title: Nondairy-creamer-induced kwashiorkor: 5-year follow-up.
abstract: Failure to thrive may not be a result of organ disease, physical abuse, or intentional neglect. We describe an infant who developed kwashiorkor with a high-fat, low-protein, nondairy coffee creamer diet. The elimination diet was administered on the advice of a family friend for a facial rash. The child presented at 10 months of age with decreased weight for height, rash, hepatomegaly, edema, hypoproteinemia, hypoalbuminemia, anemia, hypoglycemia, and evidence of hepatic sequestration of lipids. A rapid recovery of biochemical abnormalities was evident on reinstitution of a full diet. An intellectual assessment at age 5 years showed normal results.
authors.affiliation: Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Canada.
authors.forename: A G
authors.initials: AG
authors.lastname: Catto-Smith
authors.forename: C
authors.initials: C
authors.lastname: Barr
authors.forename: J E
authors.initials: JE
authors.lastname: Fagan
authors.forename: H G
authors.initials: HG
authors.lastname: Parsons
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007225:Infant Food / Q000009:adverse effects*; D007732:Kwashiorkor / Q000139:chemically induced* / Q000178:diet therapy / Q000503:physiopathology