Bronze baby: A rare presentation of biliary atresia

Bronze baby syndrome an infrequent complication of phototherapy: a case report

“…5 The prognosis of bronze baby syndrome depends on the causative liver diseases like bile duct atresia, galactosemia and parenteral nutrition with cholestasis for which investigations should be performed routinely. 6 The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient's parents have given their consent for their baby's images and other clinical information to be reported in the journal.…”

“…2 It should be differentiated from gray baby syndrome exclusively seen in neonates and very young infants receiving high doses of chloramphenicol with clinical features of cyanosis, acidosis, cold peripheries and marked hypotonia. 6 No treatment is usually required for bronze baby syndrome as the pigmentation slowly disappears after stopping phototherapy. 5 The prognosis of bronze baby syndrome depends on the causative liver diseases like bile duct atresia, galactosemia and parenteral nutrition with cholestasis for which investigations should be performed routinely.…”

Babies in dermatology

“…Various causes have been attributed to this condition including abnormal accumulation of photoisomers of bilirubin, copper-porphyrin complex formation as a result of hepatic dysfunction which is photo destroyed leading to brown pigmentation or reduced hepatic excretion of bilirubin photoproducts. 2 A case of bronze baby is always to be evaluated for hepatic dysfunction. No specific treatment is required for the bronze baby syndrome as the pigmentation gradually fades following stoppage of phototherapy but, the prognosis solely depends on the causative liver disease.…”