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Living with Benign recurrent intrahepatic cholestasis type 1

A liver condition with repeated episodes of poor bile flow, caused by changes in the ATP8B1 gene.

Understanding Benign recurrent intrahepatic cholestasis type 1

Benign recurrent intrahepatic cholestasis type 1 (BRIC1) is a liver condition with repeated episodes in which bile does not flow well from the liver.

Episodes last weeks to months, with usually no symptoms between them for weeks to years. Most people have a first episode in their teens or twenties. It often starts with severe itching, followed by yellowing of the skin and eyes (jaundice) a few weeks later. It generally does not cause lasting liver damage, though it can rarely progress to progressive familial intrahepatic cholestasis (PFIC).

Signs & symptoms

GARD describes these symptoms:

  • Severe itching (pruritus)
  • Yellowing of skin and eyes (jaundice)

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. Consider genetic testing

    Changes in ATP8B1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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
Can ATP8B1 gene testing confirm my diagnosis?
What should I do when an episode of itching starts?
How often should my liver be checked between episodes?

Quick facts

InheritanceAutosomal Recessive
GenesATP8B1

Changes in the ATP8B1 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: atp8b1 benign recurrent intrahepatic cholestasis; benign recurrent intrahepatic cholestasis caused by mutation in atp8b1; bric type 1; bric1; cholestasis, benign recurrent intrahepatic, type 1; summerskill syndrome

Patient organizations

Source: NIH GARD · Benign recurrent intrahepatic cholestasis type 1GARD ID 10028 · 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 type 1.

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