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Living with Hypophosphatasia

An inherited condition that weakens and softens bones and teeth, with symptoms from before birth to adulthood.

Understanding Hypophosphatasia

Hypophosphatasia is an inherited condition that affects how bones and teeth develop.

It disrupts mineralization, the process that adds calcium and phosphorus to bones and teeth. Signs vary widely and can appear from before birth to adulthood. The most severe forms tend to occur before birth and in early infancy. In children, early loss of baby teeth is often the first sign. Adults can have softening of the bones, repeated fractures, and early loss of adult teeth.

Signs & symptoms

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

  • Soft, weak bones
  • Repeated fractures
  • Early tooth loss and tooth differences
  • Bowed legs
  • Short height
  • Feeding and breathing problems in infants

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

  4. Connect with expert centers

    Little People of America may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America
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 Little People of America 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 treatments are available for hypophosphatasia?
How can we protect bones and teeth?
Would genetic testing for ALPL help our family?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive
GenesALPL

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

Genetic

Also known as: alkaline phosphatase deficiency; deficiency of alkaline phosphatase; deficiency of alkaline phosphatase (disorder) [ambiguous]; hpp; phosphoethanol-aminuria; phosphoethanolaminuria

Patient organizations

Source: NIH GARD · HypophosphatasiaGARD ID 6734 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

Explore research for Hypophosphatasia

Explore actively recruiting Hypophosphatasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hypophosphatasia 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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I can help you find recruiting Hypophosphatasia studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

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

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