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Start free with EleplanRenal-hepatic-pancreatic dysplasia
ORPHA:294415Malformation syndrome
Also called Ivemark II syndrome · Renohepaticopancreatic dysplasia
What it is
Renal-hepatic-pancreatic dysplasia is a rare, genetic, developmental defect during embryogenesis syndrome characterized by the triad of pancreatic fibrosis (and cysts, with a reduction of parenchymal tissue), renal dysplasia (with peripheral cortical cysts, primitive collecting ducts, glomerular cysts and metaplastic cartilage) and hepatic dysgenesis (enlarged portal areas containing numerous elongated binary profiles with a tendancy to perilobular fibrosis). Situs abnormalities, skeletal anomalies and anencephaly have also been associated. Patients that survive the neonatal period present renal insufficiency, chronic jaundice and insulin-dependent diabetes.
Key facts
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Malformation syndrome
Signs and symptoms
Common30–79%
15- Abnormal liver parenchyma morphology
- Abnormal pancreatic duct morphology
- Elevated circulating alanine aminotransferase concentration
- Elevated circulating aspartate aminotransferase concentration
- Elevated gamma-glutamyltransferase level
- Enlarged kidney
- Hyperbilirubinemia
- Neonatal cholestatic liver disease
- Neonatal respiratory distress
- Oligohydramnios
- Pancreatic dysplasia
- Pancreatic fibrosis
- Renal cyst
- Renal insufficiency
- Type I diabetes mellitus
Sometimes5–29%
17- Abnormal form of the vertebral bodies
- Aortic valve stenosis
- Asplenia
- Cirrhosis
- Elevated pulmonary artery pressure
- Hepatic cysts
- Hepatic fibrosis
- Hyperamylasemia
and 9 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
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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