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Inborn errors of biliary canalicular transport systems.
[benign recurrent intrahepatic cholestasis]
Cholestatic
syndromes
are
inborn
or
acquired
disorders
of
bile
formation
.
In
recent
years
,
several
inherited
cholestatic
syndromes
were
characterized
at
the
molecular
level
:
progressive
familial
intrahepatic
cholestasis
(
PFIC
)
and
benign
recurrent
intrahepatic
cholestasis
(
BRIC
)
.
Both
PFIC
and
BRIC
were
divided
phenotypically
in
distinct
subtypes
;
however
,
at
the
genotype
level
,
these
clinical
entities
overlap
.
PFIC
starts
in
early
childhood
and
progresses
toward
liver
cirrhosis
,
which
often
requires
liver
transplantation
within
the
first
decade
of
life
.
The
diagnosis
of
PFIC
is
usually
made
on
the
basis
of
clinical
and
laboratory
findings
but
needs
to
be
confirmed
by
genetic
and
histological
analysis
.
Only
recently
was
it
recognized
that
BRIC
,
which
was
estimated
as
a
milder
form
of
PFIC
-
1
,
may
be
caused
by
more
than
one
gene
.
Diseases
Validation
Diseases presenting
"more than one gene"
symptom
benign recurrent intrahepatic cholestasis
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