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Living with Progressive familial intrahepatic cholestasis

A group of genetic liver conditions in which bile can't flow normally, causing itching and jaundice.

Understanding Progressive familial intrahepatic cholestasis

Progressive familial intrahepatic cholestasis (PFIC) is a genetic disorder in which liver cells are less able to release bile, leading to ongoing liver disease.

Bile is a digestive fluid. When it builds up in liver cells, it causes liver disease. Symptoms usually begin in infancy. There are three known types, PFIC1, PFIC2, and PFIC3, each with a different genetic cause and somewhat different features.

Signs & symptoms

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

  • Severe itching
  • Yellow skin and eyes (jaundice)
  • Slow growth and weight gain (failure to thrive)
  • Enlarged liver and spleen
  • Short stature
  • Easy bruising or bleeding (coagulation problems)

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. 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); 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 Progressive Familial Intrahepatic Cholestasis Advocacy and Resource Network
  • 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
Which type of PFIC does my child have, and which gene is involved?
What can help with the itching?
Which specialists, such as a liver doctor, should we see?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive

GARD says each type has a different genetic cause. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: cholestasis, progressive familial intrahepatic; fatal intrahepatic cholestasis; pfic; pfic - progressive familial intrahepatic cholestasis; progressive family intrahepatic cholestasis; progressive intrahepatic cholestasis

Patient organizations

Source: NIH GARD · Progressive familial intrahepatic cholestasisGARD ID 15255 · 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 Progressive familial intrahepatic cholestasis.

Explore the Progressive familial intrahepatic cholestasis blog

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