Intravenous amino acids, cholestasis and kwashiorkor.
Kwashiorkor dermatosis has not been reported in children on parenteral nutrition (PN). We report a case of kwashiorkor developing in a partially PN dependent patient with cholestasis, when amino acids were removed from the PN solution in an effort to control the cholestasis. Although the kwashiorkor dermatosis improved within 24 hours after the addition of amino acids (1 g/kg) to the PN solution, the cholestasis worsened.
Shamir
R
R
Division of Gastroenterology and Nutrition, Schneider Children's Medical Center of Israel, Sackler School of Medicine, Tel-Aviv University, Israel. shamirr@netvision.net.il
Tershakovec
A M
AM
Barsky
D L
DL
D000596:Amino Acids / Q000008:administration & dosage*; D002779:Cholestasis / Q000209:etiology*; D006801:Humans; D007223:Infant; D007732:Kwashiorkor / Q000209:etiology*; D008297:Male; D010288:Parenteral Nutrition / Q000009:adverse effects
D000596:Amino Acids