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Living with Polycystic kidney disease 4

A rare liver condition present from birth that can cause an enlarged liver and spleen, scarring and high pressure in liver blood vessels.

Understanding Polycystic kidney disease 4

Polycystic kidney disease 4, with or without polycystic liver disease, is a rare condition present from birth that mainly affects the liver.

It is also called congenital hepatic fibrosis. It can cause a large liver and spleen, scar tissue in the liver (fibrosis), and high pressure in the blood vessels that carry blood to the liver (portal hypertension). Bleeding in the digestive tract from swollen veins (varices) can occur. It usually occurs as part of a syndrome that also affects the kidneys.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Large liver
  • Large spleen
  • Scar tissue in the liver (fibrosis)
  • High pressure in the liver's blood vessels (portal hypertension)
  • Bleeding in the digestive tract from varices

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 ARPKD/CHF Alliance and other patient organizations
  • 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
How are my liver and kidneys monitored?
How can the risk of bleeding from varices be managed?
Is genetic testing helpful for our family?

Quick facts

InheritanceAutosomal Recessive

GARD says this condition is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent. It doesn't name a gene.

Also known as: pkd4; polycystic kidney and hepatic disease 1; polycystic kidney disease 4 with or without polycystic liver disease; polycystic kidney disease 4, with or without hepatic disease; polycystic kidney disease, infantile, type i

Patient organizations

Source: NIH GARD · Polycystic kidney disease 4GARD ID 6168 · 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 Polycystic kidney disease 4.

Explore the Polycystic kidney disease 4 blog

Explore research for Polycystic kidney disease 4

Explore actively recruiting Polycystic kidney disease 4 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Polycystic kidney disease 4 with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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