The Indian Journal of Pediatrics

, Volume 84, Issue 5, pp 415–416 | Cite as

Objective Assessment of Stool Color in Neonates with Prolonged Jaundice

  • Siba Prosad PaulEmail author
  • Joanna Barnden
  • Helen Louise Adams
Scientific Letter

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 [1]. The neonate should preferably be examined under natural daylight [1]. 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 [2]. BA constitutes the single most important pathology in neonates presenting with prolonged conjugated jaundice and the diagnosis remains time...


Biliary Atresia Choledochal Cyst Galactosemia National Health Insurance Research Database Neonatal Hepatitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  • Siba Prosad Paul
    • 1
    Email author
  • Joanna Barnden
    • 2
  • Helen Louise Adams
    • 2
  1. 1.Department of PediatricsTorbay HospitalTorquayUK
  2. 2.University of BristolBristolUK

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