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Benign recurrent intrahepatic cholestasis.
[benign recurrent intrahepatic cholestasis]
Benign
recurrent
intrahepatic
cholestasis
is
a
rare
autosomal
recessive
disorder
characterized
by
repeated
episodes
of
intense
pruritus
,
profound
elevations
in
serum
alkaline
phosphatase
and
bilirubin
,
with
normal
or
nearly
normal
values
for
serum
gamma-glutamyl
transferase
.
Attack
lasts
from
several
weeks
to
months
and
resolve
spontaneously
.
Between
attacks
patients
remain
asymptomatic
for
months
to
years
.
The
disorder
does
not
lead
to
progressive
liver
injury
and
is
not
fatal
.
Genetic
studies
have
demonstrated
that
the
disorder
is
the
result
of
a
mutation
in
ATP
8
BI
,
a
gene
that
codes
for
the
FIC
1
(
familial
intrahepatic
cholestasis
)
protein
,
which
is
also
affected
in
other
forms
of
familial
intrahepatic
cholestasis
.
It
is
believed
this
protein
plays
a
role
in
bile
acid
secretion
,
in
aminophospholid
transport
,
and
in
maintaining
fluidity
of
the
cell
membrane
.
Therapy
is
supportive
and
aimed
at
relieving
pruritus
and
other
complications
of
severe
cholestasis
until
the
episode
resolves
spontaneously
.
Diseases
Validation
Diseases presenting
"recurrent intrahepatic cholestasis"
symptom
benign recurrent intrahepatic cholestasis
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