Hypophosphatemia (1.98 mg/dl; normal ranges 2.5-4.5 mg/dl), vitamin D deficiency (7 ng/ml, normal range: 30-80 ng/ml), elevated levels of PTH (121.30 pg/ml, normal range: 18.40-80.10 pg/ml) and normocalcemia (total calcium 8.5 mg/dl, albumin-adjusted total calcium 9.3 mg/dl, normal range: 8.7-10.4 mg/dl; albumin 3.02 g/dl, normal range: 3.2-4.8 g/dl) were present in 2017 and 2018 in the patient’s hospital discharge summary reports. The gene discussed is ALB; the disease is vitamin D deficiency.