Bronze baby syndrome, an unpredictable complication of phototherapy: A case report
The bronze baby syndrome is an infrequent dyschromia resulting from phototherapy in newborn babies with neonatal jaundice. Even though the common phenotype has been described in patients with direct neonatal hyperbilirubinemia secondary to cholestasis, several cases of patients with indirect neonata...
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ftdoajarticles:oai:doaj.org/article:c3b678db395244ad9af12b417b0c523b 2023-05-15T15:09:30+02:00 Bronze baby syndrome, an unpredictable complication of phototherapy: A case report Juan Sebastián Peinado-Acevedo Estephanía Chacón-Valenzuela Laura Liliana Rodríguez-Moncada 2018-05-01T00:00:00Z https://doi.org/10.7705/biomedica.v38i0.3593 https://doaj.org/article/c3b678db395244ad9af12b417b0c523b EN ES eng spa Instituto Nacional de Salud https://www.revistabiomedica.org/index.php/biomedica/article/view/3593 https://doaj.org/toc/0120-4157 0120-4157 doi:10.7705/biomedica.v38i0.3593 https://doaj.org/article/c3b678db395244ad9af12b417b0c523b Biomédica: revista del Instituto Nacional de Salud, Vol 38, Iss 0, Pp 15-18 (2018) Jaundice suntan hyperbilirubinemia neonatal phototherapy infant newborn kernicterus Medicine R Arctic medicine. Tropical medicine RC955-962 article 2018 ftdoajarticles https://doi.org/10.7705/biomedica.v38i0.3593 2022-12-30T23:59:16Z The bronze baby syndrome is an infrequent dyschromia resulting from phototherapy in newborn babies with neonatal jaundice. Even though the common phenotype has been described in patients with direct neonatal hyperbilirubinemia secondary to cholestasis, several cases of patients with indirect neonatal hyperbilirubinemia who have managed to reverse it have been reported, as well as patients with isolated hyperbilirubinemia. Currently, the physiopathology of this condition is still a subject of controversy and, therefore, there is a lack of clear conducts for its correct diagnosis and treatment. Generally, this syndrome has been considered as a mild condition that is resolved with the suspension of phototherapy. Its duration is usually not greater than the neonatal period, and it has no long-term sequelae. However, its occurrence is considered an absolute contraindication for the continuation of phototherapy. In case of persistence, the recommendation is to decrease bilirrubin levels and proceed with exchange transfusion; this procedure, however, represents risks for the newborn, so our recommendation is to suspend phototherapy and reinitiate it if the direct bilirrubin value decreases, and cholestasis compromise has been discarded. Serial evaluations of acute encephalopathy caused by bilirrubin are absolutely recommended. The objective of this paper was to describe the case of a newborn with ABO incompatibility who developed the bronze baby syndrome. This patient responded satisfactorily to the suspension and resumption of phototherapy without exchange transfusion. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Biomédica 38 15 18 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish |
topic |
Jaundice suntan hyperbilirubinemia neonatal phototherapy infant newborn kernicterus Medicine R Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Jaundice suntan hyperbilirubinemia neonatal phototherapy infant newborn kernicterus Medicine R Arctic medicine. Tropical medicine RC955-962 Juan Sebastián Peinado-Acevedo Estephanía Chacón-Valenzuela Laura Liliana Rodríguez-Moncada Bronze baby syndrome, an unpredictable complication of phototherapy: A case report |
topic_facet |
Jaundice suntan hyperbilirubinemia neonatal phototherapy infant newborn kernicterus Medicine R Arctic medicine. Tropical medicine RC955-962 |
description |
The bronze baby syndrome is an infrequent dyschromia resulting from phototherapy in newborn babies with neonatal jaundice. Even though the common phenotype has been described in patients with direct neonatal hyperbilirubinemia secondary to cholestasis, several cases of patients with indirect neonatal hyperbilirubinemia who have managed to reverse it have been reported, as well as patients with isolated hyperbilirubinemia. Currently, the physiopathology of this condition is still a subject of controversy and, therefore, there is a lack of clear conducts for its correct diagnosis and treatment. Generally, this syndrome has been considered as a mild condition that is resolved with the suspension of phototherapy. Its duration is usually not greater than the neonatal period, and it has no long-term sequelae. However, its occurrence is considered an absolute contraindication for the continuation of phototherapy. In case of persistence, the recommendation is to decrease bilirrubin levels and proceed with exchange transfusion; this procedure, however, represents risks for the newborn, so our recommendation is to suspend phototherapy and reinitiate it if the direct bilirrubin value decreases, and cholestasis compromise has been discarded. Serial evaluations of acute encephalopathy caused by bilirrubin are absolutely recommended. The objective of this paper was to describe the case of a newborn with ABO incompatibility who developed the bronze baby syndrome. This patient responded satisfactorily to the suspension and resumption of phototherapy without exchange transfusion. |
format |
Article in Journal/Newspaper |
author |
Juan Sebastián Peinado-Acevedo Estephanía Chacón-Valenzuela Laura Liliana Rodríguez-Moncada |
author_facet |
Juan Sebastián Peinado-Acevedo Estephanía Chacón-Valenzuela Laura Liliana Rodríguez-Moncada |
author_sort |
Juan Sebastián Peinado-Acevedo |
title |
Bronze baby syndrome, an unpredictable complication of phototherapy: A case report |
title_short |
Bronze baby syndrome, an unpredictable complication of phototherapy: A case report |
title_full |
Bronze baby syndrome, an unpredictable complication of phototherapy: A case report |
title_fullStr |
Bronze baby syndrome, an unpredictable complication of phototherapy: A case report |
title_full_unstemmed |
Bronze baby syndrome, an unpredictable complication of phototherapy: A case report |
title_sort |
bronze baby syndrome, an unpredictable complication of phototherapy: a case report |
publisher |
Instituto Nacional de Salud |
publishDate |
2018 |
url |
https://doi.org/10.7705/biomedica.v38i0.3593 https://doaj.org/article/c3b678db395244ad9af12b417b0c523b |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Biomédica: revista del Instituto Nacional de Salud, Vol 38, Iss 0, Pp 15-18 (2018) |
op_relation |
https://www.revistabiomedica.org/index.php/biomedica/article/view/3593 https://doaj.org/toc/0120-4157 0120-4157 doi:10.7705/biomedica.v38i0.3593 https://doaj.org/article/c3b678db395244ad9af12b417b0c523b |
op_doi |
https://doi.org/10.7705/biomedica.v38i0.3593 |
container_title |
Biomédica |
container_volume |
38 |
container_start_page |
15 |
op_container_end_page |
18 |
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1766340687292268544 |