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Symptoms of XLH in children

Childhood symptoms of XLH may vary and appear early in life, with some manifesting as rickets and osteomalacia.3 Chronic low levels of serum phosphorous negatively impacts bone formation, dental development, muscle/nerve function, and energy levels.1,2

Every patient with XLH is different. A patient does not need to show all of the following symptoms to have XLH.

Skeletal defects

Chronic hypophosphatemia leads to defective growth plate development and bone mineralization.3

Skeletal symptoms present as:1,3

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Rickets and osteomalacia

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Lower extremity abnormalities (e.g., leg bowing and knock knees)

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Short Stature

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Bone pain

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Chiari malformations

Other skeletal symptoms include:1
  • Craniosynostosis
  • Delayed walking

Muscular dysfunction

Chronic hypophosphatemia also affects the muscles in the body.1
Muscular symptoms present as:1
  • Stiffness
  • Pain
  • Weakness
  • Gait disturbances
*Actor portrayal.

Dental abnormalities

Chronic hypophosohatemia can lead to dental defects caused by improper mineralization of dentin, enlargement of the pulp chambers, and erosion of the enamel. 1

Dental symptoms present as:3

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Dental abscesses and tooth loss

Other symptoms

Chronic hypophosohatemia can lead to additional symptoms in children.

One of those symptoms present as:3

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Fatigue

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Because some symptoms of XLH like chronic pain or fatigue may not be visible, it is important to listen to your patients. Getting an accurate diagnosis can help the evaluation of symptoms your patient may be experiencing.

XLH progression in real patients

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Pediatric

4-year-old female with spontaneous XLH

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Pediatric

15-year-old female with spontaneous XLH

Connect the symptoms

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The disease burden of XLH

Understand more about how XLH impacts the lives of patients.

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Diagnosing XLH

Learn more about how to diagnose XLH through testing.

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XLH resources and community

Find resources for you and your patients to understand more about this rare condition.

References:

1. Dahir K, et al. J Endocr Soc. 2020;4(12):bvaa151. 2. Hamilton AA, et al. J Endocr Soc. 2020;6(8):bvaa086. 3. Haffner D,et al. Nat Rev Nephrol. 2019;15(7):435-455.