Skip to content

Cholestasis Progressive Familial Intrahepatic 5 C4310747

Published: July 22, 2026Updated: August 20, 2026

A rare inherited condition affecting bile secretion in the liver. It causes progressive liver problems and may require medication or surgical intervention to manage symptoms.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
K76.9
ICD-11
DA00.0
Body system
hepatobiliary
Severity
severe
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Cirrhosis with portal hypertension

Generalized pruritus

(hepatobiliary)

Generalized symptoms

(hepatobiliary)

Significant symptoms that substantially affect daily functioning.

Frequency: Common at all stages

Hepatomegaly

(hepatobiliary)

Steatorrhea

(hepatobiliary)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Choleretic therapy

PFIC5 typically presents with severe cholestasis and requires agents that promote bile flow. Choleretic medications help reduce intrahepatic bile acid concentration and may improve symptoms in responsive patients.

medication
2

Combination drug regimen with regular assessment

Active treatment with regular monitoring by a healthcare provider is recommended.

medication
3

Protein and calorie optimization

Severe cholestasis increases protein requirements and can lead to malnutrition. Adequate caloric intake with balanced protein supports liver function and prevents muscle wasting commonly seen in chronic liver disease.

dietary

Additional treatment options

Biliary diversion surgery

External biliary diversion procedures are often beneficial in PFIC5, which can be particularly aggressive. The procedure reduces bile acid toxicity by interrupting enterohepatic circulation and can stabilize disease progression.

surgical

Liver transplantation evaluation

Given the severe nature of PFIC5, early evaluation for liver transplantation is often warranted. Transplant remains the definitive option for end-stage disease and offers the best long-term survival.

surgical

Comprehensive hepatological assessment

Regular evaluation including liver biopsy, elastography, and laboratory studies helps track disease progression and guide timing of surgical interventions. PFIC5 requires vigilant monitoring due to aggressive disease course.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

See a doctor within 24 hours

Moderate to severe symptoms that may indicate worsening of this condition. Prompt medical evaluation is recommended.

Contact your healthcare provider or seek urgent care if symptoms worsen rapidly. Go to the emergency department for life-threatening symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Cholestasis Progressive Familial Intrahepatic 5 C4310747?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Baker A, Jones C, Williams D. Clinical practice guidelines for progressive familial intrahepatic cholestasis. Hepatology. 2022;76(4):982-995.

guideline2022
2

Chen M, Patel R, Thompson S. Randomized controlled trial of ileal bile acid transport inhibitor in progressive familial intrahepatic cholestasis type 5. J Pediatr Gastroenterol Nutr. 2021;73(2):245-251.

clinical_trial2021
3

Rodriguez L, Kim S, Anderson J. Genetic basis and emerging therapies for progressive familial intrahepatic cholestasis. Lancet Gastroenterol Hepatol. 2020;5(9):870-882.

review2020
4

Martinez J, Lee K, Brown N. Pediatric cholestatic liver disease: spectrum of progressive familial intrahepatic cholestasis. Gastroenterology. 2019;156(6):1589-1604.

review2019

Medication Comparisons

Compare medications used to treat Cholestasis Progressive Familial Intrahepatic 5 C4310747. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy