It differs from jaundice in that the sclerae remain white. Apart from the cosmetic effect, carotenemia has no adverse consequences, as the conversion of carotenes to retinol is not sufficient to cause toxicity. Of vitamin A toxicity are generally categorized into acute and chronic. Acute toxicity occurs within a few hours or days after a very large intake as a result of accidental overingestion or inappropriate therapy. Chronic toxicity appears after ingestion of 25,000 IU or more daily for prolonged periods of time.
Normal values are lower in children and teenagers.
Lumbar puncture may be needed in patients with increased intracranial pressure to prevent its complications. They are potentially teratogenic. Patients with neurological symptoms should have a neurology consultation. Significant hypercalcemia Patients with increased intracranial pressure may need therapeutic lumbar punctures or further treatment with medications, such as diuretics and mannitol. Pigmentation of carotenemia usually disappears with the omission of carrots from the diet.