INFANTILE CHOLESTASIS SYNDROME AT CHIANG MAI UNIVERSITY HOSPITAL FROM 1994-1998

ABSTRACT

To study the different etiologies of jaundiced infants and compare them with the clinical findings of common etiologies.Methods A prospective collective study of jaundiced infants who were admitted at the Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai from January 1994to December 1998. The collected data included clinical findings and investigations. Summary Biliary atresia and neonatal hepatitis were two common etiologies of jaundiced infants admitted at Chiang Mai Hospital. Both of them were diagnosed at a late stage. The clay or pale yellow stool was the only statitical significance found in biliary atresia patients. The HIDA scan was very sensitive and less specific. An intraoperative cholangiogram was helpful for a definite diagnosis. In a cholestatic infant with pale or yellow stool, an early transfer is essential. Chiang Mai Med Bull 2003;42(1)17-23.