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May 1936

CERTAIN TYPES OF ICTERUS GRAVIS

Author Affiliations

MONTREAL, CANADA
From the Department of Pediatrics and Pathology, McGill University, and the Royal Victoria Maternity Hospital.

Am J Dis Child. 1936;51(5):1059-1082. doi:10.1001/archpedi.1936.01970170055005

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Abstract

Icterus gravis of the new-born is a term which has in the past been used rather indiscriminately to describe any severe form of jaundice of unknown or doubtful origin occurring in a new-born infant. If one excepts from this classification the types of jaundice due to sepsis, congenital syphilis or congenital malformation of the bile ducts, one is left with a group of cases in which a complete understanding of the underlying process is often lacking. For several years we have been making a study of patients with such a condition, and the results of the work are the subject of this communication.

The consensus is that physiologic icterus neonatorum is a retention jaundice due primarily to hemolysis, which takes place in all new-born infants. It is a moot point whether jaundice results in all cases of excessive hemolysis or only in those cases in which there is a temporary

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