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Tropical calcific pancreatitis presenting as kwashiorkor
K Harish1, Harikumar, Sunil Kumar
1Department of Gastroenterology, Medical College, Hospital, Kozhikode 673 008, Kerala. dr_harishk@yahoo.co.in
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|May 26, 2005
Summary
Tropical calcific pancreatitis rarely causes kwashiorkor, a severe malnutrition. This case highlights successful treatment with pancreatic enzymes and nutritional support, leading to recovery in a 10-year-old boy.
Area of Science:
- Pediatrics
- Gastroenterology
- Nutritional Science
Background:
- Tropical calcific pancreatitis (TCP) is a chronic inflammatory condition.
- TCP is often associated with malnutrition, but severe protein-energy malnutrition like kwashiorkor is exceptionally rare.
Observation:
- A 10-year-old male presented with severe kwashiorkor.
- The patient exhibited extensive pancreatic calcification and diagnosed exocrine pancreatic insufficiency.
Findings:
- Treatment involved pancreatic enzyme replacement therapy (PERT).
- Enteral nutrition, supplemented with essential vitamins and micronutrients, was administered.
- The patient showed significant improvement, including weight gain, resolution of skin manifestations, and hair color restoration.
Implications:
- This case underscores the importance of considering TCP in children with severe malnutrition.
- Early diagnosis and comprehensive management, including PERT and nutritional support, are crucial for favorable outcomes.
- Highlights the potential link between pancreatic exocrine dysfunction and severe nutritional deficiencies.