Carotenodermia Diagnosis and treatment

Carotenodermia
Diagnosis and treatment
Signs and symptoms Carotenemia is a common condition in children, especially due to the excessive consumption of carrots, but may be associated with the ingestion of many other yellow and red vegetables and fruits. Lipocrom determining carotene is a yellow skin. With its high levels in the blood is intense yellow coloration. Carotenemia may be evident when the stratum corneum is thick or when subcutaneous fat is well represented. The condition is not serious but can lead to a wrong diagnosis of jaundice.
History of excessive intake of carotene with hipercarotenemie diagnosis is usually present. Carotenemia can be verified by a high level of serum beta-carotene, vitamin A levels and normal liver function tests normal. Accumulation of beta-carotene in the skin is delayed until two weeks from the serum. Due to the nature lipoidice carotenes sufficient quantities may remain in tissues for several months forcing the yellow color even after serum carotene levels returned to normal. Metabolic Carotenemia no history of excessive intake of carotenoids may be due to a genetic defect in the metabolism of carotenes. Amenorea carotenemia may be associated with. It occurs in patients who consume a predominantly vegetable diet without red meat. Changes in food can reduce the level of carotenoids, which in turn normalizes the menstrual cycle.
An association between carotenemie and biliary dyskinesia has been suggested. In patients with metabolic carotenemie identified a cause-effect relationship between gallbladder contraction and the level of serum carotene, vitamin A and lipids. Carotenemia may be due to ingestion of red palm oil. Due to the nature lipoidice carotenes remain in the skin enough to cause discoloration to 5 months, even if serum carotenes nvelul returns to normal.
Physical Exam: Yellow discoloration of the skin, especially palms and soles is characteristic without affecting the sclera. Yellowing of the skin-xantodermia may be caused by multiple conditions. Highlight the presence or absence of yellow coloration of the whites is important in determining the diagnosis. Yellow whites are found in patients with all etiologies that involve high levels of serum bilirubin as conjunctival tissues are rich in elastin with special affinity for bilirubin. Enlarged spleen and liver are not volume.
Carotenodermia Diagnosis and treatment Diagnosis: The differential diagnosis is made with the following conditions: jaundice, riboflavinemia, lycopene after ingestion of large quantities of tomatoes.
Carotenodermia Diagnosis and treatment Treatment: The condition is benign and does not require treatment along with improving thus eliminating the carotenes in the diet. Usually there are no complications. A carotene-free diet leads to progressive disappearance of yellow coloration of the skin. This stain can remain up to several months regardless of the level of serum carotene accumulation in tissues.