Familial hypocalciuric hypercalcaemia
Synonyms: FHH
Overview
Familial hypocalciuric hypercalcaemia (FHH) is an autosomal dominant disorder characterised by elevated calcium levels in the blood and reduced calcium excretion in the urine. It is mainly caused by pathogenic variants in the CASR gene and, more rarely, in GNA11 and AP2S1. Although FHH is usually asymptomatic, symptoms such as fatigue and weakness may occur in rare cases. Specific treatment is generally not required; however, distinguishing FHH from other forms of hypercalcaemia, such as primary hyperparathyroidism, is essential.
Familial hypocalciuric hypercalcaemia
3 Gene(s)*
AP2S1
CASR
GNA11
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Last Update : 25.09.2026
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