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Living with Benign recurrent intrahepatic cholestasis

A liver condition with repeated episodes of poor bile flow, causing itching and yellow skin.

Understanding Benign recurrent intrahepatic cholestasis

Benign recurrent intrahepatic cholestasis (BRIC) is a liver condition with repeated episodes in which bile does not flow well from the liver.

Episodes can last weeks to months, and there are usually no symptoms in between, for weeks to years. The first episode is usually in the teens or twenties. It is called benign because it does not cause lasting liver damage, though episodes can rarely progress to a more severe form called progressive familial intrahepatic cholestasis (PFIC). It has two types, BRIC1 and BRIC2.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Severe itching (pruritus)
  • Yellowing of skin and eyes (jaundice)
  • Clay-colored stools
  • Nausea and vomiting
  • Loss of appetite and weight loss
  • Fatigue

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Progressive Familial Intrahepatic Cholestasis Advocacy and Resource Network
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of BRIC do I have, and can genetic testing tell us?
What should I do when an episode starts?
How will you watch for changes toward PFIC?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive

Changes in genes cause this condition. It can be inherited in an autosomal dominant or autosomal recessive way.

GeneticGastrointestinalInherited Metabolic

Also known as: benign familial recurrent cholestasis; benign recurrent cholestasis; bric; bric - benign recurrent intrahepatic cholestasis; cholestasis, benign recurrent intrahepatic; summerskill-walshe-tygstrup syndrome

Patient organizations

Source: NIH GARD · Benign recurrent intrahepatic cholestasisGARD ID 12185 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Benign recurrent intrahepatic cholestasis.

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