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Living with Hyperphosphatasemia tarda

A rare bone condition, also called van Buchem disease, with thickened bones of the skull, jaw, and limbs that can press on nerves.

Understanding Hyperphosphatasemia tarda

Hyperphosphatasemia tarda, also called van Buchem disease, is a rare condition with thickened bone in the skull, jaw, collarbones, ribs, and long bones.

It also affects bones of the hands and feet. A thicker skull can squeeze cranial nerves (nerves of the head), causing weakness or loss of function that comes and goes. It begins in childhood or the teen years.

Signs & symptoms

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

  • Thickened skull bone
  • Facial weakness (facial palsy)
  • Hearing loss from inner ear changes
  • Large lower jaw
  • Generalized bone hardening
  • Collarbone differences

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 and genetic specialists.

  3. Consider genetic testing

    Changes in SOST 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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
How often should hearing and nerve function be checked?
Would surgery to relieve nerve pressure ever be considered?
Would genetic testing for SOST help our family?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Dominant, Autosomal Recessive
GenesSOST

Changes in the SOST gene cause this condition. GARD lists autosomal dominant and autosomal recessive inheritance.

Genetic

Also known as: endosteal hyperostosis; hyperostosis corticalis generalisata; hyperphosphatasia tarda; leontiasis ossea generalisata; van buchem disease; van buchem disease type 1

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hyperphosphatasemia tardaGARD ID 2833 · 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 Hyperphosphatasemia tarda.

Explore the Hyperphosphatasemia tarda blog

Explore research for Hyperphosphatasemia tarda

Explore actively recruiting Hyperphosphatasemia tarda studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hyperphosphatasemia tarda with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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