Genetic Liver Diseases | Liver Disease

Liver Disease

Genetic Liver Diseases

UC Davis Health offers expertise in rare genetic liver conditions from accurate diagnosis to comprehensive care tailored to your needs.

Medically reviewed by Christopher Bowlus, M.D. on Aug. 17, 2023.

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What Are Genetic Liver Diseases?

Genetic liver diseases include Wilson disease, hemochromatosis, and alpha-1 antitrypsin deficiency. Some conditions affect other organs, including the brain, lungs, skin, heart and bones.

Genetic liver conditions are often rare and require lifelong care. UC Davis Health liver experts (hepatologists) are here for you with expertise that can help you feel your best. You have access to the best available testing and treatments close to home.

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Symptoms of Genetic Liver Disease

Most genetic liver diseases do not cause symptoms until late in the disease. Symptoms can vary among the diseases. It’s possible to have genetic liver disease and not know it. These conditions sometimes do not cause symptoms until later in life.

Hereditary Liver Disease Symptoms

Symptoms of rare genetic liver diseases may affect multiple organ systems. When they impact your liver, there may be:

  • Abdominal pain 
  • Ascites, an unusual fluid buildup in your abdomen 
  • Jaundice, yellowing of your skin or eyes 
  • Leg swelling 
  • Persistent itchiness 
  • Vomiting 
  • Weakness (fatigue) 
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Causes of Rare Genetic Liver Disease

Genetic liver diseases are due to variants in genes, sometimes called mutations, that result in an impairment of liver function. In Wilson disease, this results in the accumulation of copper in the liver. With hemochromatosis, the liver is filled with iron. Alpha-1 antitrypsin deficiency leads to protein accumulation in the liver, which causes damage. For these conditions, you must inherit a mutation from both parents.

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Diagnosing Genetic Liver Conditions

The most important tool for diagnosing genetic liver diseases is genetic testing. Other diagnostic tests, including high-quality imaging studies like MRI, can assist in making the diagnosis.

Hereditary Liver Disease Treatments

Genetic liver conditions often have no cure, but treatment can help you feel your best and preserve liver function. We are attentive to you, making it easier to receive personalized care reflecting your changing needs.

We work alongside other UC Davis Health specialists to coordinate the therapies you need. In addition to liver therapies, you may benefit from the services of neurologists, cardiologists, physical medicine doctors, ophthalmologists and other specialists.

Diet Changes

You may need a diet with specific nutrients, like zinc or vitamin B6. It may also be necessary to avoid certain foods, like dried fruit and mushrooms, that contain copper.

Medication

We may prescribe medications to ease symptoms, such as itching. Prescription drugs that slow disease progression may also be an option.

Regular Blood Draws

Ongoing blood draws help relieve buildups of harmful substances like iron.

Liver Transplant

You may need a new liver if a rare genetic liver disease causes extensive damage. UC Davis Health is one of the few programs in the Sacramento region to offer liver transplants.

How common is Wilson disease?

1 in 30KPeople are affected

With hemochromatosis, how common is cirrhosis?

70%Of people experience permanent liver damage

Sources: NIH National Library of Medicine: StatPearls: Wilson Disease 

NIH National Library of Medicine: StatPearls: Hemochromatosis

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