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protein-calorie malnutrition; kwashiorkor
Epidemiology:
- protein-deficiency in the absence of calorie deficiency is rare.
Pathology:
1) impaired neutrophil migration
2) impaired bactericidal activity
3) hepatomegaly with fatty infiltrates
Clinical manifestations:
- cachexia with edema
- dermatosis with cutaneous ulceration
- mental disorder
Management:
- calorie count
Related
marasmus
General
nutritional deficiency
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998
- Wikipedia: Kwashiorkor
http://en.wikipedia.org/wiki/Kwashiorkor
- MedlinePlus: Kwashiorkor
http://www.nlm.nih.gov/medlineplus/ency/article/001604.htm
- Milne AC, Potter J, Vivanti A, Avenell A.
Protein and energy supplementation in elderly people at risk
from malnutrition.
Cochrane Database Syst Rev. 2009 Review.
PMID: 19370584