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Living with Nodular regenerative hyperplasia of the liver

A rare liver condition where small clusters of new liver cells form, often with no symptoms but sometimes raising pressure in a liver vein.

Understanding Nodular regenerative hyperplasia of the liver

Nodular regenerative hyperplasia of the liver is a rare liver disease in which normal liver tissue turns into many small clusters (nodules) of new liver cells.

It often causes no symptoms, so it may go undiagnosed. In some people it leads to high blood pressure in the portal vein, the vein that carries blood from the intestine to the liver, without liver scarring (cirrhosis). Symptoms of portal hypertension can include fatigue, swelling, itching, jaundice, and belly swelling. Liver function usually stays normal. GARD lists adult as the usual onset.

Signs & symptoms

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

  • Differences in the liver's blood vessels
  • High blood pressure in the portal vein (portal hypertension)

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.

  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)
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
Do I have signs of portal hypertension, and how will it be monitored?
Could another condition or a medicine I take be linked to this?
What symptoms like swelling, itching or jaundice should I report?

Quick facts

Symptoms usually startAdult

The cause is not well understood. GARD says the liver's blood vessels may become damaged or inflamed, which limits blood flow to parts of the liver. It is often linked to autoimmune, blood, or immune conditions, repeated infections, or certain medicines or toxins.

Gastrointestinal

Also known as: nodular regenerative hyperplasia of liver; nodular transformation of liver; non-cirrhotic nodulation; noncirrhotic nodulation; partial nodular transformation of liver

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Nodular regenerative hyperplasia of the liverGARD ID 10929 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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