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Living with Infantile liver failure syndrome 1

A rare genetic disease with sudden liver failure in the first year of life, plus growth, muscle, and brain effects.

Understanding Infantile liver failure syndrome 1

Infantile liver failure syndrome 1 (acute infantile liver failure with multisystemic involvement) is a rare genetic disease that affects the liver.

It happens in the first year of life and can make the liver suddenly stop working. Symptoms include poor growth, weak muscles, delayed development, and seizures. Fatty liver, liver scarring, brain changes, and kidney tube problems (renal tubulopathy) can develop. Even minor illnesses can make the liver failure worse.

Signs & symptoms

Symptoms vary from person to person. GARD describes these:

  • Poor growth
  • Weak muscles
  • Delayed development
  • Seizures
  • Abnormal liver tests
  • Small red blood cells and high blood lactate

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 LARS1 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
Can genetic testing for the LARS1 gene confirm the diagnosis?
How can we protect my child during minor illnesses?
Which specialists should follow the liver, kidneys, and brain?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesLARS1

Changes in the LARS1 gene cause this condition. It is inherited in an autosomal recessive pattern, meaning a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinal

Also known as: acute infantile liver failure-multisystemic involvement syndrome; ilfs1; infantile liver failure caused by mutation in lars; infantile liver failure syndrome type 1; lars infantile liver failure

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Infantile liver failure syndrome 1GARD ID 13114 · 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 Infantile liver failure syndrome 1.

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  • Eligibility is confirmed by the study team

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