system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 3-week-old newborn male is brought to the physician because of increasing yellowing of his eyes and skin for 2 weeks. The mother has noticed that his stools have been paler than usual for the past week. He is exclusively formula fed, and feeds every 4 hours with a strong sucking reflux. The patient was delivered vaginally at 39 weeks' gestation to a healthy woman without any complications. Vital signs are within normal limits. He is at the 50th percentile for length and at the 65th percentile for weight. Examination shows scleral icterus and jaundice. Abdominal examination reveals a palpable liver 2 cm below the right costal margin without splenomegaly. Serum studies show:
Bilirubin
Total 17 mg/dL
Direct 13.3 mg/dL
Alkaline phosphatase 1700 U/L
AST 53 U/L
ALT 45 U/L
γ-Glutamyl transferase 174 U/L
Blood group B positive
This patient is at increased risk of developing which of the following?"
assistant
Early liver cirrhosis