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Living with Pseudohypoparathyroidism type I A

A genetic condition in which the body can't respond to parathyroid hormone and other hormones, with low calcium.

Understanding Pseudohypoparathyroidism type I A

Pseudohypoparathyroidism type 1A (PHP1A) is a genetic condition in which the body doesn't respond to parathyroid hormone, which helps control calcium, phosphorus, and vitamin D.

It leads to low calcium and high phosphate in the blood, with symptoms usually first seen in childhood. People may also not respond to other hormones, such as thyroid-stimulating hormone. It is linked with Albright's hereditary osteodystrophy, which includes short stature, a round face, obesity, and short hand bones. It is diagnosed from symptoms, exam, and lab tests, and can be confirmed by genetic testing.

Signs & symptoms

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

  • Low calcium and high phosphate in the blood
  • Cataracts (clouding of the eye lens)
  • Numbness, seizures, or hand and foot spasms
  • Short stature and round face
  • Obesity
  • Short fingers, toes, and foot bones

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, eye disease specialists and genetic 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.

  4. Connect with expert centers

    HypoPARAthyroidism Association, Inc. may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: HypoPARAthyroidism Association, Inc.
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 HypoPARAthyroidism Association, Inc. 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 confirm PHP1A?
How should calcium, phosphate, and thyroid levels be monitored?
How can weight and growth be supported?

Quick facts

Symptoms usually startfrom Birth to Childhood
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.

GeneticNeurologicalKidneyEndocrineSkin

Also known as: aho-php syndrome ia; albright hereditary osteodystrophy; albright hereditary osteodystrophy with multiple hormone resistance; albright hereditary osteodystrophy-php syndrome ia; albright hereditary osteodystrophy, classical type; albright's hereditary osteodystrophy

Patient organizations

Source: NIH GARD · Pseudohypoparathyroidism type I AGARD ID 7486 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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