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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 100

Yellowish discolouration of palms: Think beyond jaundice!


Department of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh 160 012, India

Date of Submission19-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Aman Sharma
Department of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2166_19

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How to cite this article:
Mohan Kumar H, Sharma A. Yellowish discolouration of palms: Think beyond jaundice!. Indian J Med Res 2020;152, Suppl S1:100

How to cite this URL:
Mohan Kumar H, Sharma A. Yellowish discolouration of palms: Think beyond jaundice!. Indian J Med Res [serial online] 2020 [cited 2021 Jul 30];152, Suppl S1:100. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/100/316757

Patient's consent obtained to publish clinical information and images.


A 30 yr old male presented to department of Internal Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, India, in November 2017, with yellowish discolouration of hands for two months [Figure 1]A. The sclera was normal, and the rest of examination was unremarkable. Liver, renal and thyroid function tests were also normal. Carotenaemia was suspected and confirmed by elevated beta-carotene levels [364 mg/dl; normal (4-77 mg/dl)]. The patient had been consuming 200 ml of carrot juice every day. His skin colour [Figure 1]B and beta-carotene levels normalized two months after the oral intake was stopped.
Figure 1: (A) Carotenaemia of both palms. (B) Normalized skin colour after two months.

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Carotenaemia is a benign condition associated with the consumption of excessive fruits and vegetables (carrot, beetroot, squash, sweet potatoes and others) rich in beta-carotene. Abnormal yellowish-orange pigmentation of the palms, soles and nasolabial folds, along with lack of scleral discolouration, differentiates carotenaemia from jaundice. Rarely, carotenaemia is associated with diabetes mellitus, hypothyroidism, hyperlipidaemia or renal failure.

Conflicts of Interest: None.


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