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        Genomics Precision Diagnostic > Gastroenterology > Progressive Familial Intrahepatic Cholestasis

        Progressive Familial Intrahepatic Cholestasis Panel

        Progressive Familial Intrahepatic Cholestasis (PFIC) is an inherited disorder that causes liver damage in the form of cirrhosis and related symptoms due to the accumulation of bile in the liver. 
        Overview
        Indication
        Clinical Utility
        Genes & Diseases
        Methodology
        References

        Overview

        • Progressive Familial Intrahepatic Cholestasis (PFIC) is an inherited disorder that causes liver damage in the form of cirrhosis and related symptoms due to the accumulation of bile in the liver. There are three types of PFIC that are caused by changes in different genes but have similar symptoms and presentation. Individuals with PFIC1 are more severely affected and have additional health concerns on top of liver disease. Individuals with PFIC2 and PFIC3 show symptoms that are primarily associated with liver disease only and vary in age of onset and severity. All three types of PFIC are inherited in an autosomal recessive manner. 
        • The Igenomix Progressive Familial Intrahepatic Cholestasis Precision Panel can be used to make a directed and accurate differential diagnosis of liver disease, ultimately leading to a better management and prognosis of the disease. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved.  

        Indication

        The Igenomix Progressive Familial Intrahepatic Cholestasis Precision Panel is indicated for those patients with a clinical suspicion or diagnosis of hemochromatosis presenting with the following manifestations: 

        • Itching (pruritus)  
        • Yellow skin (jaundice)  
        • Poor growth and weight gains  
        • Fatigue  
        • Enlargement of the liver and spleen (hepatomegaly, splenomegaly)  

        Clinical Utility

        The clinical utility of this panel is: 

        • The genetic and molecular confirmation for an accurate clinical diagnosis of a symptomatic patient.  
        • Early initiation of treatment with a multidisciplinary team for early pharmacologic treatment, surgical care, and dietary modifications. 
        • Risk assessment of asymptomatic family members according to the mode of inheritance. 

        Genes & Diseases

        Methodology

        References

        See scientific referrals

        Bull, L. N., & Thompson, R. J. (2018). Progressive Familial Intrahepatic Cholestasis. Clinics in liver disease, 22(4), 657–669. https://doi.org/10.1016/j.cld.2018.06.003 

        Baker, A., Kerkar, N., Todorova, L., Kamath, B. M., & Houwen, R. (2019). Systematic review of progressive familial intrahepatic cholestasis. Clinics and research in hepatology and gastroenterology, 43(1), 20–36. https://doi.org/10.1016/j.clinre.2018.07.010 

        Srivastava A. (2014). Progressive familial intrahepatic cholestasis. Journal of clinical and experimental hepatology, 4(1), 25–36. https://doi.org/10.1016/j.jceh.2013.10.005 

        Siddiqi, I., & Tadi, P. (2020). Progressive Familial Intrahepatic Cholestasis. In StatPearls. StatPearls Publishing. 

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