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Living with Familial primary hypomagnesemia with hypercalciuria and nephrocalcinosis

An inherited kidney condition where the kidneys lose magnesium and calcium, with kidney calcium deposits and sometimes serious eye problems.

Understanding Familial primary hypomagnesemia with hypercalciuria and nephrocalcinosis

Familial primary hypomagnesemia with hypercalciuria and nephrocalcinosis (FHHNC) is an inherited condition in which the kidneys waste magnesium and calcium.

It causes calcium deposits in the kidneys (nephrocalcinosis) and can lead to kidney failure. Some people have severe eye problems. There are two subtypes, with and without severe eye involvement. It starts in infancy or childhood.

Signs & symptoms

GARD doesn't list a separate symptom list. Its summary describes:

  • Loss of magnesium in the urine
  • Loss of calcium in the urine
  • Calcium deposits in the kidneys
  • Kidney failure
  • Severe eye problems in some people

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 genetic specialists and kidney specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 National Kidney Foundation and other patient organizations
  • 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 subtype do I or my child have?
How often should kidney function and eyes be checked?
Is genetic testing available for my family?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive

Changes in genes cause it. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticKidneyInherited Metabolic

Also known as: fhhnc; fhhnc - familial primary hypomagnesemia with hypercalciuria and nephrocalcinosis; michellis castrillo syndrome; michellis-castrillo syndrome; primary hypomagnesemia with hypercalciuria and nephrocalcinosis

Patient organizations

Source: NIH GARD · Familial primary hypomagnesemia with hypercalciuria and nephrocalcinosisGARD ID 21254 · 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 primary hypomagnesemia with hypercalciuria and nephrocalcinosis.

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