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. 2023 Oct 27;18(Suppl 2):333. doi: 10.1186/s13023-023-02883-3

Box 4.

The multiple clinical manifestations of adults with 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