Harish K, Kumar Sunil, Thomas Varghese
Department of Gastroenterology, Medical College, Hospital, Kozhikode 673 008, Kerala.
Trop Gastroenterol. 2004 Oct-Dec;25(4):178-9.
Tropical clacific pancreatitis can be accompanied by varying degrees of malnutrition but full-blown kwashiorkor is an extremely rare presentation. We report the case of a 10-year-old male who presented with clinical features of severe kwashiorkor. He had extensive pancreatic clacification and exocrine pancreatic deficiency. The child was treated with pancreatic enzyme replacement, and enteral nutrition supplemented with vitamins and micronutrients. Following therapy, he started gaining weight, the skin changes partly disappeared and his hair resumed its normal black colour.
热带性太平洋胰腺炎可能伴有不同程度的营养不良，但典型的夸希奥科病极为罕见。我们报告一例10岁男性，表现出严重夸希奥科病的临床特征。他有广泛的胰腺钙化和胰腺外分泌功能不全。该患儿接受了胰酶替代治疗，并通过肠内营养补充维生素和微量营养素。治疗后，他开始体重增加，皮肤变化部分消失，头发恢复正常黑色。
