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June 2, 1969, Vol 208, No. 9 >
ARTICLE | June 2, 1969

Bilirubin Rash in the Newborn

Frank Giunta, MD
JAMA. 1969;208(9):1703. doi:10.1001/jama.1969.03160090063019.
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ABSTRACT

To the Editor:—  Since the use of phototherapy at the Providence Lying-In Hospital for the prevention of hyperbilirubinemia, it has been noted that a rash is occasionally seen in those moderately or severely jaundiced infants whose bilirubin level drops appreciably after exposure to lights.It is a discrete macular rash, 1 to 3 mm in size, bluish-red in color which blanches on pressure. The rash is distinguishable from the prickly heat and irritation rashes which are usually blotchy, raised, or papular (Figure).When the rash is seen, one can predict that the serum bilirubin valuse is leveling off or dropping. The rash usually reaches a peak intensity in 18 to 24 hours and gradually disappears after that time as the rate of drop in bilirubin level decreases.The nature of the rash is not known. It may be due to a rapid pooling of pigment or breakdown products resulting from

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