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营养治疗患有严重消瘦型营养不良的囊性纤维化婴儿

Nutritional Treatment of a Young Infant with Cystic Fibrosis Presenting with Severe Kwashiorkor Dermatosis.

机构信息

Pediatric Gastroenterology, Hepatology and Nutrition, University of Campinas School of Medical Sciences, Campinas, São Paulo, Brazil.

São LeopldoMandic School of Medicine, Clinical Coordin of the Multi-professional Team of Nutritional Therapy at Clinics Hospital - University of Campinas São Paulo, Brazil.

出版信息

J Trop Pediatr. 2019 Dec 1;65(6):634-637. doi: 10.1093/tropej/fmz008.

Abstract

Kwashiorkor in infancy is typically associated to an underlying disease. Edema, a striking feature of this type of malnutrition, can be difficult to assess in this age group. The typical dermatosis of Kwashiorkor is not fully explained the deficiency of one isolated vitamin or micronutrient. This article presents an infant with cystic fibrosis, who developed Kwashiorkor in the third month of life with extensive cutaneous manifestations. An early, individualized and aggressive nutritional intervention with optimized supplementationof sulfur amino acids, vitamins and micronutrients was established, with impressively recovery of overall nutrition and skin manifestations in a relatively short period of time.

摘要

婴儿期的夸希奥科病通常与潜在疾病有关。水肿是这种营养不良的一个显著特征,在这个年龄段很难评估。夸希奥科病的典型皮肤病不能完全用一种孤立的维生素或微量营养素缺乏来解释。本文介绍了一例患有囊性纤维化的婴儿,他在生命的第三个月患上了夸希奥科病,皮肤表现广泛。早期、个体化和积极的营养干预,优化了含硫氨基酸、维生素和微量营养素的补充,在相对较短的时间内令人印象深刻地恢复了整体营养和皮肤表现。

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