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LETTER TO EDITOR |
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Year : 2010 | Volume
: 15
| Issue : 2 | Page : 76 |
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Neonatal adrenal hemorrhage and neonatal jaundice
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok - 10160, Thailand
Date of Web Publication | 24-Sep-2010 |
Correspondence Address: Viroj Wiwanitkit Wiwanitkit House, Bangkhae, Bangkok - 10160 Thailand
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.70650
How to cite this article: Wiwanitkit V. Neonatal adrenal hemorrhage and neonatal jaundice. J Indian Assoc Pediatr Surg 2010;15:76 |
Sir,
I read the recent publication on neonatal adrenal hemorrhage by Qureshi et al. with great interest. [1] The authors demonstrated that neonatal adrenal hemorrhage could present with late-onset neonatal jaundice.Indeed, neonatal adrenal hemorrhage is a rare neonatal disorder, which might cause early neonatal jaundice and neonatal anemia (due to extravascular blood loss). The observation on the late-onset neonatal jaundice in this case is an interesting point to be discussed. [2] Qureshi et al. concluded that this observation was due to neonatal adrenal hemorrhage. [2] There might be other possible coexisting causes of late-onset neonatal jaundice (such as breast milk jaundice, sepsis, conjugation defect, thyroid and metabolic disorder, etc.) in this case that is not completely investigated. [3]
References | |  |
1. | Qureshi UA, Ahmad N, Rasool A, Choh S. Neonatal adrenal hemorrhage presenting as late onset neonatal jaundice. J Indian Assoc Pediatr Surg 2009;14:221-3. [PUBMED] |
2. | Velaphi SC, Perlman JM. Neonatal adrenal hemorrhage: Clinical and abdominal sonographic findings. Clin Pediatr (Phila) 2001;40:545-8. |
3. | Kirk JM. Neonatal jaundice: A critical review of the role and practice of bilirubin analysis. Ann Clin Biochem 2008;45:452-62. |
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