title: [Kwashiorkor as early clinical manifestation in a baby with cystic fibrosis].
abstract: A case of cystic fibrosis in a baby presenting Kwashiorkor (edema, hypoalbuminemia and anemia ) is described. This is a very unusual presentation, easily attributed to unfavourable socio-economic conditions of the population, and classically considered a marker for severe pulmonary disease during the first year of life. Presence of severe pancreatic insufficiency is related to genotype delta F508 (homozygote) but colonization and early infection with Staphylococcus aureus and Pseudomonas aeruginosa in this baby requires further study. Cystic Fibrosis is the most frequent genetic disease among Caucasians, and early diagnosis has prognostic implications, agreed upon by all.
authors.affiliation: Setor de Pneumologia Infantil and Grupo multidisciplinar de Fibrose Cística da Santa Casa de São Paulo.
authors.forename: N
authors.initials: N
authors.lastname: Damaceno
authors.forename: L H
authors.initials: LH
authors.lastname: Muramatu
authors.forename: F H
authors.initials: FH
authors.lastname: Alonso