Jaundice - yellow skin
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Definition
Jaundice is a yellow color in the skin, mucus membranes, or eyes. The yellow pigment is from bilirubin, a byproduct of old red blood cells. Jaundice is also a symptom of other disorders.
This article is about jaundice in children and adults.
See also: Newborn jaundice for information about babies
Alternative Names
Yellow skin and eyes; Skin - yellow; Icterus; Eyes - yellow; Jaundice
Considerations
If you’ve ever had a bruise, you may have noticed that the skin went through a series of color changes as it healed. When you saw yellow in the bruise, you were seeing bilirubin.
Normally, about 1% of our red blood cells retire every day, to be replaced by fresh red blood cells. The old ones are handled by the liver. Bilirubin is left after blood cells are disposed of. It leaves the body in the stool.
When too much bilirubin (yellow pigment) builds up in the body, jaundice may result.
Jaundice can be caused by:
- Too many red blood cells retiring for the liver to handle
- The liver being overloaded or damaged
- The bilirubin from the liver is unable to move through the biliary tract to the gut
The skin may turn a yellow-to-orange color if you ingest too much beta carotene, the orange pigment in carrots. In this condition, the whites of the eyes remain white. People with true jaundice often have a yellowish tinge to the eyes. This condition is called hypercarotenemia, or just carotenemia.
Common Causes
Causes seen only in children include:
Causes in adults include:
See also: Newborn jaundice for information about babies
References
Berk PD, Korenblat KM. Approach to the patient with jaundice or abnormal liver test results. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 150.
Boamah L, Balistreri WF. Manifestations of liver disease. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 352.
Moyer V, Freese DK, Whitington PF, Olson AD, Brewer F, Colletti RB, Heyman MB. Guideline for the evaluation of cholestatic jaundice in infants: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2004;39(2):115-128.
Piazza AJ, Stoll BJ. Digestive system disorders. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 102
This article uses information by permission from Alan Greene, M.D., © Greene Ink, Inc.
Review Date: 1/29/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Yellow skin and eyes; Skin - yellow; Icterus; Eyes - yellow; Jaundice
Home Care
The cause of jaundice must be determined before treatment can be given. Follow prescribed therapy to treat the underlying cause.
Call your health care provider if
All jaundice in a child or adult should be medically evaluated. Always call your doctor if jaundice is present.
What to expect at your health care provider's office
The health care provider will perform a physical examination. To help diagnose the cause of yellow skin, your health care provider will ask medical history questions, such as:
The following diagnostic tests may be performed:
References
Berk PD, Korenblat KM. Approach to the patient with jaundice or abnormal liver test results. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 150.
Boamah L, Balistreri WF. Manifestations of liver disease. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 352.
Moyer V, Freese DK, Whitington PF, Olson AD, Brewer F, Colletti RB, Heyman MB. Guideline for the evaluation of cholestatic jaundice in infants: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2004;39(2):115-128.
Piazza AJ, Stoll BJ. Digestive system disorders. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 102
This article uses information by permission from Alan Greene, M.D., © Greene Ink, Inc.
Review Date: 1/29/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Review Date: 1/29/2010
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.