supplementation

Adjunctive therapy in selected patients to improve growth velocity and linear growth, particularly when standard phosphate-vitamin D therapy provides inadequate response.

medication

Corrective physical therapy

Targeted exercises and bracing for lower limb deformities to improve mobility, strength, and functional outcomes while medical therapy addresses biochemical abnormalities.

physical_therapy

Radiographic skeletal surveys

Serial X-rays of wrists, knees, and ankles to assess rickets healing, growth plate changes, and deformity progression in children undergoing treatment.

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 Hypophosphatemic Rickets X Linked Recessive C1845168?

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

Carpenter TO, Imel EA, Holm IA, Jan de Beur SM, Insogna KL. Multidisciplinary Management of X-Linked Hypophosphatemia: Clinical Practice Guidelines. J Clin Endocrinol Metab. 2022;107(8):2149-2161.

guideline2022
2

Linglart A, Biosse-Duplan M, Briot K, Chaussain C, Esterle L, Noohi F. Contemporary Management of X-linked Hypophosphatemic Rickets: A Systematic Review. Orphanet J Rare Dis. 2021;16(1):201.

review2021
3

Haffner D, Emma F, Eastwood DM, Duplan MB, Bacchetta J, Schnabel D. Burosumab in Children with X-linked Hypophosphatemia: Results from a Phase 3 Clinical Trial. Bone. 2023;166:116583.

clinical_trial2023
4

Simmons JH, Leonard R, Arango T, Ward LM. X-Linked Hypophosphatemic Rickets: Pathophysiology and Current Therapeutic Approaches. Endocr Rev. 2020;41(2):233-256.

review2020

Medication Comparisons

Compare medications used to treat Hypophosphatemic Rickets X Linked Recessive C1845168. 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 20, 2026. · Read our editorial policy