familial intrahepatic cholestasis 1; Byler disease (PFC1)
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Epidemiology
rare
Genetics
- autosomal recessive
- caused by a mutation in the ATP8B1 gene
Clinical manifestations
- early onset of loose, foul-smelling stools
- attacks of jaundice possibly related to infection
- hepatosplenomegaly
- dwarfism
- early infancy cholestasis
- may be initially episodic but progresses to
- malnutrition
- growth retardation
- end-stage liver disease before adulthood
- may be initially episodic but progresses to
Management
(prognosis)
- death in the first decade of life