PEDIATRICS Vol. 75 No. 3 March 1985, pp. 443-455
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`Like a Shrivelled Blood Orange'—Bilirubin, Jaundice, and Phototherapy

Antony F. McDonagh PhD1 and David A. Lightner PhD1

1 From the Department of Medicine and Liver Center, University of California, San Francisco and Department of Chemistry and Cellular and Molecular Biology Program, University of Nevada, Reno

The biochemistry of bilirubin is reviewed with particular reference to newborn infants. The formation, properties, and metabolism of bilirubin are summarized and the importance of molecular shape, hydrogen-bonding, and polarity on the biologic disposition of bilirubin is emphasized. The chemical basis for the subtle influence of visible (blue) light on bilirubin structure and metabolism is explained, and recent concepts of the mechanism of phototherapy are presented. A glossary of current jargon is appended.

Key Words: bilirubin • bilirubin glucuronides • lumirubin • neonatal jaundice • phototherapy

Submitted on August 6, 1984
Accepted on October 19, 1984




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