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

@article{Tierney2010KwashiorkorFA,
  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},
  year={2010},
  volume={49}
}
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… 

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TLDR
Physicians should consider the diagnosis of kwashiorkor in children with perceived milk allergies resulting in frequent dietary manipulations, in children following fad or unorthodox diets, or in children living in homes with significant social chaos.

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TLDR
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.

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TLDR
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TLDR
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TLDR
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TLDR
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.

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TLDR
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.

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TLDR
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