| Clinical Outcomes of Infants with Failure to Gain Weight among Out-patients |
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Byoung Cheol Lee1, Hae Rim Kim1, Chan Lack Sohn2, Sin Kam3, Jin-Bok Hwang1 |
1Department of Pediatrics, Keimyung University School of Medicine, Daegu, Korea
2Department of Pediatrics, Han-Young Pediatric Clinic, Daegu, Korea
3Department of Preventive Medicine, College of Medicine, KyungPook National University, Daegu, Korea |
| 진료실을 방문하는 살이 찌지 않는 아기의 원인 질환에 대한 고찰 |
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이병철1, 김혜림1, 손찬락2, 감신3, 황진복1 |
1계명대학교 의과대학 소아과학교실
2한영한마음연합소아과의원
3경북대학교 의과대학 예방의학교실 |
Correspondence:
Jin-Bok Hwang, Email: pedgi@korea.com
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| Abstract |
Purpose
: The three categories of failure to thrive are based on anthropometric measurements of weight, length, and head circumference for age. Type 1 is a failure to gain weight(FGW) due mainly to malnutrition. This study was performed to observe the clinical outcomes of infants with FGW, Type 1, among out-patients.
Methods
: Between October 2002 and July 2003, data from the clinical outcomes of 83 consecutive patients at a Pediatric FGW Out-patients Clinic, all under 2 years of age, with inadequate growth or loss of body weight, was reviewed. This study concentrated on the Type 1 anthropometric category, with emphasis on the organic causes. FGW was defined as a weight loss for over two weeks in infants under 2 years of age. We observed four cases of breast feeding associated also as cases of misconception of diarrhea.
Results
: Of the 87 cases, the eight most prevalent final diagnoses were gastrointestinal cow milk allergy(32.2%), breast feeding associated(16.1%), misconception of diarrhea(15.0%), lactose intolerance (15.0%), gastroesophageal reflux disease(GERD)(5.7%), laryngomalacia(3.4%), solid foods associated (1.1%), and other organic diseases(11.5%). The period from onset of symptom to diagnosis was 3.9?.3 months, with over three months observed in 49.4% of patients. Although the birth weights were within a 10-90 percentile range in all patients, the body weight on diagnosis was below the 3 percentile in 63.8% of patinets.
Conclusion
: The most prevalent causes of FGW were gastrointestinal cow milk allergy, breast feeding associated, and misconception of diarrhea. The delayed diagnosis of FGW of over three months was frequently observed, and induced serious inadequate growth. |
| Key Words:
Failure to thrive, Anthropometry, Milk hypersensitivity, Infant |
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