Kwashiorkor from a severe dietary restriction in an 8‐month infant in suburban Detroit, Michigan: case report and review of the literature

  title={Kwashiorkor from a severe dietary restriction in an 8‐month infant in suburban Detroit, Michigan: case report and review of the literature},
  author={Emily P. Tierney and Robert J Sage and Tor A Shwayder},
  journal={International Journal of Dermatology},
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… 

A child with kwashiorkor misdiagnosed as atopic dermatitis.

A 12-month old girl in Belo Horizonte, Minas Gerais, Brazil, who presented with diffuse edema, desquamation, and irritability misdiagnosed as atopic dermatitis was consistent with kwashiorkor as a result of severe dietary restriction.

Iatrogenic Kwashiorkor in three infants on a diet of rice beverages

Despite the recommendations to use hydrolyzed infant formulas or HRPF, the deliberate placement of children on rice beverages by the parents could expose to protein-deficient diet with severe nutritional complications, which continues to be reported in infants in developed countries as consequence of protein-poor diets.

Kwashiorkor in the United States Secondary to a Rice Milk Diet

Kwashiorkor is characterized by symmetric pitting edema that begins in the lower extremities and spreads to the rest of the body as the disease progressively worsens.

Improper Use of a Plant-Based Vitamin C–Deficient Beverage Causes Scurvy in an Infant

This case demonstrates that scurvy is a new and severe complication of improper use of almond drinks in the first year of life, and manufacturers should indicate that these beverages are inappropriate for infants who consume a vitamin C–deficient diet.

Predictors of nutritional management failure for under-five children with malnutrition in Nyamasheke District, Rwanda

Assessment of predicators of nutrition management failure among children under-five who participated in the nutrition program from 2012 up to 2015 in Nyamasheke District, Rwanda found that failure of nutritional management intervention was associated with both health system and family related factors.

Nutrition rehabilitation of children with severe acute malnutrition: Revisiting studies undertaken by the National Institute of Nutrition

The article argues that the currently dominating hypothesis of free radical theory requires a critical review of the supporting evidence and argues that solutions based on local foods, being acceptable and sustainable, need to be strengthened for their effective delivery through the existing nutrition programmes.

A 21‐Month‐Old Male With Refusal to Walk, Rash, and Weight Loss

A four-year-old boy with bilateral diffuse swelling of his feet and refusal to bear weight was referred to the pediatric rheumatology clinic and admitted to the hospital for an expedited evaluation.

Cutaneous manifestations of nutritional deficiency

It is very important to raise awareness about cutaneous manifestations of nutritional deficiency as early and appropriate treatment results in excellent prognosis.



Dermatosis in a Child with Kwashiorkor Secondary to Food Aversion

A case of kwashiorkor in a child with food aversion that manifested as “flaky paint dermatitis” is described and a differential diagnosis for any child with a generalized eczematous or desquamative rash is presented.

ABC of nutrition. Malnutrition in the Third World--I.

In 3rd world countries about 2% of young children show severe protein-energy malnutrition (PEM) Nutritional marasmus is the commonest severe form of PEM the childhood version of starvation.

Severe Nutritional Deficiencies in Toddlers Resulting From Health Food Milk Alternatives

Two cases of severe nutritional deficiency caused by consumption of health food beverages are reported on, one of which is unable to find previous reports of kwashiorkor caused by a health food milk alternative, and the other of which has been overlooked.

Case report of 5 siblings: malnutrition? Rickets? DiGeorge syndrome? Developmental delay?

The raw foods vegan diet and possibly inherited small stature from the father's side account for their relatively low heights and weights.

Critical appraisal of the management of severe malnutrition: 2. Dietary management

  • D. Brewster
  • Medicine
    Journal of paediatrics and child health
  • 2006
There is evidence to support the WHO Manual’s protocol of cautious feeding of a low energy and protein formula with small frequent feeds in the initial phase of treatment, particularly in kwashiorkor, and preliminary evidence suggests that smaller doses of daily vitamin A are preferable to a single large dose on admission for severe malnutrition.

Potassium supplementation in kwashiorkor.

The high potassium supplementation reduced mortality and significant morbidity in kwashiorkor and may be due to improved myocardial and immune function from earlier repletion of intracellular potassium.

Lipid kinetic differences between children with kwashiorkor and those with marasmus.

Children with kwashiorkor break down fat and oxidize fatty acids less efficiently than do children with marasmus; this factor may explain the better survival rate in marasmu.

Effects of antioxidants on glutathione levels and clinical recovery from the malnutrition syndrome kwashiorkor – a pilot study

The data strongly suggest that a therapy restoring the antioxidative capacity by applying cysteine equivalents in the form of glutathione and/or α-lipoic acid is beneficial for biochemical and clinical recovery of kwashiorkor patients.