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Living with Familial hyperphosphatemic tumoral calcinosis/hyperphosphatemic hyperostosis syndrome

A rare inherited condition with hard calcium lumps in and under the skin, usually near big joints.

Understanding Familial hyperphosphatemic tumoral calcinosis/hyperphosphatemic hyperostosis syndrome

Familial hyperphosphatemic tumoral calcinosis is a rare inherited disorder with calcium-filled lumps in or under the skin.

The lumps are usually next to large joints such as the hips, shoulders, and elbows. It can occur with high phosphate levels in the blood or normal levels, depending on the gene change involved.

Signs & symptoms

GARD describes this feature in its summary:

  • Hard calcium lumps in or under the skin
  • Lumps near large joints (hips, shoulders, elbows)

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

    Specialists who may be involved include bone and joint specialists, cancer specialists, genetic specialists and hormone specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Cancer specialists (oncologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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 Children's Skin Disease Foundation
  • 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 find the exact gene change?
Which treatments can reduce the lumps?
How often should my blood phosphate levels be checked?

Quick facts

InheritanceAutosomal Recessive

Changes in genes cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent. GARD does not name the gene.

GeneticEndocrineSkinInherited Metabolic

Also known as: cortical hyperostosis with hyperphosphatemia; familial teutschlaender disease; hftc; hypercalcemic tumoral calcinosis; hyperostosis with hyperphosphatemia; hyperphosphatemia hyperostosis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Familial hyperphosphatemic tumoral calcinosis/hyperphosphatemic hyperostosis syndromeGARD ID 10879 · 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 Familial hyperphosphatemic tumoral calcinosis/hyperphosphatemic hyperostosis syndrome.

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