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Diagnosing Jaundice by Eye—Outpatient Assessment of Conjunctival Icterus in the Newborn

2016; Elsevier BV; Volume: 172; Linguagem: Inglês

10.1016/j.jpeds.2016.01.032

1097-6833

M. Jeffrey Maisels, Mary P. Coffey, Brian Gendelman, Mary Smyth, Ada Kendall, Sarah Clune, Kimberlee Coleman, Sharon McManus,

Methemoglobinemia and Tumor Lysis Syndrome

In pediatric office practices, we compared transcutaneous bilirubin levels in 689 newborns, age 3-10 days, with and without conjunctival icterus. In this age range, and in the absence of other clinical or laboratory indications, the presence of conjunctival icterus does not imply the need to measure the transcutaneous bilirubin or serum bilirubin level, but the absence of conjunctival icterus helps to rule out significant hyperbilirubinemia. In pediatric office practices, we compared transcutaneous bilirubin levels in 689 newborns, age 3-10 days, with and without conjunctival icterus. In this age range, and in the absence of other clinical or laboratory indications, the presence of conjunctival icterus does not imply the need to measure the transcutaneous bilirubin or serum bilirubin level, but the absence of conjunctival icterus helps to rule out significant hyperbilirubinemia.