ABSTRACT
We present an unusual case of severe unconjugated hyperbilirubinemia and normal hemoglobin at birth in a premature newborn with Rh incompatibility. We speculate that the possible mechanism is due to placental dysfunction. To our knowledge, this is the highest reported unconjugated bilirubin level at birth.
KEYWORDS
Isoimmune hemolytic disease - hyperbilirubinemia - premature
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Horacio OsiovichM.D.
Division of Neonatology, Children's and Women's Health Centre of British Columbia
4480 Oak Street, Vancouver
BC, Canada V6H 3V4