Henrique de S B Xavier Marcus, De Magalhães Eduardo, Ferraz Oliveira Gilmar, Keltke Magalhães Mariana, Prates de Almeida E Oliveira Cláudio, Bragança Oliveira Natália
Hospital Infantil Padre Anchieta, Belo Horizonte, Minas Gerais, Brazil.
Dermatol Online J. 2017 May 15;23(5):13030/qt4dd7h96r.
Although uncommon, kwashiorkor continues to occur in developed, but mainly in developing nations. It is a type of protein-calorie malnutrition that occurs in the setting of insufficient protein intake in the presence of sufficient caloric intake. Skin and hair changes should prompt a thorough dietary history and appropriate dietary intervention. We report a case of a 12-month old girl in Belo Horizonte, Minas Gerais, Brazil, who presented with diffuse edema, desquamation, and irritability misdiagnosed as atopic dermatitis. The diagnosis was consistent with kwashiorkor as a result of severe dietary restriction. The mother had placed the child on a severely restrictive diet, consisting only of potatoes, gelatin, and juice as a consequence of the inability to breastfeed. Kwashiorkor is often underdiagnosed or misdiagnosed and if unrecognized or untreated, may be devastating. This makes it imperative that physicians consider this diagnosis, recognize potential risk factors, and be prepared to accurately assess overall nutritional status of patients.
虽然夸休可尔症并不常见，但在发达国家仍有发生，不过主要还是出现在发展中国家。它是一种蛋白质 - 热量营养不良症，在热量摄入充足但蛋白质摄入不足的情况下出现。皮肤和毛发的变化应促使进行全面的饮食史询问和适当的饮食干预。我们报告了一例来自巴西米纳斯吉拉斯州贝洛奥里藏特市的12个月大女孩的病例，她出现了弥漫性水肿、脱皮和易怒症状，最初被误诊为特应性皮炎。诊断结果显示，由于严重的饮食限制，该病例符合夸休可尔症。由于无法进行母乳喂养，母亲让孩子严格节食，饮食仅由土豆、明胶和果汁组成。夸休可尔症常常被漏诊或误诊，如果未被识别或未得到治疗，可能会造成严重后果。这使得医生必须考虑这一诊断，识别潜在风险因素，并准备好准确评估患者的整体营养状况。
