European Journal of Pediatrics

, 169:117

Cutaneous presentation of kwashiorkor due to infantile Crohn's disease

Authors

  • Luluah Al-Mubarak
    • Division of Dermatology, Department of MedicineKing Saud Bin Abdulaziz University, King Fahad National Guard Hospital
    • Division of Dermatology, Department of MedicineKing Saud Bin Abdulaziz University, King Fahad National Guard Hospital
    • College of MedicineKing Saud Bin Abdulaziz University, King Fahad National Guard Hospital
  • Talal Al Goufi
    • Division of Gastroenterology, Department of PediatricKing Saud Bin Abdulaziz University for Health Sciences, King Fahad National Guard Hospital
Short Report

DOI: 10.1007/s00431-009-0981-5

Cite this article as:
Al-Mubarak, L., Al-Khenaizan, S. & Al Goufi, T. Eur J Pediatr (2010) 169: 117. doi:10.1007/s00431-009-0981-5

Abstract

Kwashiorkor is one of the severe forms of protein-energy malnutrition. Many characteristic dermatoses can be seen in children suffering from kwashiorkor, and some are pathognomonic. Here, we report an infant who presented with diarrhea and skin signs of kwashiorkor, and duodenal biopsy was consistent with Crohn’s disease. The patient was treated with prednisolone administered orally in a tapering course plus azathioprine, in addition to nutritional supplementation. The general condition of the patient quickly improved and his skin lesions completely resolved within 2 weeks. Kwashiorkor is a serious potentially fatal disease that occurs less often in developed countries leading to low index of suspicion by physicians and pediatricians in those regions. Occasionally, dermatologists have the rare chance of alerting pediatricians to the diagnosis of kwashiorkor, thus making a difference in the care of this disease.

Keywords

KwashiorkorCrohn’s diseaseProtein-energy malnutrition

Copyright information

© Springer-Verlag 2009