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Yellow skin without jaundice

Anders Batman Mjelle, Hallvard Martin Reigstad

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |September 9, 2020
    PubMed

    Insights

    Prompt assessment of infant jaundice is crucial. Yellow skin or sclerae in infants beyond two weeks necessitates immediate medical evaluation to rule out serious conditions like biliary atresia, even without discolored stools.

    Area of Science:

    • Neonatal Medicine
    • Pediatric Gastroenterology

    Background:

    • Infant jaundice, characterized by yellowing of the skin and sclerae, requires careful evaluation.
    • Conjugated hyperbilirubinemia is a critical indicator that necessitates ruling out serious underlying conditions.

    Purpose of the Study:

    • To emphasize the importance of examining both sclerae and skin in jaundiced infants.
    • To highlight the diagnostic significance of persistent jaundice beyond two weeks of age.

    Main Methods:

    • Clinical examination of infants presenting with yellow coloration.
    • Assessment of jaundice duration and presence of associated symptoms like discolored stools.

    Main Results:

    • Yellow sclerae may precede yellow skin in infants with conditions like biliary atresia.
    • Discolored stools, while classic, are not consistently present in biliary atresia.

    Conclusions:

    • Infants over two weeks old with yellow skin require immediate assessment for conjugated hyperbilirubinemia.
    • Prompt medical evaluation is essential for infants with persistent jaundice, irrespective of stool color, to diagnose conditions such as biliary atresia.

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