The following medical news items are relevant to diagnosis and misdiagnosis issues for Kwashiorkor:
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The following factors support the diagnosis:
❑ height and weight less than 80% of standard for the patient’s age and sex, and below-normal arm circumference and triceps skinfold
❑ serum albumin level less than 2.8 g/dl (normal: 3.3 to 4.3 g/dl)
❑ urinary creatinine (24-hour) level used to show lean body mass status by relating creatinine excretion to height and ideal body weight, to yield creatinine-height index.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Clinical features, dietary history, and anthropometry confirm protein-calorie malnutrition. If the patient doesn’t suffer from fluid retention, weight change over time is the best index of nutritional status.
The following factors support the diagnosis:
❑ height and weight less than 80% of standard for the patient’s age and sex, and below-normal arm circumference and triceps skinfold
❑ serum albumin level less than 2.8 g/dl (normal: 3.3 to 4.3 g/dl)
❑ urinary creatinine (24-hour) level is used to show lean body mass status by relating creatinine excretion to height and ideal body weight, to yield creatinine-height index
❑ skin tests with standard antigens to indicate degree of immunocompromise by determining reactivity expressed as a percentage of normal reaction
❑ moderate anemia.
Source: Handbook of Diseases, 2003
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