Cholestasis facies
| Cholestasis facies | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Jaundice, pruritus, dark urine, pale stools, fatigue |
| Complications | Liver cirrhosis, liver failure, osteoporosis |
| Onset | Varies depending on underlying cause |
| Duration | Can be acute or chronic |
| Types | N/A |
| Causes | Bile duct obstruction, liver disease, genetic disorders |
| Risks | Gallstones, alcohol abuse, hepatitis, primary biliary cholangitis |
| Diagnosis | Blood tests, imaging studies, liver biopsy |
| Differential diagnosis | Hepatitis, Gilbert's syndrome, Dubin-Johnson syndrome |
| Prevention | N/A |
| Treatment | Ursodeoxycholic acid, cholestyramine, liver transplant |
| Medication | N/A |
| Prognosis | Depends on underlying cause and treatment |
| Frequency | Varies globally, more common in certain populations |
| Deaths | N/A |
Cholestasis facies is a medical condition characterized by a distinctive facial appearance due to prolonged cholestasis, a condition where the flow of bile from the liver is slowed or blocked. This condition is often associated with various liver diseases and genetic disorders.
Symptoms
The primary symptom of cholestasis facies is a distinctive facial appearance, which can include:
- Jaundice (yellowing of the skin and eyes)
- Pruritus (itching)
- Dark urine
- Pale stools
- Fatigue
- Loss of appetite
Causes
Cholestasis facies can be caused by a variety of conditions that affect the liver's ability to produce or release bile. These can include:
- Liver cirrhosis
- Hepatitis
- Gallstones
- Biliary atresia
- Primary biliary cirrhosis
- Primary sclerosing cholangitis
- Certain genetic disorders, such as Alagille syndrome
Diagnosis
Diagnosis of cholestasis facies is typically based on the distinctive facial appearance, along with other symptoms of cholestasis. Additional tests may be performed to determine the underlying cause, such as:
- Blood tests
- Liver function tests
- Imaging tests, such as an ultrasound or MRI
- Liver biopsy
Treatment
Treatment for cholestasis facies focuses on addressing the underlying cause of the cholestasis. This can include:
- Medications to improve bile flow
- Medications to relieve symptoms, such as itching
- Surgery to remove gallstones or treat biliary atresia
- Liver transplant in severe cases
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Contributors: Prab R. Tumpati, MD