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A Case of Infantile Spasm Associated with Acute Renal Failure and Kwashiorkor after Ketogenic Diet

Journal of the Korean Pediatric Society 2003;46(11):1131-1134.
Published online November 15, 2003.
A Case of Infantile Spasm Associated with Acute Renal Failure and Kwashiorkor after Ketogenic Diet
Young-Myoung Kim, Tae-Hong Kim, Jin-A Jung, Kyu-Geun Hwang
Department of Pediatrics, Dong-A University Medical School, Busan, Korea
케톤생성 식이요법 후 급성신부전 및 단백열량부족증 소견을 보인영아성 경축 1례
김영명, 김태홍, 정진아, 황규근
동아대학교 의과대학 소아과학교실
Correspondence: 
Kyu-Geun Hwang, Email: kghyang@daunet.donga.ac.kr
Abstract
The ketogenic diet is a high-fat, low-protein, low-carbohydrate diet developed in the 1920s for the treatment of difficult-to-control seizures. Despite advances in both the pharmacotherapy and the surgery of epilepsy, many children continue to have difficult-to-control seizures. In this situation, a ketogenic diet should be considered as an alternative therapy. However, less attention has been paid to associated adverse events in the ketogenic diet. We report a case of infantile spasm associated with acute renal failure, lipoid pneumonitis and kwashiorkor after ketogenic diet. A better understanding of this adverse event profile will allow the pediatric neurologist to have a true informed consent discussion with the care giver when considering initiation of the ketogenic diet.
Key Words: Ketogenic diet, Acute renal failure, Kwashiorkor


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