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Living with Familial isolated hyperparathyroidism

An inherited condition with overactive parathyroid glands in the neck, leading to high blood calcium.

Understanding Familial isolated hyperparathyroidism

Familial isolated hyperparathyroidism is an inherited condition in which the parathyroid glands in the neck are overactive.

Too much parathyroid hormone raises blood calcium (hypercalcemia). Many people have a noncancerous tumor (adenoma) in one or more glands, and rarely it becomes cancerous. It may not be found until adulthood, often through a routine blood test.

Signs & symptoms

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

  • Overactive parathyroid glands
  • Parathyroid adenoma (noncancerous tumor)
  • Thinning bones (osteoporosis, osteopenia)
  • Calcium deposits in the joints
  • Calcium deposits in the kidneys
  • Kidney stones, nausea, weakness, tiredness

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 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
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 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
How often should my calcium and parathyroid hormone be checked?
Do I need a bone density test?
Should my relatives have their calcium levels checked?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

Changes in genes cause it. It is autosomal dominant, which means one changed copy of the gene is enough.

GeneticEndocrine

Also known as: fihp; fihpt; fihpt - familial isolated hyperparathyroidism

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial isolated hyperparathyroidismGARD ID 16923 · 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 isolated hyperparathyroidism.

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