Nondairy-creamer-induced kwashiorkor: 5-year follow-up.
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.
Catto-Smith
A G
AG
Department of Pediatrics, Alberta Children's Hospital, University of Calgary, Canada.
Barr
C
C
Fagan
J E
JE
Parsons
H G
HG
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