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Progressive familial intrahepatic cholestasis and benign recurrent intrahepatic cholestasis: a review.
[benign recurrent intrahepatic cholestasis]
Progressive
familial
intrahepatic
cholestasis
(
PFIC
)
and
benign
recurrent
intrahepatic
cholestasis
(
BRIC
)
are
two
rare
autosomal
recessive
disorders
,
characterized
by
cholestasis
.
They
are
related
to
mutations
in
hepatocellular
transport
system
genes
involved
in
bile
formation
.
The
differentiation
between
PFIC
and
BRIC
is
based
on
phenotypic
presentation
:
PFIC
is
a
progressive
disease
,
with
evolution
to
end-
stage
liver
disease
.
BRIC
is
characterized
by
intermittent
recurrent
cholestatic
episodes
,
with
irresistible
pruritus
,
mostly
without
evident
liver
damage
.
Between
symptomatic
periods
,
patients
are
completely
asymptomatic
.
In
this
article
,
a
short
overview
of
the
aetiology
,
the
clinical
and
diagnostic
characteristics
and
the
therapy
of
both
PFIC
and
BRIC
are
given
.
Diseases
Validation
Diseases presenting
"cholestasis"
symptom
benign recurrent intrahepatic cholestasis
carcinoma of the gallbladder
congenital toxoplasmosis
erythropoietic protoporphyria
familial mediterranean fever
megacystis-microcolon-intestinal hypoperistalsis syndrome
neonatal adrenoleukodystrophy
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated