title: Tropical calcific pancreatitis presenting as kwashiorkor.
abstract: Tropical clacific pancreatitis can be accompanied by varying degrees of malnutrition but full-blown kwashiorkor is an extremely rare presentation. We report the case of a 10-year-old male who presented with clinical features of severe kwashiorkor. He had extensive pancreatic clacification and exocrine pancreatic deficiency. The child was treated with pancreatic enzyme replacement, and enteral nutrition supplemented with vitamins and micronutrients. Following therapy, he started gaining weight, the skin changes partly disappeared and his hair resumed its normal black colour.
authors.affiliation: Department of Gastroenterology, Medical College, Hospital, Kozhikode 673 008, Kerala. dr_harishk@yahoo.co.in
authors.forename: K
authors.initials: K
authors.lastname: Harish
authors.lastname: Harikumar
authors.forename: Sunil
authors.initials: S
authors.lastname: Kumar
authors.forename: Varghese
authors.initials: V
authors.lastname: Thomas
mesh_terms: D002114:Calcinosis / Q000150:complications*; D002648:Child; D002908:Chronic Disease; D006801:Humans; D007194:India; D007732:Kwashiorkor / Q000209:etiology*; D008297:Male; D010195:Pancreatitis / Q000150:complications*; D014329:Tropical Climate