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Primary hyperoxaluria (PH) runs in families

You probably know that your eye color and hair color are inherited from your parents, but genetic disorders like PH are passed down through generations, too.

 

That’s why, if you have blood relatives who have PH, you should consult with your physician to discuss whether you should be tested—even if you don’t have any symptoms of PH. If you have PH, oxalate can build up and cause damage to your kidneys; damage can start before you have warning signs. If you learn that you have PH, you can take steps to help limit the damage.

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Genetic testing is used to identify whether or not someone has PH, and if so, which of the 3 known subtypes: PH1, PH2, or PH3. It is also used to identify genetic carriers of PH.

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How is PH passed on from one generation to the next?

Primary hyperoxaluria is an autosomal recessive genetic disorder. A genetic disorder is one that is hereditary, or passed on from your parents via genes. Recessive means that in order to have this disorder, a person needs to inherit 2 copies of a mutated gene that causes PH—1 copy from each parent. Individuals who inherit only 1 copy of the mutated gene are carriers for PH.

 

Although carriers may not show signs or symptoms of the disease, they can still pass on the mutated copy of the gene to their children.

Take a closer look at how PH is inherited

When someone has PH or is a carrier for it, it’s possible that they will pass on the mutated gene that causes PH to some, all, or none of their children.

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It is important to remember that both parents must have the same type of PH (PH1, PH2, or PH3) or be carriers for the same type of PH in order for a child of theirs to be affected by PH.

Use the tabs and drop-down options below to explore how the PH status of each parent influences the likelihood that their children might be affected.

Parent 1: PH Carrier
Parent 1: PH Carrier
Parent 1: PH Carrier
Parent 1: PH Carrier
Parent 1: Has PH
Parent 1: Has PH
Parent 2: Unaffected

Child 1

Child is a carrier for PH

Child 2

Child is a carrier for PH

Child 3

Child is unaffected

Child 4

Child is unaffected

50% chance that a child will be a PH carrier

50% chance that a child will be unaffected

Key: Blank = Unaffected, Half full = PH Carrier, Full = Has PH
Parent 2: PH Carrier

Child 1

Child has PH

Child 2

Child is a carrier for PH

Child 3

Child is a carrier for PH

Child 4

Child is unaffected

25% chance that a child will have PH

50% chance that a child will be a PH carrier

25% chance that a child will be unaffected

Key: Blank = Unaffected, Half full = PH Carrier, Full = Has PH
Parent 2: Has PH

Child 1

Child has PH

Child 2

Child has PH

Child 3

Child is a carrier for PH

Child 4

Child is a carrier for PH

50% chance that a child will have PH

50% chance that a child will be a PH carrier

Key: Blank = Unaffected, Half full = PH Carrier, Full = Has PH
Parent 2: Unaffected

Child 1

Child is a carrier for PH

Child 2

Child is a carrier for PH

Child 3

Child is a carrier for PH

Child 4

Child is a carrier for PH

100% of children will be PH carriers

Key: Blank = Unaffected, Half full = PH Carrier, Full = Has PH
Parent 2: PH Carrier

Child 1

Child has PH

Child 2

Child has PH

Child 3

Child is a carrier for PH

Child 4

Child is a carrier for PH

50% chance that a child will have PH

50% chance that a child will be a PH carrier

Key: Blank = Unaffected, Half full = PH Carrier, Full = Has PH
Parent 2: Has PH

Child 1

Child has PH

Child 2

Child has PH

Child 3

Child has PH

Child 4

Child has PH

100% of children will have PH

Key: Blank = Unaffected, Half full = PH Carrier, Full = Has PH

Are you affected by PH and thinking about family planning?

Your partner only needs a simple genetic test to help assess the risk of passing PH on to your children. Keep in mind that PH is very rare, so the chance of your partner having PH, especially the same type of PH that you have, is pretty low.

Which best describes you?
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