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Life Impact
How is hypophosphatasia (HPP)
holding your patients back?








Since HPP symptoms and their intensity can change, the impact of the disease may not always be obvious. Ask your patients about how symptoms may have impacted their ability to work, connect, learn, and live independently1-5

My endocrinologist suggested that I try and find another line of work, that as I got older, there’d be more wear and tear on my body if I kept up at the pace I was at. So, as my disease is progressing, I decided I needed to focus more on my own health, so I left the restaurant industry.

—BRIAN, living with HPP

Adult patients
Impact of HPP on difficulty with activities of daily living in adults with HPP (n=36)1*
Prevalence of neurologic symptoms in adults with HPP (N=82)6†
In one study, assessment of patients with HPP (n=28) showed the following mean percent impairment related to7‡:

Longitudinal telephone-based survey administered to patients with HPP (N=50). Assessment based on Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI:SHP) was answered by patients employed at baseline at the time of the survey (n=28/50). Survey results are based on patient-reported data and have not been formally validated in individuals with HPP.7

Impact of HPP on activities of daily living in children with HPP (N=44)

§Patient-reported burden was assessed using the HPP Impact Patient Survey (HIPS; n=44). There were 5 patients (or caregivers/family members) who did not respond to this part of the survey. Survey instruments utilized in this study have not been validated in patients with HPP.8

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See important diagnosing criteria


Diagnosing HPP


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Weber TJ, Sawyer EK, Moseley S, et al. Metabolism. 2016;65(10):1522-1530. Pierpont EI, Simmons JH, Spurlock KJ, Shanley R, Sarafoglou KM. Orphanet J Rare Dis. 2021;16(1):80. Durrough C, Colazo JM, Simmons J, et al. Bone. 2021;142:115695. Dahir KM, Seefried L, Kishnani PS, et al. Orphanet J Rare Dis. 2022;17(1):277. Högler W, Langman C, Gomes da Silva H, et al. BMC Musculoskelet Disord. 2019;20(1):80. Colazo JM, Hu JR, Dahir KM, Simmons JH. Osteoporos Int. 2019;30(2):469-480. Dahir KM, Ing SW, Deal C, Messali A, Bates T, Rush ET. JBMR Plus. 2024;8(8):ziae062. Rush ET, Moseley S, Petryk A. Orphanet J Rare Dis. 2019;14(1):201. Mornet E, Taillandier A, Domingues C, et al. Eur J Hum Genet. 2021;29(2):289-299. Rush E, Brandi ML, Khan A, et al. Osteoporos Int. 2024;35(1):1-10. Khan AA, Brandi ML, Rush ET, et al. Osteoporos Int. 2024;35(3):431-438. Rockman-Greenberg C. Pediatr Endocrinol Rev. 2013;10(suppl 2):380-388. Kishnani PS, Rush ET, Arundel P, et al. Mol Genet Metab. 2017;122(1-2):4-17. Bianchi ML, Bishop NJ, Guañabens N, et al. Osteoporos Int. 2020;31(8):1445-1460. Shapiro JR, Lewiecki EM. J Bone Miner Res. 2017;32(10):1977-1980.