CASE 36
During your medical school training, you spend some time in a pediatric clinic
in a third-world country. One of the first patients you encounter is an 8-month-
old girl brought to the clinic because of excessive exhaustion and fatigue. On
further questioning of the mother, she reports that she was previously breast-
feeding but had to stop to return to work. To feed all of her other children, she
has had to dilute her formula with water to make the formula last longer for
the entire family. After your physical exam is performed, you diagnose the
infant with severe malnutrition and aid the mother with resources to increase
food intake for their household.
What is this syndrome called (with deficiencies in both calories
and protein)?
What is the difference between this syndrome and kwashiorkor
syndrome?
What physical findings might differentiate the two syndromes?
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