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NUTRITIONAL DISORDERS
Protein-energy malnutrition
Classification
Marasmus
- failure in weight gain, leading to emaciation
- skin dry, thin, pale lax & wrinkled
- subcutaneous fat disappears
- muscles considerable loss in volume
- basal metabolism is diminished
- body temperature is low
Kwashiorkor
- wet malnutrition
- oedema, failure to thrive
- loss of muscle mass
Cutaneous manifestations
Marasmus
- Skin thin, lax or wrinkled, scaly &
hyperpigmented
- excess lanugo-like hair
- loss of buccal fat pads monkey faces,
aged appearance
- hair brittle
- nail thin & fissured
- angular cheilitis, pale & atrophic tongue
Kwashiorkor
- hyperpigmentation & occasional fissuring
in areas subject to pressure
- erythema, desquamation, thinning,
ptechiae, ecchymosis and purpura
- shiny varnished-like skin (64%), dark
erythemateous pigmented macules (48%),
xerotic crazy-paving skin (28%), residual
hypochromia (21%), large-scale desquamation
(18%)
Management
Multidisciplinary approach
Skin lesions regress as soon as receives
adequate dietary intake
Acute phase lubricating ointments
Bacterial infections AB
Candida infection topical agents
Vitamin A deficiency
Follicular Hyperkeratosis of
Vitamin A Deficiency
Hypervitaminosis A
Vitamin B3 deficiency
Treatment :
- 300 mg / o niacin
- 100 mg / iv
- adequate well-balanced diet
Vitamin B6 (pyridoxine)
Skin lesions :
- cheilosis
- glossitis
- conjunctivitis
- periorificial seborrhoeic-like dermatitis
Treatment :
- 20 100 mg /d/o
- 100 mg / im in cases of convulsions
Biotin (vitamin H)
Selenium
Zinc
Obesity