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Familial primary hypomagnesemia with hypercalciuria and nephrocalcinosis with severe ocular involvement (FHHNCOI) is a form of familial primary hypomagnesemia (FPH), characterized by excessive magnesium and calcium renal wasting, bilateral nephrocalcinosis, progressive renal failure and severe ocular abnormalities.
Features include always present findings: Nephrocalcinosis, Renal magnesium wasting, Hypermagnesiuria, and Hypercalciuria and others; and very common findings: Myopia. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 7 | Nephrocalcinosis, Stage 5 chronic kidney disease, Recurrent urinary tract infections |
Eyes | 3 | Strabismus, Nystagmus, Macular coloboma |
Muscles | 2 | Renal magnesium wasting, Renal calcium wasting |
Blood and immune system | 1 | Recurrent urinary tract infections |
CLDN19 encodes claudin 19 (224 aa). Forms paracellular channels: coassembles with CLDN16 into tight junction strands with cation-selective channels through the strands, conveying epithelial permeability in a process known as paracellular tight junction permeability. Highest expression in Nerve Tibial (188.7 TPM) and Kidney Medulla (31.2 TPM).
Renal hypomagnesemia 5 with ocular involvement is associated with mutations in the CLDN19 gene on chromosome 1.
CLDN19 is classified as a druggable target (Transporter category) with score 0.0.
Genetic testing for CLDN19 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 6 always present features, 1 very common feature, 4 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for renal hypomagnesemia 5 with ocular involvement.
103 publications have been identified in PubMed for renal hypomagnesemia 5 with ocular involvement. Kisho has analyzed 25 by research type. Research spans Review / Meta-Analysis (84%), Case Report / Case Series (8%), and Basic Science / Preclinical (4%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 21 | 84% |
Patient case studies | 2 | 8% |
Laboratory research | 1 | 4% |
Disease patterns and progression | 1 | 4% |
Wang C (2026). [PMID: 41896308](https://pubmed.ncbi.nlm.nih.gov/41896308/). *Sci Rep*. [Case Report / Case Series]
Jachiet V (2025). [PMID: 40476413](https://pubmed.ncbi.nlm.nih.gov/40476413/). *Rev Prat*. [Review / Meta-Analysis]
Hartung KJ (2025). [PMID: 40736853](https://pubmed.ncbi.nlm.nih.gov/40736853/). *Adv Exp Med Biol*. [Review / Meta-Analysis]
Dotan A (2025). [PMID: 39931017](https://pubmed.ncbi.nlm.nih.gov/39931017/). *Harefuah*. [Review / Meta-Analysis]
Kaul A (2025). [PMID: 40915300](https://pubmed.ncbi.nlm.nih.gov/40915300/). *Lancet Rheumatol*. [Review / Meta-Analysis]
Brokke KE (2025). [PMID: 40634186](https://pubmed.ncbi.nlm.nih.gov/40634186/). *Br J Anaesth*. [Review / Meta-Analysis]
Zoref-Lorenz A (2025). [PMID: 39656557](https://pubmed.ncbi.nlm.nih.gov/39656557/). *Leuk Lymphoma*. [Review / Meta-Analysis]
Krusche M (2025). [PMID: 40960635](https://pubmed.ncbi.nlm.nih.gov/40960635/). *Z Rheumatol*. [Review / Meta-Analysis]
Paller AS (2025). [PMID: 40184496](https://pubmed.ncbi.nlm.nih.gov/40184496/). *Br J Dermatol*. [Review / Meta-Analysis]
Fann Marko R (2025). [PMID: 39987477](https://pubmed.ncbi.nlm.nih.gov/39987477/). *Harefuah*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 7:00 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center