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Published on: February 3, 2023
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.
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.
Abstract:
Congenital hepatic fibrosis is a rare, autosomal recessive, fibro-polycystic disease resulting from ductal plate malformation, leading to proliferation and fibrosis of bile ducts. Progressive hepatic fibrosis leads to portal hypertension and varices which can present with life threatening gastrointestinal hemorrhage. We report a case of congenital hepatic fibrosis in a 2-year-old child who presented with 8 days of fever without any significant medical history or physical examination findings.
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