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Living with Autosomal recessive osteopetrosis 5

A severe inherited bone condition caused by changes in the OSTM1 gene that can also affect the brain.

Understanding Autosomal recessive osteopetrosis 5

Autosomal recessive osteopetrosis 5 is a severe form of osteopetrosis, a condition of dense bones, caused by changes in the OSTM1 gene.

Bones become harder and denser, and growth is slowed. Features can also include a small head, brain shrinkage, bulging eyes, an enlarged liver and spleen, anemia, and muscle stiffness.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Dense, fracture-prone bones
  • Slowed growth
  • Enlarged liver and spleen
  • Small head size (microcephaly)
  • Brain shrinkage (cerebral atrophy)
  • Increased muscle tone

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the OSTM1 gene confirm the diagnosis?
How should brain and nerve health be monitored?
Which specialists should be on my child's care team?

Quick facts

InheritanceAutosomal Recessive

It is caused by changes in the OSTM1 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Also known as: autosomal recessive osteopetrosis type 5; infantile malignant osteopetrosis 3; optb5; osteopetrosis (disease) caused by mutation in ostm1; osteopetrosis, autosomal recessive type 5; ostm1 osteopetrosis (disease)

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Autosomal recessive osteopetrosis 5GARD ID 4153 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autosomal recessive osteopetrosis 5.

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