Hypercarotenemia
Children often present with yellow-orange discoloration of skin (hand is shown
on the right, and the hand of his mother without hypercarotenemia is shown
on the left). Sclerae are not discolored. The serum bilirubin level is normal.
High-performance liquid chromatography showes a marked increase in serum beta
carotene levels. The mother was giving two glasses of carrot juice daily for
two months. Other causes of hypercarotenemia, such as hyperlipidemia, diabetes
mellitus, hypothyroidism, and porphyria. Stopping the high carotene containing
diet relieves the yellowish discolouration.