Question
The baby is 45 days old, with a jaundice level of 7.8 on the forehead and 4.8 on the body. The health station refused to administer vaccinations due to the high jaundice levels. Why does the jaundice on the forehead appear higher while other areas are normal? Will a baby with severe jaundice lose appetite?
Answer
The baby is 45 days old and the jaundice has not receded, so it should be diagnosed as pathological jaundice. Considering the possibility of breast milk jaundice is high. Jaundice of the skin and mucous membranes usually spreads from the sclera, face, gradually to the trunk, legs, and hands, and to the palms of the hands and feet, following an order from top to bottom. However, the order of jaundice regression is from bottom to top, starting from the palms of the hands and feet, the legs and hands, and then the trunk.