Carotenemia is a clinical condition characterized by yellow pigmentation of the skin (xanthoderma) and increased beta-carotene levels in the blood. Food Nutr Bull 2003;24:208-17. Vital signs were within normal limits. (July 23, 2019) Carotenemia: A Case Report. Reduction in consumption of high carotene containing foods usually results in resolution of skin discoloration. Scholary Impact Quotient™ (SIQ™) is our unique post-publication peer review rating process. In rare cases, it can result from systemic diseases like diabetes mellitus, nephritic syndrome, glomerulonephritis, hypothyroidism, anorexia nervosa, and primary hepatic disease. Share this article with your colleagues. However, high levels of beta-carotene (itself having anti-aging properties) as a result of over-consuming these sweet, orange-hued root vegetables can literally turn your body orange. Administrative Office: +1-919-459-2167 | +1-800-LALECHE (525-3243) Sometimes toddlers go through “phases” of only liking one type of food, such as carrots, which might lead to carotenemia. Carotenaemia is usually due to excessive intake of carrots, pumpkin and/or other yellow and green vegetables and citrus fruits. Carotenemia is a benign condition; hence, further diagnostic testing is unnecessary. Please note that Cureus is not responsible for any content or activities contained within our partner or affiliate websites. Click the Print button. Cooking, mashing, or pureeing foods increases absorption of carotene (Leung, Alexander. Please contact a local La Leche League Leader with your specific questions, or visit our Breastfeeding Support Online Community. Pigmentation spares the sclera and mucous membranes (unlike jaundice) and concentrates on the palms (Figure 1), dorsum of hands (Figure 2), soles, forehead, the tip of the nose and nasolabial folds [8]. There are certain diseases that can also contribute to carotenemia. carotenemia, jaundice, papaya, mango, lycopenemia, Ehizogie Edigin , Iriagbonse R. Asemota, Ezegwu Olisa, Chineme Nwaichi, Cite this article as: Excessive and prolonged ingestion of carotene-rich, yellow- or orange-colored foods such as carrots and winter squash is the most common cause, but more rarely it may be associated with consumption of other foods as well as with hypothyroidism, diabetes mellitus, anorexia nervosa, liver disease, or kidney disease. People with a history of kidney illnesses should avoid pure, sour star fruit juice (a popular beverage in Taiwan) and mild, diluted pickled juice in large amounts, especially on an empty stomach. By joining Cureus, you agree to our Internal Medicine, John H. Stroger Jr. Hospital of Cook County, Chicago, USA, Internal Medicine, John H Stroger Jr. Hospital of Cook County, Chicago, USA. Scholarly Impact Quotient™ (SIQ™) is our unique post-publication peer review rating process. However, hypervitaminosis A does not occur with excess carotene ingestion as the body converts a limited quantity of carotene to vitamin A daily [5]. Cureus 11(7): e5218. He had carotenemia with hepatomegaly, which resolved on dietary management. Terms of Use. Breastfed babies can also develop carotenemia if their mother is eating a lot of foods that are high in carotene. Reassurance should be provided to the patients and their families as this is a benign condition and unlikely to lead to any serious consequences. Foods to Avoid With Carotenemia. The condition is caused by ingesting a large amount of carotene, a nutrient most often found in human milk, carrots, squash, sweet potato, pumpkin, spinach, beans, egg yolks, corn and yams. and Other vegetables and fruits with a deep green or yellow color may also contain high levels of carotene. Awareness of carotenemia is essential to avoid confusion with jaundice and unnecessary diagnostic studies [2]. Medications are not indicated for the treatment of diet-induced carotenemia. Elimination diets increase the risk of anaphylaxis on re-exposure to previously tolerated foods from the loss of oral tolerance. The Womanly Art of Breastfeeding has helpful information on introducing new foods and encouraging healthy eating habits. Carotenemia is common in infants and young children who have diets rich in green and orange vegetable purees [6]. He denied pruritus, darkening of the urine, and pale stools. Carotenemia. Anything above 5 should be considered above average. It’s important to note that carotenemia is usually the culprit of a restrictive diet or from eating large amounts of a specific food. In most cases, the condition follows prolonged and excessive consumption of carotene-rich foods, such as carrots, squash, and sweet potatoes. Curd, Alcohol, Candies And Other Foods To Avoid When You Have Common Cold. Ingestion of excessive amounts of carrots is the usual cause of carotenemia, but it can also be associated with ingestion of many other yellow vegetables, as well as some green vegetables. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Lend a hand to your fellow Cureus authors and volunteer for our peer review panel. The good news is that carotenemia is nearly always a harmless condition (there are some rare diseases that also cause the condition, so if your child is showing signs of illness, you may wish to consult a health care practitioner). Fax: +1-919-459-2075 | Email: info@llli.org. Treatments for Carotenaemia (Carotenemia) Treatments for Carotenaemia (Carotenemia) include: Avoid or reduce the foods containing beta-carotene - such as vitamin A, fish oils, pumpkin, carrot, sweet potato, etc. Carotenemia most commonly result from excessive consumption of foods high in carotene. Carotenemia is not associated with Vitamin A poisoning, even though carotene is converted to Vitamin A during the digestive process, because the conversion is slow. "Never doubt that a small group of thoughtful, committed citizens can change the world. It can also be due to taking nutritional supplements. As long as the toddler is also breastfeeding, which means getting complete nutrition, these phases can be tolerated in moderation. The easiest way to avoid this issue is to follow La Leche League’s standard dietary advice for both mother and child to eat a wide variety of foods in as close to their natural state as possible. Our FAQs present information on topics of interest to parents of breastfed children. The pigmentation of the skin associated with high carotene intake is therefore referred to as primary carotenemia. Carotenemia, also called xanthosis, carotenodermia, or artificial jaundice, yellow skin discoloration caused by excess blood carotene; it may follow overeating of such carotenoid-rich foods as carrots, sweet potatoes, or oranges. This information is general in nature and not intended to be advice, medical or otherwise. A review. © Copyright 2019Edigin et al. You are prompted for the name and folder location to save the file. Different etiologies responsible for this phenomenon include high β-carotene intake from vegetables, fruits, eggs, and nutrient supplements and several metabolic states such as hypothyroidism, diabetes mellitus, pregnancy and anorexia nervosa, and familial carotenemia [1]. Rapola JM, Virtamo J, Ripatti S, et al. If you are generating a PDF, click Save. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Patient reduced intake of carotenoid-rich foods, and yellow-orange skin dislocation was seen to be resolving on his one-month clinic follow up. We discuss a child with eczema on an exclusion diet presenting with anaphylaxis to dairy food. Orangeness also may possess a significant symbolic significance. Evaluation of patients includes taking a detailed dietary history with a focus on the history of food consumption with high carotene with the estimation of the amount taken and duration. Other foods described in literature that can be responsible to cause carotenemias include, green beans, supplements, papaya, asparagus, broccoli, carrots, cucumbers, lettuce, squash, apples, peaches, prunes, tomatoes, yams, butter, egg yolks, milk, and yellow corn. "It may be mistaken for jaundice, a serious medical condition. Kale is another king of phytonutrients that people are juicing, sautéing, and baking in droves. Each email address must be separated by a comma. Beta-carotene is converted into vitamin A through two key enzymes, 15-15`-carotenoid dioxygenase and beta-carotene-15-15'-dioxygenase [4]. He endorsed having chronic abdominal pain, heartburn, and poor oral intake for the past six months. For example, if you are working on a Windows computer, and you want to print to a PDF file, select Save as PDF. Anxious parents of atopic children often have a fear of topical steroid-related side-effects, and some may try a range of elimination diets to avoid allergies. This frequency can contribute to carotenemia. Browse to the web document that you want to print. The primary nutrient in artichokes is the fibre which is good in managing diabetes. Edigin E, Asemota I R, Olisa E, et al. Published: July 23, 2019. 1. Fruits and vegetables rich in carotene include apple, orange, papaya, beans, peach, berries, pineapple, broccoli, brussels sprout, cabbage, pumpkin, carrot, spinach, squash, cucumber, tomato, lettuce, and mango. All registered users are invited to contribute to the SIQ™ of any published article. However, it can be verified by a high serum beta carotene level, a normal or slightly elevated vitamin A level, and normal liver function test results [8]. Most likely, your toddler is experiencing carotenemia, a condition most often found in babies and toddlers, where skin, especially parts that tend to sweat a lot, becomes tinged with orange. We have listed down 20 such immunity boosting foods with antioxidant and anti-inflammatory properties, which you should consume regularly. Unbalanced diets together with an inadvertent excessive consumption of fruits and vegetables may lead to carotenemia from the carotenoids in the plant foods. 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