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A case of kwashiorkor
S E Albers1, S J Brozena, N A Fenske
1Department of Internal Medicine, University of South Florida, College of Medicine, Tampa 33612.
Cutis
|June 1, 1993
Summary
Kwashiorkor, a form of protein-energy malnutrition, presents with skin and systemic signs like edema and liver disease. Early recognition of these protein deficiency symptoms is crucial for timely diagnosis and management.
Area of Science:
- Nutrition Science
- Dermatology
- Internal Medicine
Background:
- Kwashiorkor is a severe form of protein-energy malnutrition.
- It arises from inadequate protein intake with excessive carbohydrate consumption.
- While prevalent in developing nations, it affects hospitalized patients in the U.S.
Observation:
- The case involved a non-hospitalized individual with severe kwashiorkor.
- Clinical presentation included characteristic cutaneous findings.
- Systemic manifestations were also evident, indicating profound protein deficiency.
Findings:
- Cutaneous clues included the "flag sign," hypochromotrichia, alopecia, "crazy pavement" dermatosis, pallor, and glossitis.
- Systemic findings encompassed peripheral edema, liver disease, neurologic changes, diarrhea, weight loss, and hypoalbuminemia.
- These signs collectively pointed to significant protein malnutrition.
Implications:
- Highlights the importance of recognizing diverse clinical presentations of kwashiorkor.
- Underscores the need for vigilance in diagnosing protein malnutrition, even in non-traditional settings.
- Emphasizes the role of cutaneous manifestations as early indicators of nutritional deficiencies.