%0 Journal Article %T Update on the management of hypophosphatasia %A J. S. Bubbear %A V. Choida %J Archive of "Therapeutic Advances in Musculoskeletal Disease". %D 2019 %R 10.1177/1759720X19863997 %X Hypophosphatasia is a rare inherited disease caused by a loss of function mutations in the gene that codes for the tissue-nonspecific alkaline phosphatase enzyme. It is autosomally inherited and at least 388 different genetic defects have been identified. The clinical presentation is variable from a severe perinatal form, that is fatal if untreated, to adult-onset disease. This review covers the pathophysiology, diagnosis and current management option including the recently licensed enzyme replacement therapy asfotase alfa %K alkaline phosphatase %K asfotase alfa %K hypophosphatasia %K osteomalacia %K rickets %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676257/