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Living with Hereditary arterial and articular multiple calcification syndrome

A rare adult-onset condition with calcium buildup in leg arteries and joints of the hands and feet.

Understanding Hereditary arterial and articular multiple calcification syndrome

Hereditary arterial and articular multiple calcification syndrome (ACDC) is a rare vascular condition with calcium buildup in large blood vessels and joints.

Calcium builds up in the large vessels, mainly below the waist, and in the joints of the hands and feet. Symptoms can include slowly worsening pain and cramping in the calves, thighs, buttocks, feet, or hands. It begins in adulthood.

Signs & symptoms

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

  • Calcium buildup in arteries
  • Blocked arteries (arterial occlusion)
  • Pain and cramping in the legs and feet
  • Pain in the hands
  • Joint calcium buildup

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.

  3. Consider genetic testing

    Changes in NT5E are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
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
Could genetic testing for the NT5E gene confirm my diagnosis?
How should my blood vessels be monitored?
Which specialists, such as vascular or joint doctors, should I see?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Recessive
GenesNT5E

It is caused by changes in the NT5E gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: arterial calcification due to deficiency of cd73; calcification of joints and arteries; calja

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hereditary arterial and articular multiple calcification syndromeGARD ID 10762 · 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

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