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Living with Progressive osseous heteroplasia

A rare genetic condition in which bone forms in the skin and muscle, starting in infancy or childhood.

Understanding Progressive osseous heteroplasia

Progressive osseous heteroplasia is a genetic disorder in which bone forms within skin and muscle tissue.

Bone that forms outside the skeleton starts in the deep layers of skin and fat. It gradually moves into other tissues like muscle and tendons. Bony spots in the skin may be painful and may turn into open sores. Over time, joints can become involved and movement can be limited. It usually shows in infancy, but sometimes not until later in childhood or early adulthood.

Signs & symptoms

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

  • Bone pain
  • Bone forming in muscle (ectopic ossification)
  • Calcium deposits outside the bones
  • Firm lumps under the skin
  • Limited joint movement

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, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in GNAS 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); 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 Progressive Osseous Heteroplasia Association 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
Would genetic testing for the GNAS gene help our family?
How can skin sores and pain be managed?
What can help keep joints moving?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Dominant
GenesGNAS

This condition is caused by changes in the GNAS gene. It is autosomal dominant, meaning one changed copy of the gene is enough.

GeneticSkin

Also known as: cutaneous ossification; cutaneous osteosis; ectopic ossification, familial; familial ectopic ossification; miliary osteoma; osseus heteroplasia, progressive

Patient organizations

Source: NIH GARD · Progressive osseous heteroplasiaGARD ID 109 · 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 Progressive osseous heteroplasia.

Explore the Progressive osseous heteroplasia blog

Explore research for Progressive osseous heteroplasia

Explore actively recruiting Progressive osseous heteroplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Progressive osseous heteroplasia 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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