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Living with Congenital bile acid synthesis defect 3

A severe inherited liver condition in newborns where bile acids are not made properly, causing jaundice and liver disease.

Understanding Congenital bile acid synthesis defect 3

Congenital bile acid synthesis defect type 3 is a severe condition of bile acid making that causes liver disease in newborns.

Newborns have a severe liver disease in which bile flow is slowed or blocked (cholestasis). It begins in newborns and infants.

Signs & symptoms

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

  • Slowed or blocked bile flow (cholestasis)
  • Yellow skin and eyes (jaundice)
  • Enlarged liver and spleen
  • Trouble absorbing fat
  • Liver scarring (cirrhosis)
  • Liver failure

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 CYP7B1 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 rare disease patient organizations for support
  • 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
Should we have genetic testing for the CYP7B1 gene?
What treatment is available for the liver and bile acids?
Which specialists should be on our care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCYP7B1

Changes in the CYP7B1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: basd3; bile acid synthesis defect, congenital, type 3; cbas3; congenital bile acid synthesis defect caused by mutation in cyp7b1; congenital bile acid synthesis defect type 3; cyp7b1 congenital bile acid synthesis defect

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital bile acid synthesis defect 3GARD ID 16713 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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