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ORPHA:1652Disease
Also called Dent syndrome · Low-molecular-weight proteinuria with hypercalciuria and nephrocalcinosis · Renal Fanconi syndrome with nephrocalcinosis and renal stones · X-linked recessive hypercalciuric hypophosphatemic rickets · X-linked recessive nephrolithiasis
What it is
A rare X-linked renal tubular diseases characterized by a primary proximal tubule dysfunction with low-molecular-weight proteinuria. Other renal features often include hypercalciuria, nephrolithiasis/nephrocalcinosis, and progressive renal failure, among others. There are two subtypes: Dent disease type 1 characterized by an isolated renal phenotype in association with CLCN5 variants, and Dent disease type 2, often characterized by the addition of extra renal manifestations in association with OCRL1 variants.
Key facts
- Age of onset
- Childhood
- Inheritance
- X-linked recessive
- Classified as
- Disease
Signs and symptoms
Very common80–99%
20- Aminoaciduria
- Chronic kidney disease
- Focal segmental glomerulosclerosis
- Glycosuria
- Hematuria
- High serum calcitriol
- Hypercalciuria
- Hyperphosphaturia
- Hyperuricosuria
- Low-molecular-weight proteinuria
- Nephrolithiasis
- Non-acidotic proximal tubulopathy
- Proteinuria
- Proximal tubulopathy
- Recurrent fractures
- Renal hypophosphatemia
- Renal insufficiency
- Renal phosphate wasting
- Renal tubular atrophy
- Tubulointerstitial fibrosis
Common30–79%
4These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Genes reported in subtypes
Orphanet records these genes on 2 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Benefit programs to look at
Programs whose eligibility touches the same ICD-10 categories. Eligibility is decided by the administering agency, never by this page.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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