Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance.

Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance. Research Abstract Details 

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Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance. Abstract Text:

BACKGROUND: Kwashiorkor is the edematous form of protein-energy malnutrition. It is associated with extreme poverty in developing countries and with chronic malabsorptive conditions such as cystic fibrosis in developed countries. Rare cases of kwashiorkor in affluent countries unrelated to chronic illness have been reported. We present 12 cases of kwashiorkor unrelated to chronic illness seen over 9 years by pediatric dermatologists throughout the United States, and discuss common causative themes in this easily preventable condition. OBSERVATIONS: Twelve children were diagnosed as having kwashiorkor in 7 tertiary referral centers throughout the United States. The diagnoses were based on the characteristic rash and the overall clinical presentation. The rash consisted of an erosive, crusting, desquamating dermatitis sometimes with classic "pasted-on" scale-the so-called flaky paint sign. Most cases were due to nutritional ignorance, perceived milk intolerance, or food faddism. Half of the cases were the result of a deliberate deviation to a protein-deficient diet because of a perceived intolerance of formula or milk. Financial and social stresses were a factor in only 2 cases, and in both cases social chaos was more of a factor than an absolute lack of financial resources. Misleading dietary histories and the presence of edema masking growth failure obscured the clinical picture in some cases. CONCLUSIONS: Physicians should consider the diagnosis of kwashiorkor in children with perceived milk allergies resulting in frequent dietary manipulations, in children following fad or unorthodox diets, or in children living in homes with significant social chaos. The presence of edema and "flaky paint" dermatitis should prompt a careful dietary investigation.

Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance. Publishing Authors By Initials

For similar biochemical phenomena, metabolism, and nutrition: nutrition physiology research abstracts see: biochemical phenomena, metabolism, and nutrition: nutrition physiology research

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Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Archives of dermatology

VOLUME: 137

Page Numbers: 630-6

Journal Abbreviation: Arch Dermatol

ISSN: 0003-987X

DAY: 17

MONTH: May

YEAR: 2001

Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance. Information

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LANGUAGE: eng

NlmUniqueID: 372433

Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance. Keywords Mesh Terms:

KEYWORDS: Nutrition Physiology

MESH TERMS: diet therapy

Chemical & Substance for Abstract: Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance. Information

Substance Name: Dietary Proteins

Registry Number: 0

Grant and Affiliation Information for Kwashiorkor in the United States: fad diets, perceived and true milk allergy, and nutritional ignorance.

AFFILIATION: Department of Dermatology, University of California, San Francisco 94143-0316, USA.

Country: United States

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MEDLINETA: Arch Dermatol

REFSOURCE: Arch Dermatol. 2002 Jun;138(6):838

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