Alagille syndrome

Alagille syndrome (ALGS) is a rare genetic condition. It mainly affects the liver, but can also affect other parts of the body, including the heart, kidneys, eyes, face, skeleton and blood vessels. 

 

The information on this page is for:

  • Parents of children with Alagille syndrome or suspected Alagille syndrome.
  • Young people with Alagille syndrome.
  • Adults with Alagille syndrome.
  • Family, friends, carers, and healthcare professionals.

How to say it: A-luh-JEEL / SIN-drome                

Quick Summary

  • Alagille syndrome is a rare genetic condition. It mainly affects the liver, but can also affect other parts of the body, including the heart, kidneys, eyes, face, skeleton and blood vessels.
  • Alagille syndrome happens in around 1 in 30,000 to 1 in 50,000 births.
  • Some children have a mild form of the condition. Other children have a more severe form and may be very unwell early in life.
  • A diagnosis can be difficult in young babies because the condition looks similar to other types of liver disease. Tests may include blood tests, scans and biopsies.
  • Liver symptoms may include itching, yellow bumps on the skin (xanthomas), jaundice, pale poo, dark wee and faltering growth.
  • There is no cure for Alagille syndrome, but dietary support, medicines and other treatments can help manage liver symptoms and complications.
  • A liver transplant is an operation to replace a damaged liver with a healthy one from a donor. This will only be considered if your child has cirrhosis, liver failure or severe symptoms that cannot be controlled.
  • A small number of people are diagnosed with Alagille syndrome as adults. Adults are diagnosed and treated in a similar way to children.

Find out more about Alagille syndrome using the links below.

Find out more

Useful words

Bile – a green/yellow liquid that helps digest fat.

Gene’s – the body’s instructions.

Jaundice – a condition where the skin or eyes turn yellow.

Pruritus – a medical word for itching

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This content was last reviewed: July 2026.

Our expert reviewers:

We would like to thank everyone who helped with creating and reviewing this page. Including Professor Alistair Baker, Consultant Paediatric Hepatologist, King’s College and Lindsay Hogg, Principal Specialist Nurse, Birmingham Women’s and Children’s Hospital.

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Everyone’s experience of liver disease will be different. Always talk to your specialist medical team for personal advice.

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