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Box 4 The multiple clinical manifestations of adults with XLH

From: XLH Matters 2022: Insights and recommendations to improve outcomes for people living with X-linked hypophosphataemia (XLH)

• Enthesopathies were identified as a commonly missed manifestation and the most challenging to manage in adults

• Other commonly missed manifestations in adults included spinal stenosis and hypertension, and pseudofractures, renal impairment and obstetric complications were agreed to be the most challenging to manage