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Living with Hyperzincemia and hypercalprotectinemia

A rare genetic condition affecting how the body handles zinc, with repeated infections, inflammation, and anemia.

Understanding Hyperzincemia and hypercalprotectinemia

Hyperzincemia and hypercalprotectinemia is a rare genetic condition that affects how the body handles zinc.

People often have repeated infections, an enlarged liver and spleen, and a type of anemia that does not improve with iron. They usually have long-lasting inflammation and very high levels of zinc and a protein called calprotectin in the blood. Common symptoms include painful skin sores or inflamed patches, joint pain, frequent nosebleeds, and unexplained bruising. It begins in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes these:

  • Repeated infections
  • Enlarged liver and spleen
  • Anemia that does not improve with iron
  • Painful skin sores or inflamed patches
  • Joint pain
  • Frequent nosebleeds and bruising

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 autoimmune and inflammatory disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in PSTPIP1 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
autoimmune and inflammatory disease specialists (rheumatologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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 Children's Skin Disease Foundation
  • 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 treatments can calm the inflammation?
How can we lower the chance of infections?
Would genetic testing for PSTPIP1 help our family?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesPSTPIP1

Changes in the PSTPIP1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticSkinInherited Metabolic

Also known as: aiczc; hyperzincemia with functional zinc depletion; hzhc syndrome; recurrent infection, inflammatory syndrome due to zinc metabolism disorder syndrome; recurrent infections-inflammatory syndrome due to zinc metabolism disorder syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hyperzincemia and hypercalprotectinemiaGARD ID 27262 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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