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Marasmus

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https://www.readbyqxmd.com/read/29504978/lupus-erythematosus-panniculitis-in-a-10-year-old-female-child-with-severe-systemic-lupus-erythematosus-a-case-report
#1
Ruolin Zhang, Xiqiang Dang, Lanjun Shuai, Qingnan He, Xiaojie He, Zhuwen Yi
RATIONALE: Lupus erythematosus panniculitis (LEP) is a rare subset of lupus erythematosus. The incidence of LEP in systemic lupus erythematosus (SLE) ranges from 2% to 5%. In the previous literature, most LEP patients were women aged from 20 to 60 years, while pediatric cases were rare, all of whom appeared on their own without SLE.A rare LEP in a 10-year-old female child with severe SLE is presented. PATIENT CONCERNS: A 10-year-old girl was admitted to our hospital for marasmus and fatigue without other typical manifestations of SLE well before the appearance of skin lesions...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29487616/identification-of-two-novel-lama2-mutations-in-a-chinese-patient-with-congenital-muscular-dystrophy
#2
Jing Zhou, Jianxin Tan, Dingyuan Ma, Jingjing Zhang, Jian Cheng, Chunyu Luo, Gang Liu, Yuguo Wang, Zhengfeng Xu
Merosin-deficient CMD type 1A (MDC1A), caused by mutations of laminin subunit alpha 2 (LAMA2), is a predominant subtype of congenital muscular dystrophy (CMD). Herein, we described a Chinese patient with MDC1A who was admitted to hospital 17 days after birth because of marasmus and feeding difficulties. Mutations were identified by targeted capture and next generation sequencing (NGS) and further confirmed by Sanger sequencing. Paternity was confirmed by short tandem repeat analysis. Physical examination showed malnutrition, poor suck and appendicular hypotonia...
2018: Frontiers in Genetics
https://www.readbyqxmd.com/read/29361980/outcomes-of-children-aged-6-59%C3%A2-months-with-severe-acute-malnutrition-at-the-gado-outpatient-therapeutic-center-in-cameroon
#3
Judwin Alieh Ndzo, Alan Jackson
OBJECTIVE: We aimed to assess outcomes [rates of recovery, default, case fatality; rate of weight gain and rate of Mean Upper Arm Circumference (MUAC) gain] of children aged 6-59 months with severe acute malnutrition (SAM) at the Outpatient Therapeutic Center at Gado Refugee Camp, Cameroon, in relation to international standards. We retrospectively analysed files of 254 children with SAM aged 6-59 months admitted from April 2015 to August 2016. RESULTS: 72.8% got discharged as recovered, 0...
January 24, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29302321/developmental-and-behavioural-problems-in-children-with-severe-acute-malnutrition-in-malawi-a-cross-sectional-study
#4
Meta van den Heuvel, Wieger Voskuijl, Kate Chidzalo, Marko Kerac, Sijmen A Reijneveld, Robert Bandsma, Melissa Gladstone
Background: Early childhood development provides an important foundation for the development of human capital. Although there is a clear relation between stunting and child development outcomes, less information is available about the developmental and behavioural outcomes of children with severe acute malnutrition (SAM). Particularly an important research gap exists in Sub-Saharan Africa where there is a high prevalence of SAM and a high rate of co-occurring HIV (human immune deficiency virus) infection...
December 2017: Journal of Global Health
https://www.readbyqxmd.com/read/29175577/aflatoxin-exposure-in-nigerian-children-with-severe-acute-malnutrition
#5
Amy McMillan, Justin B Renaud, Kevin M N Burgess, Adebola E Orimadegun, Olusegun O Akinyinka, Stephen J Allen, J David Miller, Gregor Reid, Mark W Sumarah
Aflatoxin exposure is an important public health concern in sub-Saharan Africa as well as parts of Latin America and Asia. In addition to hepatocellular carcinoma, chronic aflatoxin exposure is believed to play a role in childhood growth impairment. The most reliable biomarker of chronic aflatoxin exposure is the aflatoxin-albumin adduct, as measured by ELISA or isotope dilution mass spectrometry (IDMS). In this report, we have used high resolution LC-MS/MS with IDMS to quantitate AFB1 -lysine in an extremely vulnerable population of Nigerian children suffering from severe acute malnutrition...
January 2018: Food and Chemical Toxicology
https://www.readbyqxmd.com/read/28810666/monitoring-and-discharging-children-being-treated-for-severe-acute-malnutrition-using-mid-upper-arm-circumference-secondary-data-analysis-from-rural-gambia
#6
Alice Burrell, Marko Kerac, Helen Nabwera
Background: Severe acute malnutrition (SAM) is a major public health problem. Mid-upper arm circumference (MUAC) is widely used to admit children to treatment programmes. However, insufficient data supporting MUAC discharge criterion limits its use as a stand-alone tool. Our aim was to evaluate MUAC for monitoring nutritional recovery and discharge. Methods: This was a secondary analysis of clinical data from children 6-59 months-old treated for SAM from January 2003 to December 2013 at the Nutritional Rehabilitation Unit in rural Gambia...
July 1, 2017: International Health
https://www.readbyqxmd.com/read/28559814/the-rare-case-of-pemphigus-vegetans-in-association-with-malnutrition-children-in-the-multidisciplinary-management
#7
Oki Suwarsa, Endang Sutedja, Hartati Purbo Dharmadji, Pramita Kusuma, July Rahardja, Reti Hindritiani, Hendra Gunawan
Pemphigus vegetans is a clinical variant of pemphigus vulgaris, accounting for 1-2% of all very rare pemphigus cases in children. The involvement of the oral mucosa in this disease is usually accompanied by severe pain that aggravates the patient's malnourished condition. Conversely, malnutrition may also reduce vulnerability towards autoimmune diseases. Although pemphigus vegetans has never been reported to develop in a child with marasmus before, we encountered a case of pemphigus vegetans in a severely malnourished patient...
January 2017: Case Reports in Dermatology
https://www.readbyqxmd.com/read/28504629/-acute-malnutrition-in-children
#8
Maren Johanne Rytter, Kim Fleischer Michaelsen, Henrik Friis, Vibeke Brix Christensen
The prevalence of malnutrition has declined significantly over the last 30 years. Despite this, malnutrition remains a major cause of illness and death among children worldwide, particularly in low- and medium-income countries. Marasmus and kwashiorkor are the most life-threatening forms of malnutrition. Treatment protocols enable effective treatment, but only a minority of malnourished children have access to treatment. Furthermore, treating children with complicated malnutrition requiring hospitalization remains a clinical challenge...
May 15, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28330812/molecular-evidence-for-differential-long-term-outcomes-of-early-life-severe-acute-malnutrition
#9
Allan Sheppard, Sherry Ngo, Xiaoling Li, Michael Boyne, Debbie Thompson, Anthony Pleasants, Peter Gluckman, Terrence Forrester
BACKGROUND: Severe acute malnutrition (SAM) in infants may present as one of two distinct syndromic forms: non-edematous (marasmus), with severe wasting and no nutritional edema; or edematous (kwashiorkor) with moderately severe wasting. These differences may be related to developmental changes prior to the exposure to SAM and phenotypic changes appear to persist into adulthood with differences between the two groups. We examined whether the different response to SAM and subsequent trajectories may be explained by developmentally-induced epigenetic differences...
April 2017: EBioMedicine
https://www.readbyqxmd.com/read/28279227/treatment-outcomes-of-severe-acute-malnutrition-in-children-treated-within-outpatient-therapeutic-program-otp-at-wolaita-zone-southern-ethiopia-retrospective-cross-sectional-study
#10
Mulugeta Yohannis Kabalo, Canaan Negash Seifu
BACKGROUND: Children in third world countries suffer from severe acute malnutrition (SAM) in an extent of public health important. SAM management protocol available this time brought the approach from facility-based to community-based by Outpatient Therapeutic Program (OTP). But, little was known about the treatment outcomes of the program in Ethiopia. Thus, this study was aimed to assess treatment outcomes of SAM and identify factors associated among children treated at OTP in Wolaita Zone...
March 9, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/28164028/the-clinical-spectrum-of-severe-acute-malnutrition-in-children-in-cameroon-a-hospital-based-study-in-yaounde-cameroon
#11
Andreas Chiabi, Berthe Malangue, Seraphin Nguefack, Félicitée Nguefack Dongmo, Florence Fru, Virginie Takou, Fru Angwafo
BACKGROUND: Severe acute malnutrition (SAM) is a major health problem, and the cause of more than half of childhood deaths in children less than 5 years in developing countries. Globally, 20 million children under 5 years of age are severely malnourished according to the World Health Organization (WHO). In Cameroon, the prevalence of SAM remains high and estimated at 1.9% in 2011 and 1.3% in 2014. The aim of this study was to determine the epidemiology, clinical aspects and outcome of SAM at the Yaounde Gynaeco-Obstetric and Pediatric Hospital (YGOPH)...
January 2017: Translational Pediatrics
https://www.readbyqxmd.com/read/27882009/functional-and-structural-abnormalities-of-the-kidney-and-urinary-tract-in-severely-malnourished-children-a-hospital-based-study
#12
Misbah Anjum, Khemchand N Moorani, Ifra Sameen, Muhammad Ayaz Mustufa, Shazia Kulsoom
OBJECTIVES: The association of malnutrition and systemic diseases like chronic kidney disease (CKD) is well known. Various urinary tract abnormalities may be associated with malnutrition. So objective of current study was to determine the frequency of functional and structural urinary tract abnormalities in severely malnourished children admitted in Nutritional Rehabilitation Unit (NRU) of a tertiary care facility, Karachi. METHODS: This descriptive cases series of 78 children was conducted in NRU from October 2014 - March 2015...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27877011/analysis-of-clinical-characteristics-and-treatment-of-pancreatic-cystic-tumors
#13
Lei You, Jianchun Xiao, Zhe Cao, Wanying Zhang, Quan Liao, Menghua Dai, Taiping Zhang, Yupei Zhao
OBJECTIVE: To summarize experience in the diagnosis and treatment of pancreatic cystic neoplasms. METHODS: This is a retrospective study of 207 patients who were diagnosed with pancreatic cystic tumors at Peking Union Medical College Hospital between Jan 2009 and Mar 2014. Clinical data, such as clinical manifestations, radiological and pathological images and surgical recordings, were collected. RESULTS: Of the 207 included patients, females accounted for 76...
October 2016: Chinese Journal of Cancer Research, Chung-kuo Yen Cheng Yen Chiu
https://www.readbyqxmd.com/read/27807038/metabolomic-changes-in-serum-of-children-with-different-clinical-diagnoses-of-malnutrition
#14
Valeria Di Giovanni, Celine Bourdon, Dominic X Wang, Swapna Seshadri, Edward Senga, Christian J Versloot, Wieger Voskuijl, Richard D Semba, Indi Trehan, Ruin Moaddel, M Isabel Ordiz, Ling Zhang, John Parkinson, Mark J Manary, Robert Hj Bandsma
BACKGROUND: Mortality in children with severe acute malnutrition (SAM) remains high despite standardized rehabilitation protocols. Two forms of SAM are classically distinguished: kwashiorkor and marasmus. Children with kwashiorkor have nutritional edema and metabolic disturbances, including hypoalbuminemia and hepatic steatosis, whereas marasmus is characterized by severe wasting. The metabolic changes underlying these phenotypes have been poorly characterized, and whether homeostasis is achieved during hospital stay is unclear...
December 2016: Journal of Nutrition
https://www.readbyqxmd.com/read/27651550/prevalence-and-outcome-of-severe-malnutrition-in-children-less-than-five-year-old-in-omdurman-paediatric-hospital-sudan
#15
Shaza O H Kanan, Mohammed Osman Swar
This is a retrospective observational hospital-based study aimed to determine the prevalence and outcome of severe acute malnutrition in children less than five years admitted to Omdurman Paediatric Hospital during the period January 2014 to December 2014. Data was collected from patient's hospital records during the study period. Ethical approval and permission to access patients' record were obtained. A total of 593 children with severe malnutrition were identified; 305 of cases were male (51.4%) with a male: female ratio of 1:0...
2016: Sudanese Journal of Paediatrics
https://www.readbyqxmd.com/read/27396484/treatment-outcome-and-factors-affecting-time-to-recovery-in-children-with-severe-acute-malnutrition-treated-at-outpatient-therapeutic-care-program
#16
Melkamu Merid Mengesha, Negussie Deyessa, Balewgizie Sileshi Tegegne, Yadeta Dessie
BACKGROUND: The outpatient therapeutic care program (OTP) of children with severe acute malnutrition (SAM) has been decentralized to health post level in Ethiopia since 2008-2009. However, there is a lack of evidence regarding treatment outcomes and factors related to the duration of stay on treatment after its decentralization to health post level. OBJECTIVE: This study was aimed to assess treatment outcome and factors affecting time to recovery in children with SAM treated at OTP...
2016: Global Health Action
https://www.readbyqxmd.com/read/26990240/a-successful-case-of-deceased-donor-liver-transplantation-for-a-patient-with-intrahepatic-arterioportal-fistula
#17
Kosei Takagi, Takahito Yagi, Ryuichi Yoshida, Susumu Shinoura, Yuzo Umeda, Daisuke Nobuoka, Nobuyuki Watanabe, Takashi Kuise, Kenta Sui, Akira Hirose, Makiko Tsuboi, Mitsunari Ogasawara, Shinji Iwasaki, Toshiji Saibara, Toshiyoshi Fujiwara
Intrahepatic arterioportal fistula (IAPF) is a rare cause of portal hypertension that is often difficult to treat with interventional radiology or surgery. Liver transplantation for IAPF is extremely rare. We report a case of bilateral diffuse IAPF with severe portal hypertension requiring deceased donor liver transplantation (DDLT). A 51-year-old woman with no past medical history was admitted to another hospital complaining of abdominal distension and marasmus. A computed tomography scan and digital subtraction angiography indicated a massive pleural effusion, ascites, and a very large IAPF...
December 2016: Hepatology Research: the Official Journal of the Japan Society of Hepatology
https://www.readbyqxmd.com/read/26817484/developmental-contributions-to-macronutrient-selection-a-randomized-controlled-trial-in-adult-survivors-of-malnutrition
#18
Claudia P Campbell, David Raubenheimer, Asha V Badaloo, Peter D Gluckman, Claudia Martinez, Alison Gosby, Stephen J Simpson, Clive Osmond, Michael S Boyne, Terrence E Forrester
BACKGROUND AND OBJECTIVES: Birthweight differences between kwashiorkor and marasmus suggest that intrauterine factors influence the development of these syndromes of malnutrition and may modulate risk of obesity through dietary intake. We tested the hypotheses that the target protein intake in adulthood is associated with birthweight, and that protein leveraging to maintain this target protein intake would influence energy intake (EI) and body weight in adult survivors of malnutrition...
2016: Evolution, Medicine, and Public Health
https://www.readbyqxmd.com/read/26164745/the-adverse-effect-of-4-tert-octylphenol-on-fat-metabolism-in-pregnant-rats-via-regulation-of-lipogenic-proteins
#19
Jun Kim, Eun-Jin Kang, Mee-Na Park, Ji-Eun Kim, Seung-Chul Kim, Eui-Bae Jeung, Geun-Shik Lee, Dae-Youn Hwang, Beum-Soo An
Alkylphenols such as 4-tert-octylphenol (OP), nonylphenol, and bisphenol A are classified as endocrine-disrupting chemicals (EDCs). Digestion and metabolism of food are controlled by many endocrine factors, including insulin, glucagon, and estrogen. These factors are differentially regulated during pregnancy. The alteration of nutritional intake and fat metabolism may affect the maintenance of pregnancy and supplementation of nutrients to the fetus, and therefore can cause severe metabolic diseases such as ketosis, marasmus and diabetes mellitus in pregnant individuals...
July 2015: Environmental Toxicology and Pharmacology
https://www.readbyqxmd.com/read/26064678/treatment-outcome-of-severe-acute-malnutrition-cases-at-the-tamale-teaching-hospital
#20
Mahama Saaka, Shaibu Mohammed Osman, Anthony Amponsem, Juventus B Ziem, Alhassan Abdul-Mumin, Prosper Akanbong, Ernestina Yirkyio, Eliasu Yakubu, Sean Ervin
Objective. This study investigated the treatment outcomes and determinant factors likely to be associated with recovery rate. Methods. A retrospective chart review (RCR) was performed on 348 patients who were enrolled in the outpatient care (OPC) during the study period. Results. Of the 348 cases, 33.6% recovered (having MUAC ≥125 mm), 49.1% defaulted, and 11.5% transferred to other OPC units to continue with treatment. There were 187 (53.7%) males and 161 (46.3%) females with severe malnutrition. The average weight gain rate was 28 g/kg/day...
2015: Journal of Nutrition and Metabolism
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