A 2-yo boy presents with yellowish discoloration to the nose and soles of the feet for 4 months; sclerae are white. Hx of prematurity, s/p repaired atrial and ventricular septal defects, asthma, GERD; on erythromycin, omeprazole, fluticasone inhaler, fortified milk formula, and multivitamin-minerals. What is the cause?
Hyperbilirubinemia
Staining from carpet dye
Excessive sweet potato intake
Vitamin B deficiency
Omeprazole-induced jaundice
You are correct. Blood tests revealed high beta-carotene levels. Thyroid tests were normal. The child ate sweet potato twice daily; fortified milk also contains beta-carotene.