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Living with Osteopetrosis with renal tubular acidosis

A rare inherited form of osteopetrosis with dense, fracture-prone bones, kidney acid-balance problems, and developmental delay.

Understanding Osteopetrosis with renal tubular acidosis

Osteopetrosis with renal tubular acidosis is a rare inherited bone condition with increased bone density and abnormal bone growth.

Symptoms and severity vary greatly. Features can include fractures, short stature, pressure on nerves, low calcium with seizures, and low blood counts. Calcium deposits in the brain and developmental delay are also listed. GARD lists newborn and infant years as the usual onset.

Signs & symptoms

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

  • Dense, fracture-prone bones
  • Repeated fractures
  • Short stature
  • Pressure on nerves in the head (cranial nerve compression)
  • Calcium deposits in the brain
  • Delayed development overall

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, brain and nervous system specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in CA2 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); Brain and nervous system specialists (neurologists); 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
How should kidney acid balance and blood calcium be monitored?
Is there a risk of nerve pressure affecting vision or hearing?
Would CA2 genetic testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCA2

Changes in the CA2 gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalKidney

Also known as: autosomal recessive osteopetrosis 3; autosomal recessive osteopetrosis 3 with renal tubular acidosis; autosomal recessive osteopetrosis type 3; autosomal recessive osteopetrosis, type 3; ca2 - osteopetrosis with renal tubular acidosis; ca2 osteopetrosis (disease)

Patient organizations

Source: NIH GARD · Osteopetrosis with renal tubular acidosisGARD ID 4154 · 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 Osteopetrosis with renal tubular acidosis.

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