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Nutritional Status of Infants and Children with Eczematous Dermatitis
Insights
Eczematous dermatitis in children is linked to significant nutritional failure and malnutrition. Associated pyogenic infections appear to be the primary driver of malnutrition in these cases.
Area of Science:
- Pediatrics
- Dermatology
- Nutrition Science
Background:
- Eczematous dermatitis is a common condition in infants and children.
- Nutritional status is crucial for child development and immune function.
- The relationship between skin conditions and malnutrition requires further investigation.
Purpose of the Study:
- To investigate the prevalence of nutritional failure in children with eczematous dermatitis.
- To explore the potential role of eczematous dermatitis in causing malnutrition.
- To identify factors contributing to malnutrition in this pediatric population.
Main Methods:
- Study included 70 infants and children (1 month to 5 years) with various types of eczematous dermatitis.
- Nutritional status was assessed anthropometrically and biochemically (serum proteins, albumin).
- Children were categorized based on malnutrition type (acute/chronic) and socioeconomic status.
Main Results:
- 83% of children exhibited nutritional failure, with 23% acute and 60% chronic malnutrition.
- Low serum proteins, particularly albumin, were observed in children with eczema.
- Despite better socioeconomic conditions in some, malnutrition persisted, suggesting a link to dermatitis.
Conclusions:
- Eczematous dermatitis is associated with significant nutritional deficits in children.
- Pyogenic infections complicating eczema are strongly implicated as a cause of malnutrition.
- Early identification and management of both dermatitis and malnutrition are essential.
Abstract:
This study was undertaken in a series of 70 infants (48 males, 22 females) and children aged 1 month to 5 years: with eczematous dermatitis (scabetic 36, pediculous 7, microbic 9, seborrhoeic 10, atopic 6 and due to irritant applications 2) as the primary disease for which medical advice was sought.. Nutritional failure was detected anthropothetrically in 58 (83%) of them, including 16(23%) with acute malnutrition and 42(60%) with chronic malnutrition. They were variably wasted. A few had stomatoglossitis and 4 had pitting oedema (Kwashiorkor). Biochemically, the serum proteins, particularly albumin was significantly low in eczematous children. Under poor dietary and socio- ecomomic conditions, it is difficult to ascribe the malnutrition to eczematous dermatitis alone but the occurrence of malnutrition in 12 out of 13 from higher economic status with better dietary and environmental background suggests the role of eczematous dermatitis in malnutrition. Associated pyogenic infections seemed to be the most important factor producing malnutrition in this study.
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