Congenital Hepatic Fibrosis in a 2-Year-Old Child Presenting with Fever of Unknown Origin

Michael P Penfold1, Wentiirim B Annankra1, Nathan C Hull1

  • 1Mayo Clinic, Rochester, MN, USA.

Case Reports in Pediatrics
|November 10, 2023
PubMed

Insights

Congenital hepatic fibrosis is a rare genetic disorder causing bile duct issues and liver scarring. Early diagnosis in children is crucial for managing complications like gastrointestinal bleeding.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatology
  • Medical Genetics

Background:

  • Congenital hepatic fibrosis (CHF) is a rare, inherited condition.
  • It stems from abnormal development of the bile duct's "ductal plate."
  • CHF leads to liver scarring (fibrosis) and bile duct cysts.

Observation:

  • A 2-year-old child presented with an 8-day fever.
  • No significant past medical history or physical findings were noted.
  • This presentation prompted investigation into underlying conditions.

Findings:

  • The child was diagnosed with congenital hepatic fibrosis.
  • This rare disease involves bile duct malformation and liver fibrosis.
  • Progressive fibrosis can cause portal hypertension and gastrointestinal bleeding.

Implications:

  • Early diagnosis of CHF in children is vital.
  • Prompt management can mitigate risks of portal hypertension and hemorrhage.
  • Understanding ductal plate malformation is key to treating this condition.

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