Case history
Case history
A 6-week-old African-American girl is seen at routine follow-up by the pediatrician. No specific concerns are raised by the mother. The baby was full term and average weight and length for gestational age. She is taking breast milk without problems. On physical exam, there is faint scleral icterus and urine has stained the diaper yellow.
Other presentations
Accurate and rapid diagnosis may be problematic, as symptoms and signs may be difficult to spot. Presentation may include prolonged neonatal jaundice, pale stools, and hepatomegaly. Jaundice may be difficult to detect in dark-skinned infants. Mild scleral icterus may be the only noticeable feature. There are few clues in the history unless the mother comments on the pale color of the child's stool or notices jaundice.
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