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I read the recent publication on neonatal adrenal hemorrhage by Qureshi et al. with great interest. The authors demonstrated that neonatal adrenal hemorrhage could present with late-onset neonatal jaundice. Indeed, neonatal adrenal hemorrhage is a rare neonatal disorder, which might cause early neonatal jaundice and neonatal anemia (due to extravascular blood loss). The observation on the late-onset neonatal jaundice in this case is an interesting point to be discussed. Qureshi et al. concluded that this observation was due to neonatal adrenal hemorrhage. There might be other possible coexisting causes of late-onset neonatal jaundice (such as breast milk jaundice, sepsis, conjugation defect, thyroid and metabolic disorder, etc.) in this case that is not completely investigated.