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Living with Pseudohypoaldosteronism type 1

A condition in which the body loses too much salt, usually showing up in infancy with poor growth and dehydration.

Understanding Pseudohypoaldosteronism type 1

Pseudohypoaldosteronism type 1 (PHA1) is a condition with problems regulating sodium in the body.

Symptoms look like low aldosterone, a hormone that helps control sodium, but aldosterone levels are actually high. There are two types. The autosomal dominant type affects the kidneys, is milder, and often improves in early childhood. The autosomal recessive type affects the kidneys and other organs, is more severe, and doesn't improve with age. Early signs in infants include poor weight gain and dehydration.

Signs & symptoms

Symptoms vary from person to person and by type. GARD describes these features:

  • Poor weight gain and growth (failure to thrive)
  • Dehydration
  • Salt lost in urine
  • Low sodium in the blood (hyponatremia)
  • High potassium in the blood (hyperkalemia)
  • Too much acid in the blood (metabolic acidosis)

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 genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
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
Which type of PHA1 does my child have?
Would genetic testing help us understand the type?
How should sodium and potassium be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says each type has different genes involved and a different inheritance pattern. GARD lists both autosomal dominant and autosomal recessive types.

GeneticKidney

Also known as: pha type 1; pha1; pseudohypoaldosteronism, type 1; pseudohypoaldosteronism, type i

Patient organizations

Source: NIH GARD · Pseudohypoaldosteronism type 1GARD ID 16545 · 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 Pseudohypoaldosteronism type 1.

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