Objective Assessment of Stool Color in Neonates with Prolonged Jaundice
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To the Editor: Prolonged neonatal jaundice is diagnosed when a term infant remains clinically jaundiced at 14 d of postnatal life or after 21 d in premature neonates. It is a common presentation in pediatric clinical practice as up to 30–40% of breastfed babies remain jaundiced (predominantly unconjugated) for the first 3 to 4 wk of life . The neonate should preferably be examined under natural daylight . Examination under artificial light may mask the clinical finding in early stages or in those with mild/minimal jaundice, therefore introducing potential for a delayed diagnosis and a poor outcome.
It is important to identify and investigate these infants rationally, whilst ensuring that serious pathologies such as biliary atresia (BA), galactosemia, neonatal hepatitis, choledochal cyst, urinary tract infections, etc. are not missed . BA constitutes the single most important pathology in neonates presenting with prolonged conjugated jaundice and the diagnosis remains time...
KeywordsBiliary Atresia Choledochal Cyst Galactosemia National Health Insurance Research Database Neonatal Hepatitis
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