“…The increased capillary permeability may lead to bilirubin diffusing into the dermis and subsequently depositing in elastin. 5 Bilirubin exhibits an affinity for binding with elastin in the dermis, resulting in a yellow hue similar to the cause of icteric sclera. Elastin is also abundant in the sclera, which typically becomes yellow when the bilirubin level reaches 3 mg/dL.…”