Menu ENN Search

Kwashiorkor: still an enigma – the search must go on

Author: André Briend, MD, PhD
Year: 2014
Resource type: Report

In its original description, kwashiorkor was presented as a full clinical syndrome, seen mainly in children under the age of 2 years fed a monotonous diet and associating oedema, skin lesions, hair changes and affect dominated both by irritability and apathy. Its reported case fatality was 90% and at post mortem, fatty infiltration of the liver was a constant finding. In the following years, some authors used the term kwashiorkor to describe conditions which included only some of the clinical signs of the original description. This resulted in some confusion and following a meeting of experts at the invitation of the Wellcome Trust in 1970, it was recommended to use the terms kwashiorkor and marasmic kwashiorkor only for children having nutritional oedema, independently of other associated symptoms.7 To be more specific, some authors went on to abandon the term “kwashiorkor” and just use the term “oedematous malnutrition.

Download

Kwashiorkor-still-an-enigma-CMAM-Forum-Dec-2014.pdf (PDF, 907kb)

More like this

en-net: INICIO Y PROGRESION DEL EDEMA EN KWASHIORKOR

Buenos días. El edema es el signo cardinal del kwashiorkor. La literatura disponible, al referirse al inicio del edema, dice "usualmente inicia en los...

FEX: Improving the quality of nutritional survey data worldwide: Putting Child Kwashiorkor on the Map Initiative

By Lauren Browne Lauren Browne is the Data Manager for the Kwashiorkor Mapping project and joined the team after interning with ACF-UK and Save the Children UK. She completed...

FEX: Follow-up of post-discharge growth and mortality after treatment for SAM in Malawi

Summary of research1 Location: Malawi What we know: There are limited data on long term outcomes following discharge from SAM treatment; what exists is largely pre-HIV....

en-net: Highest SAM rate

I've just got the report of a nutrition survey. Severe acute malnutrition figure is extremely high (above 20%, OMS2006) and I was wondering whether this is a plausible result...

FEX: Putting Child Kwashiorkor on the Map

Jose Luis Alvarez, Nicky Dent, Lauren Browne, Mark Myatt and André Briend Putting Kwashiorkor on the Map started as a call for sharing data to give an idea of...

en-net: Calculating SAM and MAM caseload for treatment programmes

Typically SAM and MAM prevalence from a recent nutrition survey (measured using weight for height) is used with incidence correction factor and coverage to estimate MAM and...

FEX: The current state of evidence and thinking on wasting prevention

Summary of research1 Background ENN produced a report, through the MQSUN+ programme, that synthesises existing evidence and stakeholder opinion on what works to prevent...

FEX: MUAC Versus Weight-for-Height in Assessing Severe Malnutrition

Summary of published paper1 An infant having MUAC measured during the study in Kenya Current WHO guidelines for the management of severe malnutrition in children recommend...

FEX: New implications for controversial kwashiorkor treatment discussed in Paediatrics and International Child Health

Summary of research1 The latest issue of Paediatrics and International Child Health sees leading experts in the field of malnutrition address the ongoing controversy...

FEX: Community-based Therapeutic Care (CTC)

Malnourished Child being fed with ready-touse therapeutic food (RUTF) Summary of published research1 Bedawacho Woreda is a district in Ethiopia, 350 km south of Addis Ababa,...

FEX: Debate on the Management of Severe Malnutrition

by Marie McGrath, Fiona O'Reilly and Jeremy Shoham (ENN). Over the past six months, ENN has been a party to debate regarding technical aspects of the management of severe...

FEX: Antibiotics as part of the management of severe acute malnutrition

Summary of published research1 Mothers receive instruction on how to adminster antibiotics Location: Malawi What we know already: There is a high prevalence of clinically...

FEX: Diagnosing Beriberi in Emergency Situations

by Prof Mike Golden, Aberdeen University. This piece will be most useful to medical professionals - doctors and nurses. However, the article may also be useful for non...

FEX: Research Snapshots

The following provides a short summary of each of these important research studies. A fuller summary of each can be found online at www.ennonline.net/fex Inpatient management...

FEX: Antioxidant Role in Preventing Kwashiorkor

Summary of published research1 A village of mothers waiting to enroll their children in Chipalonga A recent study set out to evaluate the efficacy of antioxidant...

en-net: Proportion of SAM - oedema

Have findings from nutrition surveys found oedema cases to be 50% or higher of total SAM cases? Is this feasible in a country such as DRC?

Many thanks - very...

en-net: Plumpy nut Vis-à-vis Supplementary plumpy

Based on the nutritional information of the two products, there is no difference in nutritional composion (energy,protein, Fat, and micronutritient) except plumy nut has animal...

en-net: WFH versus MUAC

I would like experts input in this regard. I wish Mark Myatt to be one of the respondent of my question. Much has been said about the discrepancy of MUAC and WFH in some...

FEX: Home treatment for severe malnutrition in South Sudan

By Josephine Querubin, ACF-USA Josephine Querubin is a medical doctor who has been working in humanitarian work for the past 12 years. Beginning in her home country, the...

FEX: Study of the Risk Factors for the Development of Nutritional Oedema in North Kivu, DRC

By Mark Myatt and Frances Mason Mark Myatt is a consultant epidemiologist and senior research fellow at the Division of Epidemiology, Institute of Opthalmology, University...

Close

Reference this page

André Briend, MD, PhD (2014). Kwashiorkor: still an enigma – the search must go on. www.ennonline.net/kwashiorkorstillanenigma

(ENN_4692)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.