Cystic fibrosis presenting as kwashiorkor with florid skin rash.
Two infants with a florid erythematous rash and generalised oedema, hypoalbuminaemia, and anaemia were found to have cystic fibrosis. This rare presentation is associated with false negative sweat tests, delays in diagnosis, and a considerable mortality. It is proposed that this presentation represents a manifestation of kwashiorkor secondary to malabsorption. The recognition that these infants have kwashiorkor provides some insight into the pathogenesis and management of their illness.
Phillips
R J
RJ
Hospitals for Sick Children, London.
Crock
C M
CM
Dillon
M J
MJ
Clayton
P T
PT
Curran
A
A
Harper
J I
JI
D003550:Cystic Fibrosis / Q000150:complications*; D004890:Erythema / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D007732:Kwashiorkor / Q000150:complications / Q000209:etiology*; D008297:Male