Skin in protein energy malnutrition

Skin Signs as the Presenting Manifestation of Severe Nutritional Deficiency

“…8 What skin signs should be sought, and what are the clues to underlying malnutrition? Our patient with kwashiorkor presented with many of the classic cutaneous findings of kwashiorkor, with "flaky paint" dermatitis and hypopigmented, sparse, fragile hair with early flag sign, 1,2,9,10 which are pathognomonic of kwashiorkor. Interestingly, in most of the cases of kwashiorkor reported in the United States, the flag sign is not present; our patient's hypopigmented roots suggested early flag sign.…”

Cutaneous presentation of kwashiorkor due to infantile Crohn's disease

“…Protein-energy malnutrition encompasses a group of disorders that includes marasmus and kwashiorkor with the latter being the most prevalent nutritional deficiency in humans [6]. It occurs when the caloric intake remains adequate, the protein amount is deficient, and carbohydrates are in relative excess [10].…”

Nütrisyonel Hastalıkların Deri Bulguları

“…Marasmus is more frequent than kwashiorkor. It is seen in third world due to the food shortage whereas it emerges in western countries in serious diseases and in patients hospitalized in intensive care 2,3,4,5 .Phisical signs of protein energy malnutirion is summarized in table 1.…”

“…It is marked by loss of 60% to 80% of body weight and peripheral edema. In children, mental retardation and development retardation of skeleton,muscular atrophy,fatty infiltration of the liver occurs 2,3,4,5 .…”