Dermatitis and Dangerous Diets

Abstract

Cutaneous tuberculosis can be caused by consuming cow milk contaminated with Mycobacterium bovis or by droplet infection with M tuberculosis. The correct diagnosis is often significantly delayed because CTB is not routinely considered in the differential diagnosis or because investigations fail to reveal the presence of M tuberculosis. 4 Our case illustrates that scrofuloderma, though a rare disease in industrialized countries, should still be considered in the differential diagnosis of unusual abscesses and nodules of the neck. Skin testing and interferon-γ release assay can support the clinical diagnosis. Since PCR has been shown to have a limited sensitivity and specificity (eg, 88% sensitivity and 83% specificity 5 ), there is a risk of failure to detect mycobacteria in skin samples by relying solely on PCR. Therefore, PCR should always be accompanied by culture. 6

Ketogenic diet as a glycine lowering therapy in nonketotic hyperglycinemia and impact on brain glycine levels

“…1A). These diets also carry a risk if not carefully executed and are therefore not recommended as a method of glycine reduction [24][25][26]. The efficacy of glycine reduction is routinely assessed via measurement of plasma glycine levels, and the impact of therapy on the target organ, the brain, has not been well characterized.…”

A child with kwashiorkor misdiagnosed as atopic dermatitis

“…Many cases are associated with rice milk diets, a product that is very low in protein content [5]. In addition, protein-calorie malnutrition has been noted in chronically ill patients in neonatal or pediatric intensive care units as well as among patients with burns, HIV, cystic fibrosis, failure to thrive, chronic diarrhea syndromes, malignancies, bone marrow transplantation, in born errors of metabolism [6][7][8].…”

Cutaneous signs of nutritional disorders

“…The dermatitis of Kwashiorkor begins as hypopigmented to erythematous-violaceous patches in areas of friction and pressure, such as intertriginous areas, and may be misdiagnosed as atopic dermatitis Table 1 ( Rogers et al, 2014 ). Restrictive diets for presumed atopic dermatitis may lead to a concomitant protein-energy malnutrition dermatosis ( Henrique de S B Xavier et al, 2017 ).…”