[1]石晶,张宇,孔祥君,等.蛋白质营养不良1例[J].中国皮肤性病学杂志,2021,(09):1027-1029.[doi:10.13735/j.cjdv.1001-7089.202009025]
 SHI Jing,ZHANG Yu,KONG Xiangjun,et al.A Case of Kwashiorkor[J].The Chinese Journal of Dermatovenereology,2021,(09):1027-1029.[doi:10.13735/j.cjdv.1001-7089.202009025]
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蛋白质营养不良1例()
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2021年09期
页码:
1027-1029
栏目:
病例报告
出版日期:
2021-09-01

文章信息/Info

Title:
A Case of Kwashiorkor
文章编号:
1001-7089(2021)09-1027-03
作者:
石晶张宇孔祥君梁俊梅张峻岭
天津市中医药研究院附属医院皮肤科,天津 300120
Author(s):
SHI JingZHANG YuKONG XiangjunLIANG JunmeiZHANG Junling
(Department of Dermatology,Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin 300120,China)
关键词:
蛋白质营养不良 Kwashiorkor病
Keywords:
Protein malnutrition Kwashiorkor
分类号:
R 591.2
DOI:
10.13735/j.cjdv.1001-7089.202009025
文献标志码:
A
摘要:
患者男,71岁,手足皮疹伴发热1个月,泛发半个月。查体见躯干、四肢红斑、脱屑、破溃、结痂。皮损组织病理示:表皮中上层可见单个及灶性坏死的角质形成细胞,棘细胞间裂隙形成,基底细胞空泡变性,真皮浅层血管周围较多淋巴细胞浸润。结合临床与组织病理诊断为蛋白质营养不良。
Abstract:
A 71-year-old male patient presented with a rash on the hands and feet accompanied by fever for one month,which was diffused for half a month.Skin examination revealed erythema,desquamation,ulceration,scabs on the trunk and extremities.Histopathology showed single and focal necrotic keratinocytes in the upper epidermis,fissure formation between spinous cells,basal cell liquefaction,and infiltration of lymphocytes around blood vessels in the superficial dermis.Protein malnutrition was diagnosed based on clinical and histopathological features.

参考文献/References:

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[2] Henrique de S B Xavier M,De Magalhães E,Ferraz Oliveira G,et al.A child with kwashiorkor misdiagnosed as atopic dermatitis[J].Dermatol Online J,2017,23(5):17-19.
[3] Sandy NS,Nogueira RJN.Nutritional treatment of a young infant with cystic fibrosis presenting with severe Kwashiorkor dermatosis[J].J Trop Pediatr,2019,65(6):634-637.
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[5] Pitt R,Labib PL Z,Wolinski A,et al.Iatrogenic kwashiorkor after distal gastric bypass surgery:the consequences of receiving multinational treatment[J].Eur J Clin Nutr,2016,70(5):635-636.
[6] May T,Klatt KC,Smith J,et al.Choline supplementation prevents a hallmark disturbance of kwashiorkor in weanling mice fed a maize vegetable diet:hepatic steatosis of undernutrition[J].Nutrients,2018,10(5):653-667.
[7] Silva JA,Mesquita Kde C,Igreja AC,et al.Paraneoplastic cutaneous manifestations:concepts and updates[J].An Bras Dermatol,2013,88(1):9-22.

备注/Memo

备注/Memo:
[基金项目] 天津市卫生健康科技项目(ZC20127)
[通信作者] 张宇,E-mail:niuniuzy7375@aliyun.com
更新日期/Last Update: 2021-09-01