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Living with Isolated neonatal sclerosing cholangitis

A rare genetic liver and bile duct condition in newborns, causing jaundice, pale stools, and an enlarged spleen.

Understanding Isolated neonatal sclerosing cholangitis

Isolated neonatal sclerosing cholangitis is a rare genetic condition of the bile ducts and liver that starts in newborns.

Bile ducts are open but the liver is damaged and scarred. Babies have jaundice (yellow skin), pale clay-colored stools, an enlarged liver and spleen, and a high level of a liver enzyme called GGT. Some people also have kidney disease. It does not include the skin changes seen in some related conditions.

Signs & symptoms

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

  • Jaundice (yellow skin and eyes)
  • Pale, clay-colored stools
  • Enlarged spleen
  • Itching
  • Slowed or blocked bile flow (cholestasis)
  • Liver scarring (fibrosis, cirrhosis)

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 DCDC2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    PSC Partners Seeking a Cure may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: PSC Partners Seeking a Cure
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 PSC Partners Seeking a Cure
  • 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 DCDC2 gene confirm the diagnosis?
How should we monitor liver health and the kidneys?
How can we manage itching and nutrition?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesDCDC2

Changes in the DCDC2 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinal

Also known as: nsc; sclerosing cholangitis, neonatal

Patient organizations

Source: NIH GARD · Isolated neonatal sclerosing cholangitisGARD ID 21983 · 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 Isolated neonatal sclerosing cholangitis.

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