
Invisible Itch: How PFIC in Adults Can Mask a Liver Problem
Progressive familial intrahepatic cholestasis (PFIC) can cause severe internal itching in adults, often without visible skin signs and with normal liver imaging, leading to delays or misdiagnosis as a skin condition. PFIC is a spectrum, not just a childhood disease, and diagnosis relies on symptoms plus genetic testing rather than scans. Awareness is growing and treatments like BYLVAY (odevixibat) can relieve itch for many patients, though effectiveness varies by PFIC type and there are potential side effects; patients are advised to consult an adult hepatologist and connect with PFIC support networks for diagnosis and management.













