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The liver was previously discussed under Jaundice and fortunately, with the vaccine coverage of Hepatitis B and A, liver disease is fairly rare and is usually related to a congenital or birth-related defect, toxins or autoimmune diseases.

If a child seems yellow it does warrant investigation but we also need to remember that many South African kids “turn” orange during the weaning phase as a high intake of beta carotenes (butternut, sweet potato, carrots, oranges, naartjies) stains the skin orange.

Liver Condition Image