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ORPHA:52Malformation syndrome
Also called Alagille-Watson syndrome · Arteriohepatic dysplasia · Syndromic bile duct paucity
What it is
A rare developmental disease characterized by the variable association of chronic cholestasis due to paucity of intrahepatic bile ducts, congenital heart disease including pulmonary artery stenosis, butterfly-shaped vertebrae, posterior embryotoxon, characteristic facies, frequent growth retardation, glomerular/tubular kidney disease, and diffuse vascular arterial anomalies.
Key facts
- Prevalence
- 1-9 / 100 000 (Australia)
- Age of onset
- All ages
- Inheritance
- Autosomal dominant
- Classified as
- Malformation syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
6Common30–79%
12Sometimes5–29%
25- Abnormality of the ureter
- Abnormal pupil morphology
- Abnormal rib morphology
- Atrial septal defect
- Brachycephaly
- Clinodactyly of the 5th finger
- Cryptorchidism
- Deeply set eye
and 17 more in this range
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Genes reported in subtypes
Orphanet records these genes on 3 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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