MARASMIC MALNUTRITION ASSOCIATED WITH CONGENITAL ADRENAL HYPERPLASIA: CASE REPORT

• DOI: https://doi.org/10.22533/at.ed.1594802427087

• Palavras-chave: childhood malnutrition, marasmic malnutrition and congenital adrenal hyperplasia

• Keywords: childhood malnutrition, marasmic malnutrition and congenital adrenal hyperplasia

• Abstract:

  Objective: To highlight the importance of early recognition of children at risk of severe malnutrition, the implementation of interventions to reduce the complications of this condition, and the need for preventive strategies.
  Case description: An 8-month-old male infant with a 2-day history of loss of appetite associated with irritability was taken to the tertiary service of this study with a lack of subcutaneous tissue, sunken eyes, loss of Bichat's fat pad, and atrophy of the gluteal muscles. Weight: 4,265 g and height: 62 cm. Initial supportive measures were performed and tests were collected to investigate secondary causes. After initial stabilization, correction of specific nutritional deficiencies and gradual introduction of food through an orogastric tube was initiated in conjunction with the hospital's nutrition team. Laboratory investigation confirmed the diagnosis of Congenital Adrenal Hyperplasia as a secondary etiology. The patient was discharged after 13 days of hospitalization due to clinical improvement, with the establishment of oral nutrition and resolution of the respiratory condition, weighing 4,800 g and measuring 62 cm. Discussion: Severe malnutrition is a serious public health problem, leading to infections and impaired development. It is crucial to adopt a multidisciplinary approach to treatment, involving doctors, nutritionists and other professionals. To address the increase in pediatric malnutrition, governments and institutions must collaborate on prevention, diagnosis and treatment measures, in addition to implementing public policies and strengthening the health system. Analyzing cases such as the one described helps to understand and improve strategies to combat malnutrition.