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Inborn errors of metabolism

Primary hyperoxaluria type 1 (PH1)

An inherited liver enzyme disease. The body makes too much oxalate. Frequent kidney stones and, over time, kidney damage can occur.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

This page is translated from the Turkish original.

This disease is followed through the “Inborn errors of metabolism” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

A change in the AGXT gene disrupts an enzyme in the liver. Because of this, too much oxalate is made in the body. In the urine, oxalate combines with calcium and forms stones. When kidney function declines, oxalate also settles in tissues such as bones and blood vessels.

Which symptoms can occur?

Kidney stones can begin in childhood or at a young age. The course varies from person to person.

  • Repeated kidney and bladder stones
  • Blood in the urine
  • Urinary tract infections
  • Calcium deposits in the kidneys
  • Decline in kidney function
  • Bone fractures at a later stage

How is it diagnosed?

This disease is looked for in children who have stones or calcium deposits in the kidneys. Oxalate is measured in the urine and blood, and the make-up of the stone is examined. The definite diagnosis is made with a genetic test.

Treatment and care

There are approved treatments specific to the disease. These treatments reduce the making of oxalate in the liver. Drinking plenty of fluids reduces stone formation. In some patients, vitamin B6 supplements lower oxalate. Stones can be removed with minimally invasive methods. In kidney failure, dialysis or a liver and kidney transplant is considered. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

The disease is passed on through recessive inheritance. The mother and father are usually healthy carriers. For a couple who are both carriers, the chance of having an affected child is 1 in 4 in each pregnancy. Diseases of this kind may be more common in marriages between relatives. Genetic counselling guides the family.

Source: MedlinePlus Genetics: Primary hyperoxaluria · NORD: Primary Hyperoxaluria

Key facts

How is it inherited?
Autosomal recessive
When does it usually start?
Any age
Gene(s) involved
AGXT

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

We could not find a patient association specific to this disease.

For all rare diseases: Nadir Hastalıklar Federasyonu

Guides related to this disease

  • Rare disease at school · Telling the school, medicines and emergency plan, inclusion and BEP, support education room, absences, LGS/YKS arrangements, peer bullying.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about PH1

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

Questions you can ask your doctor

  • Could this trial be suitable for us?
  • If we take part, how would current treatment and check-ups be affected?
  • Where does the trial take place, and how are travel and accommodation handled?
  • What happens if we want to leave the trial?

ClinicalTrials.gov lists 8 active interventional studies for this disease. 5 are recruiting now; 1 has a site in Türkiye. Last checked: October 7, 2026.

Selected records (studies with a site in Türkiye first):

See all studies on ClinicalTrials.gov · Joining clinical trials

Inborn errors of metabolism: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:93598 · ICD-11 5C51.20

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.