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Living with Vitamin D-dependent rickets, type 1

An inherited condition, starting in infancy, that makes bones soft and weak and can slow growth.

Understanding Vitamin D-dependent rickets, type 1

Vitamin D-dependent rickets type 1 is an inherited bone development disorder that softens and weakens the bones (rickets).

Signs begin within months after birth. Weak bones can cause bone pain, slow growth, and fractures. When children start to walk, their legs may bow. The ends of bones can widen, especially at the knees, wrists, and ribs. Low muscle tone and weakness are common.

Signs & symptoms

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

  • Soft, weak bones (rickets)
  • Bone pain
  • Bowed legs
  • Slow growth and poor weight gain
  • Low muscle tone (hypotonia)
  • Easily broken 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, genetic specialists and hormone specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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 rare disease patient organizations for support
  • 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
Could genetic testing confirm type 1?
How are calcium and bone health monitored?
Which specialists should be on my child's team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes (variants) cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticEndocrine

Also known as: 1 alpha-hydroxylase deficiency; 1-alpha-hydroxylase deficiency; 25-hydroxycholecalciferol-1-hydroxylase deficiency; calcidiol 1-monooxygenase defect; hypocalcemic vitamin d-dependent rickets; pddr - pseudovitamin d deficiency rickets

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Vitamin D-dependent rickets, type 1GARD ID 17319 · 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 Vitamin D-dependent rickets, type 1.

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