title: Galactosaemia: an unusual cause of chronic bilirubin encephalopathy.
abstract: Galactosaemia is a disorder of galactose metabolism in which raised levels of galactose and galactose-1-phosphate damage various organs. Although galactosaemia is a common metabolic liver disease in childhood, it is a rare cause of neonatal hyperbilirubinemia requiring intervention. We report an unusual case of neonatal galactosaemia that at presentation had features of acute bilirubin encephalopathy requiring exchange transfusion and at discharge had features of chronic bilirubin encephalopathy. This case report emphasises the need for timely suspicion and diagnosis of this disease for prevention of chronic morbidity.
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Tanushree
authors.initials: T
authors.lastname: Sahoo
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Anu
authors.initials: A
authors.lastname: Thukral
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Agarwal
authors.affiliation: Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Mari Jeeva
authors.initials: MJ
authors.lastname: Sankar
mesh_terms: D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005693:Galactosemias / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D007647:Kernicterus / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male