Rice nightmare: Kwashiorkor in 2 Philadelphia-area infants fed Rice Dream beverage

Katz, Kenneth A.; Mahlberg, Matthew H.; Honig, Paul J.; Yan, Albert C.

doi:10.1016/j.jaad.2004.07.056

Cited by 35 publications

(38 citation statements)

References 9 publications

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“…It has been reported that some pediatric AD patients are short,11 and growth retardation such as short height or low body weight has been reported in patients with AD 12. Previous studies have reported the occurrence of nutritional problems related to food allergies, including kwashiorkor,13 rickets,14 and marasmus,15 in infants with AD, following food restriction.…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status According to Sensitized Food Allergens in Children With Atopic Dermatitis

Cho

Sung-Hwa

Lee

et al. 2011

Allergy Asthma Immunol Res

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PurposeFood allergies can affect the growth and nutritional status of children with atopic dermatitis (AD). This study was conducted to determine the association between the number of sensitized food allergens and the growth and nutritional status of infants and young children with AD.MethodsWe studied 165 children with AD, aged 5 to 47 months, and who visited the Atopy Clinic of the Seoul Medical Center. We recorded the birth weight, time at which food weaning began, scoring of atopic dermatitis (SCORAD) index, eosinophil counts in peripheral blood, and total serum IgE and specific IgE to six major allergens (egg white, cow's milk, soybean, peanut, wheat, and fish). The height and weight for age and weight for height were converted to z-scores to evaluate their effects on growth and nutritional status. Specific IgE levels ≥0.7 kUA/L, measured via the CAP assay, were considered positive.ResultsAs the number of sensitized food allergens increased, the mean z-scores of weight and height for age decreased (P=0.006 and 0.018, respectively). The number directly correlated with the SCORAD index (r=0.308), time at which food weaning began (r=0.332), eosinophil counts in peripheral blood (r=0.266), and total serum IgE (r=0.394). Inverse correlations were observed with the z-scores of weight for age (r=-0.358), height for age (r=-0.278), and weight for height (r=-0.224).ConclusionsA higher number of sensitized food allergens was associated with negative effects on the growth and nutritional status of infants and young children with AD. Therefore, a thorough evaluation of both growth and nutritional status, combined with adequate patient management, is crucial in pediatric AD patients presenting with numerous sensitized food allergies.

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Section: Introductionmentioning

confidence: 99%

Nutritional Status According to Sensitized Food Allergens in Children With Atopic Dermatitis

Cho

Sung-Hwa

Lee

et al. 2011

Allergy Asthma Immunol Res

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“…Regarding the clinical manifestations secondary to the use of rice beverages, the information on 17 cases is given in supplemental table IV (http://www.nutricionhospitalaria.org/wp-content/ uploads/2014/11/931-material-suplementario.pdf) (5,6,(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34). The principal nutritional consequence in infants of consumption of rice beverages instead of infant formula is protein malnutrition or kwashiorkor, reported in 14 of 17 cases, with clinical data of hypoalbuminemia, edema and rash.…”

Section: Consumption Of Pbbs and Nutritional Diseasementioning

confidence: 99%

The nutritional limitations of plant-based beverages in infancy and childhood

Vitoria¹

2017

Nutr Hosp

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The nutritional limitations of plant-based beverages in infancy and childhood Limitaciones nutricionales de las bebidas vegetales en la lactancia y la infancia ResumenLa lactancia materna, la fórmula infantil y la leche de vaca son alimentos básicos en la nutrición del lactante. Sin embargo, cada vez son reemplazados, total o parcialmente, por bebidas vegetales. Se ha revisado la composición de 164 bebidas vegetales disponibles en España a partir del etiquetado nutricional del envase y de las páginas web de los fabricantes. Se ha comparado con la composición de la leche de vaca y de la fórmula infantil. Además, se ha revisado la patología nutricional asociada con el consumo de bebidas vegetales en lactantes y niños mediante una búsqueda bibliográfica en Medline y EMBASE desde 1990 basada en las palabras clave "plant-based beverages" o "rice beverages" o "almond beverages" o "soy beverages" y "infant" o "child". Se describe la composición nutricional de 54 bebidas de soja, 24 bebidas de arroz, 22 bebidas de almendras, 31 bebidas de avena, 6 bebidas de coco, 12 bebidas misceláneas y 15 bebidas mixtas. Se han publicado al menos 30 casos de patología nutricional en niños asociadas con un consumo casi exclusivo de bebidas vegetales. Se ha observado una asociación característica entre la bebida de soja y el raquitismo, la bebida de arroz y el kwashiorkor, y la bebida a base de almendras y la alcalosis metabólica. La calidad nutricional de las bebidas vegetales es menor que la leche de vaca y la fórmula infantil, por lo que no son una alternativa nutricional. El uso predominante o exclusivo de estas bebidas en la alimentación infantil puede conducir a graves riesgos nutricionales. En el caso de una alimentación no exclusiva con estas bebidas, el pediatra debe ser consciente de los riesgos y limitaciones nutricionales de estas bebidas para complementar sus deficiencias con otros alimentos. AbstractBreastfeeding, infant formula and cow's milk are basic foods in infant nutrition. However, they are being increasingly replaced either totally or partially by plant-based beverages. The composition of 164 plant-based beverages available in Spain was reviewed based on the nutritional labeling of the package and the manufacturers' webpages. This was compared to the composition of cow's milk and infant formula. In addition, the nutritional disease associated with consumption of plant-based beverages in infants and children was reviewed by means of a literature search in Medline and Embase since 1990 based on the key words "plant-based beverages" or "rice beverages" or "almond beverages" or "soy beverages" and "infant" or "child". The nutritional composition of 54 soy beverages, 24 rice beverages, 22 almond beverages, 31 oat beverages, 6 coconut beverages, 12 miscellaneous beverages and 15 mixed beverages was described. At least 30 cases of nutritional disease in children associated with nearly exclusive consumption of plant-based beverages have been published. A characteristic association has been observed between soy beverage a...

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“…Nevertheless, severe cases of growth failure are rare, affecting only a minor proportion of children following an appropriate care plan and may relate to the severity of the disease, like a large skin surface area affected in atopic eczema [47]. Lack of appropriate care or poor compliance may result in severe nutritional inadequacies, for example, where small children have been fed with rice beverages with an inappropriate nutritional composition for the needs of a small child [48]. There is little evidence on the impact of food allergy on a child's body composition or bone health, but these may be potentially affected.…”

Section: Impact Of Allergy On Growth Of the Childrenmentioning

confidence: 99%

Nutritional Aspects in Diagnosis and Management of Food Hypersensitivity—The Dietitians Role

2012

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Many common foods including cow's milk, hen's egg, soya, peanut, tree nuts, fish, shellfish, and wheat may cause food allergies. The prevalence of these immune-mediated adverse reactions to foods ranges from 0.5% to 9% in different populations. In simple terms, the cornerstone of managing food allergy is to avoid consumption of foods causing symptoms and to replace them with nutritionally equivalent foods. If poorly managed, food allergy impairs quality of life more than necessary, affects normal growth in children, and causes an additional economic burden to society. Delay in diagnosis may be a further incremental factor. Thus, an increased awareness of the appropriate procedures for both diagnosis and management is of importance. This paper sets out to present principles for taking an allergy-focused diet history as part of the diagnostic work-up of food allergy. A short overview of guidelines and principles for dietary management of food allergy is discussed focusing on the nutritional management of food allergies and the particular role of the dietitian in this process.

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Rice nightmare: Kwashiorkor in 2 Philadelphia-area infants fed Rice Dream beverage

Cited by 35 publications

References 9 publications

Nutritional Status According to Sensitized Food Allergens in Children With Atopic Dermatitis

Nutritional Status According to Sensitized Food Allergens in Children With Atopic Dermatitis

The nutritional limitations of plant-based beverages in infancy and childhood

Nutritional Aspects in Diagnosis and Management of Food Hypersensitivity—The Dietitians Role

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