Rodgers Elizabeth
Department of Medicine, Fiji School of Medicine, Suva.
Pac Health Dialog. 2011 Mar;17(1):149-53.
It has been the perception in some pacific island countries that the textbook presentation of kwashiorkor has decreased in incidence possibly due to improved public health services and economic development of the country. However, the diagnosis and treatment is nonetheless crucial to child survival. This paper discusses the clinical courses of 2 children with kwashiorkor whose presentation were not of that taught to medical students or even junior doctors. Their presentation together with their subsequent nutritionally acquired immune deficiency syndrome (NAIDS) is illustrated to raise awareness of the complexities in diagnosis and management of such patients.
在一些太平洋岛国，人们认为夸休可尔症的典型病例发病率有所下降，这可能归因于该国公共卫生服务的改善和经济发展。然而，诊断和治疗对于儿童生存仍然至关重要。本文讨论了2例夸休可尔症患儿的临床病程，他们的症状并非医学院学生甚至初级医生所学的典型症状。文中展示了他们的症状以及随后出现的营养性获得性免疫缺陷综合征（NAIDS），以提高对这类患者诊断和管理复杂性的认识。
