Benign recurrent intrahepatic cholestasis
V Gupta1, M Kumar, Baldev D Bhatia
1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Insights
Benign recurrent intrahepatic cholestasis (BRIC) is a rare liver condition causing recurring jaundice in children. This case highlights BRIC in a 9-year-old Indian boy, a presentation previously unreported in this population.
Area of Science:
- Hepatology
- Pediatric Gastroenterology
Background:
- Benign recurrent intrahepatic cholestasis (BRIC) is a rare genetic disorder characterized by intermittent cholestasis.
- It typically manifests in infancy or early childhood with recurrent jaundice, but without progression to chronic liver disease.
Observation:
- This report details an unusual case of BRIC in a 9-year-old boy from India.
- The patient experienced recurrent jaundice episodes starting from 1 year of age.
Findings:
- This is the first reported case of BRIC in an Indian child.
- The clinical presentation aligns with established BRIC characteristics, including recurrent jaundice without progressive liver damage.
Implications:
- This case expands the known geographical and demographic spectrum of BRIC.
- It underscores the importance of considering BRIC in pediatric cholestasis, even in regions where it has not been previously documented.
- Further research into potential genetic variations or environmental factors in Indian populations may be warranted.
Abstract:
Benign recurrent intrahepatic cholestasis (BRIC) is a rare cause of cholestasis in children. The disease may start in infancy or early childhood. Jaundice persists or recurs throughout life but does not lead to chronic liver disease or cirrhosis. Treatment is mostly symptomatic. The condition has not been reported in Indian children. We report an interesting case of BRIC in a 9-year-old boy who had recurrent episodes of jaundice since when he was 1 yr old.
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