It is believed that a written description of hemolytic disease of the newborn was first recorded by Hippocrates. This is due to the fact that this disease can be historically viewed in three pathological states, fetal hydrops, neonatal jaundice, and fetal anemia. Hippocrates mentioned the state of a particular newborn as is directly characterized by fetal hydrops.
There is also a record of this disease in 1609 in a set of twins who had been delivered by a French midwife. The twin that was born first died during birth, and was described to be swollen throughout his whole body, which would later be diagnosed as edema. Meanwhile, the second twin survived for only a couple days after birth, and was described as having unusually yellow skin, which is now known to be jaundice.
There had been descriptions of neonatal jaundice since the previously mentioned case with the set of twins, but a connection was not made between this symptom and hydrops until 1921. It was through this connection that later led to the discovery that both symptoms were most likely to be caused by the a common pathogenesis.
A study had been conducted on anemia in 1919 on a family into which a newborn had been born, but had died due to neonatal jaundice. Blood samples were then taken and discovered that the condition in which both jaundice and anemia were present was caused by a problem with the red blood cells.
In 1933, a family was found where all three forms of fetal hydrops, neonatal jaundice, and anemia had been found. Further hematological studies showed that the presence of all three were once again a result of one common cause. It was in this study that kernicterus was discovered to usually accompany jaundice.
-Teresa
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