

Farajai disease is a rare autoimmune liver condition that primarily affects liver function and causes chronic inflammation, which can lead to liver fibrosis and liver failure. Despite the rarity of this disease, early diagnosis and continuous medical follow-up can make a significant difference in patients’ lives. In this article we will explore the causes of Farajai disease, its main symptoms, diagnostic methods, and effective treatment options to ensure better health and improved quality of life.
1. What is Farajai disease?
Farajai disease is a chronic autoimmune condition that causes long-term inflammation in the liver, leading to tissue damage that can progress to liver fibrosis and liver failure.
2. What are the causes of Farajai disease?
The disease occurs due to an immune system malfunction that causes the body to attack liver tissues. Genetic and environmental factors may also play a role in triggering the disease.
3. What are the symptoms of Farajai disease?
Symptoms include persistent fatigue, jaundice (yellowing of the skin and eyes), skin itching, abdominal pain, and leg swelling.
4. How is Farajai disease diagnosed?
Diagnosis is based on clinical examination, blood tests to assess liver function, medical imaging such as ultrasound or MRI, and sometimes a liver biopsy to evaluate the extent of damage.
5. Can Farajai disease be treated?
There is currently no definitive cure, but inflammation can be controlled and disease progression delayed with appropriate medications.
6. Is Farajai disease contagious?
No, Farajai disease is not contagious—it is a chronic autoimmune condition.
7. Does the patient need a liver transplant?
In advanced cases where liver function fails, a liver transplant may be the most suitable solution.
8. Can Farajai disease be prevented?
It cannot be completely prevented due to its autoimmune nature, but early diagnosis and treatment help reduce complications.
9. Does Farajai disease affect daily life?
It can, but with treatment and regular medical follow-up, most patients can lead a relatively normal life.
10. Is Farajai disease hereditary?
Genetics may increase the risk, but it is not directly inherited in all cases.
Is Farajai disease serious?
Yes, if left untreated it can lead to serious complications such as liver fibrosis and liver failure.
Can children get Farajai disease?
Yes, particularly in type 2 of the disease, which may occur in children and adolescents.
How does Farajai disease affect liver function?
It causes gradual inflammation and damage to liver tissue, reducing the organ’s ability to perform its vital functions.
Does Farajai disease affect pregnancy?
Yes, it may affect pregnancy, so medical consultation and close monitoring throughout pregnancy are essential for the safety of both mother and baby.
Can a Farajai patient donate blood?
Generally, it is not recommended, especially if the disease is active or the patient is on immunosuppressive medications, to protect both the patient and the recipient.
Can Farajai disease lead to liver cancer?
Yes, chronic liver fibrosis caused by Farajai disease increases the risk of liver cancer, making regular medical follow-up important for early detection.
Does the patient need a liver transplant immediately after diagnosis?
No, liver transplantation is only considered in advanced cases that do not respond to medical treatment and develop severe complications.
Farajai disease is a rare liver condition that causes inflammation and damage to liver tissue. The exact cause is still unknown, but several factors are believed to contribute:
Autoimmune causes:
An immune system malfunction leads the body to mistakenly attack liver cells, causing chronic inflammation, liver fibrosis, and eventually liver failure.
Genetic factors:
Genetics may increase susceptibility, especially in people with a family history of autoimmune or liver diseases.
Environmental factors:
Viral infections or exposure to certain chemicals may trigger the disease in susceptible individuals.
Other factors:
It may be associated with other autoimmune diseases such as primary sclerosing cholangitis or autoimmune hepatitis.
Symptoms of Farghai Disease
Symptoms of Farghai disease may appear gradually or suddenly and include:
General symptoms:
Unexplained fatigue and exhaustion
Loss of weight and appetite
Low-grade fever in some cases
Liver-related symptoms:
Pain or discomfort in the upper right abdomen
Yellowing of the skin and eyes (jaundice)
Abdominal swelling due to fluid buildup (ascites)
Swelling in the legs and ankles
Other symptoms:
Skin itching
Dark-colored urine
Easy bleeding or bruising due to impaired blood clotting
Dizziness or nausea in advanced cases
Type 1 (Classic Farghai):
Most common type
Caused by an autoimmune response against bile ducts inside the liver
Associated with gradual liver damage and symptoms such as jaundice, skin itching, and general fatigue
Type 2:
Less common
Autoimmune response targeted directly at liver cells
More common in children and young adults
Presents with active hepatitis symptoms that may lead to liver fibrosis
Type 3 (Mixed or Secondary):
Develops as a result of other autoimmune diseases such as Primary Sclerosing Cholangitis (PSC)
Involves combined damage to both liver tissue and bile ducts
1. Early Stage (Active Inflammation):
Inflammation starts in the liver and bile ducts
Symptoms may be mild or unclear, such as fatigue and mild abdominal pain
Damage is limited and manageable with treatment
2. Intermediate Stage (Mild to Moderate Fibrosis):
Progression to mild or moderate liver fibrosis
Noticeable symptoms such as jaundice, skin itching, and leg swelling
Early complications like portal hypertension may appear
3. Advanced Stage (Severe Fibrosis and Liver Failure):
Extensive liver tissue damage with significant loss of function
Serious complications such as ascites, esophageal varices bleeding, and complete liver failure
Liver transplantation may be required
Diagnosis requires accurate medical testing because symptoms can mimic other liver diseases. Steps include:
1. Clinical Examination & Medical History:
Assess symptoms such as fatigue, jaundice, itching, and abdominal pain
Review family history and autoimmune or liver diseases
2. Laboratory Tests:
Blood tests for liver function (e.g., ALT, AST enzymes)
Tests for inflammation markers and autoimmune antibodies
3. Imaging Studies:
Ultrasound: To assess liver structure and detect fibrosis or changes
MRI or CT scans: Detailed evaluation of the liver and bile ducts
4. Liver Biopsy:
Small tissue sample examined under a microscope
Confirms diagnosis and determines the extent of inflammation and fibrosis
5. Additional Tests:
Conducted when necessary to assess related organs or complications
Farghai disease is a chronic autoimmune condition requiring treatment to reduce inflammation and protect the liver from ongoing damage.
Main medications include:
Corticosteroids:
Example: Prednisone – reduces inflammation and suppresses immune activity
Often used at the start of treatment for quick inflammation control
Immunosuppressants:
Examples: Azathioprine, Mycophenolate mofetil
Help reduce immune reaction and minimize steroid use
Used after lowering steroid doses or in combination, depending on the case
Anti-itch medications:
Used to relieve skin itching
Supportive treatments:
Medications to improve liver function or manage complications like ascites and portal hypertension
Important notes:
Treatment must be supervised by a specialized physician
Regular follow-ups are essential to adjust medication doses
Compliance with treatment is crucial to prevent disease progression
Surgery may be necessary in advanced cases to preserve life or improve quality of life, especially when serious complications develop.
Indications for surgery:
Acute or chronic liver failure:
When liver function declines severely, a liver transplant may be the best option
Severe complications of liver cirrhosis:
Such as esophageal varices bleeding unresponsive to medication, or persistent ascites requiring intervention
Bile duct problems:
Severe obstructions or damage may require surgical repair
Liver transplantation in Farghai disease:
Final solution for advanced cases
Damaged liver is replaced with a healthy donor liver
Lifelong immunosuppressive medication is needed to prevent organ rejection
Notes:
Surgery requires thorough evaluation by a specialized medical team
Considered only when medical treatment fails or in severe complications
Exercise supports general health and fitness, but patients should proceed with caution to avoid liver strain or complications.
General advice:
Consult your doctor before starting any exercise program
Avoid intense or highly strenuous activities
Focus on light-to-moderate intensity exercises
Stop immediately if you feel pain, dizziness, or extreme fatigue
Recommended exercises:
Walking: Improves cardiovascular and respiratory fitness (20–30 min daily)
Deep breathing exercises: Enhance lung efficiency and oxygenation
Stretching: Improves muscle and joint flexibility without strain
Water exercises/swimming: Strengthen muscles without stressing joints or abdomen
Exercises to avoid:
High-impact or violent sports
Heavy weightlifting
Exercises that cause significant abdominal or chest pressure
Farghai disease is a chronic autoimmune liver disorder; herbal remedies alone cannot cure it. However, certain herbs may support general health and reduce inflammation.
Potential beneficial herbs:
Turmeric: Natural anti-inflammatory properties
Green tea: Rich in antioxidants that may improve liver function
Thyme: Supports immune system function
Garlic: May help lower blood pressure and improve heart health
Important notes:
Do not rely on herbs as a substitute for medical treatment
Always consult your doctor before taking herbs or supplements
Medical treatment and continuous follow-up are essential for disease control