دورية أكاديمية
Presentation of an infant with nutritional deficiency dermatitis as the initial manifestation of cystic fibrosis
| العنوان: | Presentation of an infant with nutritional deficiency dermatitis as the initial manifestation of cystic fibrosis |
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| المؤلفون: | Stojković Anđelka, Radlović Nedeljko, Vuletić Biljana, Nestorović Branimir, Leković Zoran, Obradović Slobodan, Vujić Ana |
| المصدر: | Srpski Arhiv za Celokupno Lekarstvo, Vol 141, Iss 11-12, Pp 810-813 (2013) |
| بيانات النشر: | Serbian Medical Society, 2013. |
| سنة النشر: | 2013 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | cystic fibrosis, infant, nutritional deficit dermatitis, Medicine |
| الوصف: | Introduction. Cystic fibrosis (CF) is a multisystemic autosomal recessive disease most frequently recognized by characteristic respiratory and/or digestive manifestations. Exceptionally rare, as is the case with the infant we are presenting, the initial sign of the disease can be nutritional deficiency dermatitis (NDD). Case Outline. A three-month-old male infant of young and healthy non-consanguineous parents, born at term after the first uneventful pregnancy, was hospitalized due to atopic dermatitis (AD)-like skin changes, failure to thrive and normochromic anemia (Hb 60 g/L). As exclusively breast-fed, failure to thrive was attributed to hypogalactia and skin changes to nutritional allergy, so that, besides exclusion of cow’s milk protein and other highly allergenic foods in mother’s diet, hypoallergenic milk formula was added to the child’s diet. However, dietetic measures were without effect, and the child was re-hospitalized at age 4.5 months, this time in the condition of severe malnutrition with hypoproteinemic edemas, extensive dermatitis, moderate hepatosplenomegaly and recurrent normochromic anemia (Hb 57 g/L). After plasma-free erythrocyte transfusion, correction of hypoalbuminemia and two-week parenteral and semi-elementary nutrition resulted in gradual recovery of the child, also including the resolution of skin changes. Having in mind the clinical course of the disease, as well as the response to applied therapeutic measures, CF was suspected as the cause of the child’s problems, which was also confirmed by a high level of sweat chlorine (92 mmol/L) and DNA analysis (∆F508/∆F508). Conclusion. Our experience indicates that NDD, as the initial manifestation of CF, should be also kept in mind in differential diagnosis of the infant’s AD-like changes. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Serbian |
| تدمد: | 0370-8179 |
| العلاقة: | https://doaj.org/toc/0370-8179Test |
| DOI: | 10.2298/SARH1312810S |
| الوصول الحر: | https://doaj.org/article/49a8f3a7ef444d458335c6c89d6dda9aTest |
| رقم الانضمام: | edsdoj.49a8f3a7ef444d458335c6c89d6dda9a |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 03708179 |
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| DOI: | 10.2298/SARH1312810S |