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Living with Familial hypocalciuric hypercalcemia

An inherited condition with high calcium in the blood and low calcium in the urine, often found by chance on blood tests.

Understanding Familial hypocalciuric hypercalcemia

Familial hypocalciuric hypercalcemia (FHH) is an inherited condition that causes high blood calcium and low-to-moderate calcium in the urine.

Most people with FHH have no symptoms. It is often found by chance during routine bloodwork. Some people report weakness, tiredness, trouble concentrating, or strong thirst. Rarely, people have inflammation of the pancreas (pancreatitis) or calcium buildup in the joints (chondrocalcinosis).

Signs & symptoms

Many people have no symptoms. GARD lists these among the findings that can occur:

  • Softening of the bones (osteomalacia)
  • Weakness and tiredness
  • Trouble concentrating
  • Excessive thirst (polydipsia)
  • Calcium deposits in the joints
  • Headache

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, genetic specialists, hormone specialists and lung and breathing specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    HypoPARAthyroidism Association, Inc. may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Lung and breathing specialists (pulmonologists)
Expert care
Expert lists: HypoPARAthyroidism Association, Inc.
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 HypoPARAthyroidism Association, Inc.
  • 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
Which type of FHH do I have, and can genetic testing confirm it?
What other tests can rule out other causes of high calcium?
Should my family members have their calcium levels checked?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant

FHH is divided into three types by gene: CASR (type 1), GNA11 (type 2) and AP2S1 (type 3), each passed down in an autosomal dominant way. Rarely, the immune system makes antibodies that attack the calcium-sensing protein, and no gene change is known for that form.

GeneticRespiratoryEndocrine

Also known as: familial benign hypercalcemia; familial benign hypocalciuric hypercalcemia; fbh; fbhh; fhh; fhh - familial hypocalciuric hypercalcemia

Patient organizations

Source: NIH GARD · Familial hypocalciuric hypercalcemiaGARD ID 10828 · 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 hypocalciuric hypercalcemia.

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