Catto-Smith A G, Barr C, Fagan J E, Parsons H G
Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Canada.
J Pediatr Gastroenterol Nutr. 1991 May;12(4):507-11. doi: 10.1097/00005176-199105000-00016.
Failure to thrive may not be a result of organ disease, physical abuse, or intentional neglect. We describe an infant who developed kwashiorkor with a high-fat, low-protein, nondairy coffee creamer diet. The elimination diet was administered on the advice of a family friend for a facial rash. The child presented at 10 months of age with decreased weight for height, rash, hepatomegaly, edema, hypoproteinemia, hypoalbuminemia, anemia, hypoglycemia, and evidence of hepatic sequestration of lipids. A rapid recovery of biochemical abnormalities was evident on reinstitution of a full diet. An intellectual assessment at age 5 years showed normal results.
发育不良可能不是器官疾病、身体虐待或故意忽视的结果。我们描述了一名婴儿，他因食用高脂肪、低蛋白、不含乳制品的咖啡奶精饮食而患上了夸希奥科病。在一位家庭朋友的建议下，为治疗面部皮疹而采用了排除饮食法。该患儿10个月大时出现身高体重下降、皮疹、肝肿大、水肿、低蛋白血症、低白蛋白血症、贫血、低血糖以及肝脏脂质隔离的迹象。重新恢复正常饮食后，生化异常情况迅速得到改善。5岁时的智力评估结果显示正常。
