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A case of kwashiorkor in the UK.

Abstract

A case of kwashiorkor in a British child of Caucasian origin is described. The 5-year-old boy was referred to hospital for investigation of a persistent anaemia, but on examination was found to have classical features of kwashiorkor. He was stunted with both height and weight below the fifth centile and had mild pitting oedema in both legs. His hair was pale and easily pluckable and a soft liver edge was palpable. Plasma albumin concentration was 16 g/l and the plasma amino acid pattern, which revealed markedly reduced levels of essential but normal to high non-essential amino acids, was similar to that described in kwashiorkor in Uganda. A dietary history revealed that for about 2 years the child's diet had contained very little protein but adequate energy and had been supplemented with multivitamin pills. There was no evidence of other pathology, neglect or abuse and the child responded rapidly to refeeding with a balanced diet.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    MRC Dunn Nutritional Laboratory, Downham's Lane, Milton Road, Cambridge CB4 1XJ, UK.

    ,

    Source

    MeSH

    Amino Acids
    Anemia
    Body Height
    Body Weight
    Child, Preschool
    Edema
    Humans
    Kwashiorkor
    Male
    Serum Albumin
    United Kingdom

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    10205330

    Citation

    Lunn, P G., et al. "A Case of Kwashiorkor in the UK." Clinical Nutrition (Edinburgh, Scotland), vol. 17, no. 3, 1998, pp. 131-3.
    Lunn PG, Morley CJ, Neale G. A case of kwashiorkor in the UK. Clin Nutr. 1998;17(3):131-3.
    Lunn, P. G., Morley, C. J., & Neale, G. (1998). A case of kwashiorkor in the UK. Clinical Nutrition (Edinburgh, Scotland), 17(3), pp. 131-3.
    Lunn PG, Morley CJ, Neale G. A Case of Kwashiorkor in the UK. Clin Nutr. 1998;17(3):131-3. PubMed PMID: 10205330.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A case of kwashiorkor in the UK. AU - Lunn,P G, AU - Morley,C J, AU - Neale,G, PY - 1999/4/17/pubmed PY - 1999/4/17/medline PY - 1999/4/17/entrez SP - 131 EP - 3 JF - Clinical nutrition (Edinburgh, Scotland) JO - Clin Nutr VL - 17 IS - 3 N2 - A case of kwashiorkor in a British child of Caucasian origin is described. The 5-year-old boy was referred to hospital for investigation of a persistent anaemia, but on examination was found to have classical features of kwashiorkor. He was stunted with both height and weight below the fifth centile and had mild pitting oedema in both legs. His hair was pale and easily pluckable and a soft liver edge was palpable. Plasma albumin concentration was 16 g/l and the plasma amino acid pattern, which revealed markedly reduced levels of essential but normal to high non-essential amino acids, was similar to that described in kwashiorkor in Uganda. A dietary history revealed that for about 2 years the child's diet had contained very little protein but adequate energy and had been supplemented with multivitamin pills. There was no evidence of other pathology, neglect or abuse and the child responded rapidly to refeeding with a balanced diet. SN - 0261-5614 UR - https://www.unboundmedicine.com/medline/citation/10205330/A_case_of_kwashiorkor_in_the_UK_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0261-5614(98)80007-1 DB - PRIME DP - Unbound Medicine ER -