Icterus Neonatorum in Near-Term and Term Infants : An overview

Neonatal jaundice is the yellowish discoloration of the skin and/or sclerae of newborn infants caused by tissue deposition of bilirubin. Physiological jaundice is mild, unconjugated (indirect-reacting) bilirubinaemia, and affects nearly all newborns.  Physiological jaundice levels typically peak at...

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Main Authors: Rehan Ali, Shakeel Ahmed, Maqbool Qadir, Khalil Ahmad
Format: Article
Language:English
Published: Sultan Qaboos University 2012-05-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1668
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author Rehan Ali
Shakeel Ahmed
Maqbool Qadir
Khalil Ahmad
author_facet Rehan Ali
Shakeel Ahmed
Maqbool Qadir
Khalil Ahmad
author_sort Rehan Ali
collection DOAJ
description Neonatal jaundice is the yellowish discoloration of the skin and/or sclerae of newborn infants caused by tissue deposition of bilirubin. Physiological jaundice is mild, unconjugated (indirect-reacting) bilirubinaemia, and affects nearly all newborns.  Physiological jaundice levels typically peak at 5 to 6 mg/dL (86 to 103 µmol/L) at 72 to 96 hours of age, and do not exceed 17 to 18 mg/dL (291–308 µmol/L). Levels may not peak until seven days of age in Asian infants, or in infants born at 35 to 37 weeks’ gestation. Higher levels of unconjugated hyperbilirubinaemia are considered pathological and occur in a variety of conditions. The clinical features and management of unconjugated hyperbilirubinaemia in healthy near-term and term infants, as well as bilirubin toxicity and the prevention of kernicterus, are reviewed here. The pathogenesis and aetiology of this disorder are discussed separately.
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spelling doaj.art-43d56f424e3a4244aaafb40bb46118942022-12-21T21:18:06ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282012-05-011221531601593Icterus Neonatorum in Near-Term and Term Infants : An overviewRehan Ali0Shakeel Ahmed1Maqbool Qadir2Khalil Ahmad3Department of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, PakistanDepartment of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, PakistanDepartment of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, PakistanDepartment of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, PakistanNeonatal jaundice is the yellowish discoloration of the skin and/or sclerae of newborn infants caused by tissue deposition of bilirubin. Physiological jaundice is mild, unconjugated (indirect-reacting) bilirubinaemia, and affects nearly all newborns.  Physiological jaundice levels typically peak at 5 to 6 mg/dL (86 to 103 µmol/L) at 72 to 96 hours of age, and do not exceed 17 to 18 mg/dL (291–308 µmol/L). Levels may not peak until seven days of age in Asian infants, or in infants born at 35 to 37 weeks’ gestation. Higher levels of unconjugated hyperbilirubinaemia are considered pathological and occur in a variety of conditions. The clinical features and management of unconjugated hyperbilirubinaemia in healthy near-term and term infants, as well as bilirubin toxicity and the prevention of kernicterus, are reviewed here. The pathogenesis and aetiology of this disorder are discussed separately.https://journals.squ.edu.om/index.php/squmj/article/view/1668newbornicterushyperbilirubinaemiajaundice.
spellingShingle Rehan Ali
Shakeel Ahmed
Maqbool Qadir
Khalil Ahmad
Icterus Neonatorum in Near-Term and Term Infants : An overview
Sultan Qaboos University Medical Journal
newborn
icterus
hyperbilirubinaemia
jaundice.
title Icterus Neonatorum in Near-Term and Term Infants : An overview
title_full Icterus Neonatorum in Near-Term and Term Infants : An overview
title_fullStr Icterus Neonatorum in Near-Term and Term Infants : An overview
title_full_unstemmed Icterus Neonatorum in Near-Term and Term Infants : An overview
title_short Icterus Neonatorum in Near-Term and Term Infants : An overview
title_sort icterus neonatorum in near term and term infants an overview
topic newborn
icterus
hyperbilirubinaemia
jaundice.
url https://journals.squ.edu.om/index.php/squmj/article/view/1668
work_keys_str_mv AT rehanali icterusneonatoruminneartermandterminfantsanoverview
AT shakeelahmed icterusneonatoruminneartermandterminfantsanoverview
AT maqboolqadir icterusneonatoruminneartermandterminfantsanoverview
AT khalilahmad icterusneonatoruminneartermandterminfantsanoverview