Document Detail

Kwashiorkor from a severe dietary restriction in an 8-month infant in suburban Detroit, Michigan: case report and review of the literature.
MedLine Citation:
PMID:  20534082     Owner:  NLM     Status:  MEDLINE    
Kwashiorkor is a type of protein-calorie malnutrition often seen in children of impoverished countries and famine. The condition occurs in the setting of insufficient protein intake in the presence of sufficient caloric intake. We report a case of a 8-month-old male infant in the suburban Detroit, MI, USA who presented with diffuse edema, erythroderma and desquamation, a "bull-dog" face, diarrhea, and irritability, consistent with kwashiorkor as a result of severe dietary restriction. The mother had placed the child on a severely restrictive diet, consisting only of RICE DREAM((R)) milk, sweet potatoes and bananas, with the assumption that it would help his rash. Nineteen prior cases of kwashiorkor induced in infants by dietary restriction of "well intending" parents have been reported in the US literature. Malnutrition is often under diagnosed or misdiagnosed in developed countries such as the United States. The results, if unrecognized or untreated, may be devastating. This makes it imperative that physicians consider this diagnosis, recognize potential risk factors and be prepared to accurately assess overall nutritional status of patients.
Emily P Tierney; Robert J Sage; Tor Shwayder
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  International journal of dermatology     Volume:  49     ISSN:  1365-4632     ISO Abbreviation:  Int. J. Dermatol.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-10     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  500-6     Citation Subset:  IM    
Department of Dermatology, Henry Ford Health System, Detroit, MI 48202, USA.
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MeSH Terms
Diet / adverse effects*
Dietary Proteins / administration & dosage
Emollients / therapeutic use
Exanthema / drug therapy
Kwashiorkor / diagnosis*,  drug therapy,  etiology*
Protein Deficiency / complications*
Reg. No./Substance:
0/Dietary Proteins; 0/Emollients
Erratum In:
Int J Dermatol. 2010 Jul;49(7):54

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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