Carotenaemia in infancy

Presentation Carotenaemia in infancy can develop due to excess dietary carotenoids, resulting in a yellow-orange discolouration of the skin. These changes are more commonly seen over the palms, soles, and nasolabial folds, with sparing of the sclera. Diagnosis This is based on a combination of clinical findings, occasionally aided by specific lab investigations such as beta-carotene levels. Treatment Specific interventions are not typically required, as skin changes tend to self-resolve as diet naturally evolves. Discussion We identified this condition in an infant, whose diet was rich in carotenoids since commencing pureed and solid foods. Whether this increases the chances of developing carotenaemia has not been definitively confirmed, but we will discuss the potential pathophysiology behind this infrequently seen condition.