ABSTRACT. Objective. To extend the information base on the hepatobiliary manifestations of neonatal lupus erythematosus (NLE) with regard to frequency of occurrence, clinical characteristics, and outcome.Methods. Review of records from the Research Registry for Neonatal Lupus.Results. Nineteen (9%) of 219 patients who had NLE and were enrolled in a national registry had probable or possible NLE hepatobiliary disease. In 16 cases, hepatobiliary disease occurred in addition to cardiac or cutaneous NLE. ABBREVIATIONS, NLE, neonatal lupus erythematosus; CHB, congenital heart block.