Kwashiorkor

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 12

KWASHIORKOR

Introduction A dietary history of a monotonous


single cereal-based diet with
inclusion of animal-source foods
less than once per week will raise
suspicion of kwashiorkor. Diets
based on corn, cassava, and rice
are those most commonly
associated with kwashiorkor.

Cessation of breast-feeding in the


few months before presentation is
a common finding. There may be a
history of preceding diarrhea or
measles infection. Kwashiorkor
edema starts in the feet and
develops over a few days.
Alternative Names:
• Protein malnutrition; Protein-calorie
malnutrition; Malignant malnutrition
Definition of Kwashiorkor:
• Kwashiorkor is a form
of malnutrition that occurs when there is
not enough protein in the diet.
Signs and tests
• The physical examination may show an enlarged liver (hepatomegaly)
and general swelling.

• Tests may include:

• Arterial Blood Gas

• BUN(Blood Urea Nitrogen)

• Complete Blood Count(CBC)

• Creatinine Clearance

• Serum Creatinine

• Serum Potassium

• Total Protein Levels

• Urinalysis
What is Kwashiorkor?
Kwashiorkor is a type of
malnutrition that is most
common in areas of drought
and famine. Kwashiorkor is
due to inadequate protein in
the diet despite adequate
caloric intake. Once
kwashiorkor develops, some
of the effects, such as short
stature and intellectual
disability, cannot be
corrected.

Children are affected by


kwashiorkor more frequently
than adults. It typically
starts after the child has
been weaned and breast
milk has been replaced with
a diet low in protein.
What are the symptoms of Kwashiorkor?
 Abdominal swelling, distension or bloating

 Diarrhea

 Enlarged liver

 Fatigue

 Frequent infections

 Generalized swelling

 Hair and nail changes, including brittle,


reddish hair and ridged nails that are thin
and soft

 Irritability

 Skin changes, including pigment loss, red or


purple patches, peeling, cracking, skin
sloughing, and the development of sores

 Slowed growth leading to short stature

 Weight
How is Kwashiorkor treated?

Common treatments for kwashiorkor include:

• Antibiotics to treat infections


• Gradual increases in dietary calories from
carbohydrates, sugars and fats
• Gradual increases in dietary protein
• Intravenous fluids to correct fluid and
electrolyte imbalances
• Lactase to assist in digestion of dairy products
• Vitamin and mineral supplements to treat
deficiencies
What are the potential complications of Kwashiorkor?
In some people, especially infants and children, complications of untreated or poorly controlled
kwashiorkor can be serious, even life threatening in some cases. You can help minimize your risk of
serious complications by following the treatment plan your health care. Complications of
kwashiorkor include:

•Anemia (low red blood cell count)

•Coma

•Frequent infections

•Intellectual disability

•Physical disability

•Poor wound healing

•Shock

•Short stature

•Skin pigmentation changes

•Fatty liver
Prevention:
• To prevent kwashiorkor, make
sure the diet has enough
carbohydrates, fat (at least 10
percent of total calories), and
protein (12 percent of total
calories).

• Kwashiorkor can be prevented by


including foods in your diet that
are rich in proteins, such as meat,
fish, dairy products, eggs, soya,
and beans. Treatment involves
slow increases in calories from
carbohydrates, sugars, and fats,
followed by protein. Vitamin and
mineral supplements and enzymes
to help digest dairy products are
often needed.
What is marasmus?
Marasmus is a severe form of
malnutrition that consists of
the chronic wasting away of
fat, muscle, and other tissues
in the body. Malnutrition
occurs when your body does
not get enough protein and
calories. This lack of nutrition
can range from a shortage of
certain vitamins to complete
starvation. Marasmus is one of
the most serious forms of
protein-energy malnutrition
(PEM) in the world.
Comparison of the features of marasmus and kwashiorkor

You might also like