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Congenital Hepatic Fibrosis, Pediatric

Peter T. Osgood, MD, Eric H. Chiou, MD and Kristin L. Van Buren, MD, MEd Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Congenital hepatic fibrosis (CHF) is an inherited, noncirrhotic liver disease.

  • Prominent clinical features include the following:

    • Portal hypertension (portal HTN)

    • Increased risk of asce...

DIAGNOSIS

HISTORY

  • Severely affected patients are usually diagnosed in utero or shortly after birth due to massively enlarged cystic kidneys.

  • Prenatal renal enlargement and dysfunction may result in olig...

TREATMENT

GENERAL MEASURES

  • Monitor growth, weight gain, nutritional status, and for vitamin A, D, E, K malabsorption, with supplementation as needed.

  • Vaccinate against encapsulated bacteria as patients ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Acute upper GI tract bleeding or melena requires urgent esophagogastroduodenoscopy (EGD) for bleeding control, frequent Hgb/Hct checks, blood cu...

ADDITIONAL READING

  • Chandar J, Garcia J, Jorge L, et al. Transplantation in autosomal recessive polycystic kidney disease: liver and/or kidney? Pediatr Nephrol.  2015;30(8):1233–1242. [View Abstra...

CODES

ICD9

  • 777.8 Other specified perinatal disorders of digestive system

  • 572.3 Portal hypertension

  • 576.1 Cholangitis

ICD10

  • P78.89 Other specified perinatal digestive system disorders

  • K76.6 Portal hypertensi...

FAQ

  • Q: Will other children of mine be affected?

  • A: Maybe. If the inheritance pattern is autosomal recessive, the possibility of having an affected sibling is 1:4.

  • Q: Is my child at increased risk if he ...

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