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A very rare genetic disorder characterized clinically by elevated serum bile acid concentrations, itching, and fat malabsorption reported in patients of Old Order Amish descent.
Features include: Fat malabsorption, Decreased circulating vitamin K concentration, Failure to thrive, and Steatorrhea and 3 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 1 | Fat malabsorption |
Growth and development |
TJP2 function has not been fully characterized.
Hypercholanemia, familial 1 is associated with mutations in the TJP2 gene on chromosome 9.
Genetic testing for TJP2 is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hypercholanemia, familial 1.
2 publications have been identified in PubMed for hypercholanemia, familial 1. Research spans Case Report / Case Series (50%) and Basic Science / Preclinical (50%).
Xu Y (2025). [PMID: 38986003](https://pubmed.ncbi.nlm.nih.gov/38986003/). *Hepatology*. [Basic Science / Preclinical]
Pandey D (2024). [PMID: 39697951](https://pubmed.ncbi.nlm.nih.gov/39697951/). *Cureus*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 1:25 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
1
Failure to thrive |
Bones and joints | 1 | Rickets |
Skin | 1 | Pruritus |
Lab test results | 1 | Increased serum bile acid concentration |