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. 1971 Aug;46(248):470–473. doi: 10.1136/adc.46.248.470

The colon in kwashiorkor

A O B Redmond, R O C Kaschula, C Freeseman, J D L Hansen
PMCID: PMC1647750  PMID: 5565457

Abstract

The colon in kwashiorkor was investigated by means of rectal biopsy and sigmoidoscopy in 20 children, followed by barium enema in 10 of the children. The colon during the acute phase of the disease showed a surface epithelial atrophy, with infiltration of plasma cells and congestion of small vessels. Viewed under the dissecting microscope, a disorganized vascular pattern was seen in all cases.

On recovery from kwashiorkor after 3 to 4 weeks, the abnormal vascular pattern and epithelial atrophy of the colon had returned to normal in most children.

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Selected References

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  1. BANWELL J. G., HUTT M. S., TUNNICLIFFE R. OBSERVATIONS ON JEJUNAL BIOPSY IN UGANDAN AFRICANS. East Afr Med J. 1964 Feb;41:46–54. [PubMed] [Google Scholar]
  2. Bank S., Cobb J. S., Burns D. G., Marks I. N. Dissecting microscopy of rectal mucosa. Lancet. 1970 Jan 10;1(7637):64–65. doi: 10.1016/s0140-6736(70)91847-7. [DOI] [PubMed] [Google Scholar]
  3. Barbezat G. O., Bowie M. D., Kaschula R. O., Hansen J. D. Studies on the small intestinal mucosa of children with protein-calorie malnutrition. S Afr Med J. 1967 Oct 28;41(41):1031–1036. [PubMed] [Google Scholar]
  4. Barbezat G. O., Hansen J. D. The exocrine pancreas and protein-calorie malnutrition. Pediatrics. 1968 Jul;42(1):77–92. [PubMed] [Google Scholar]
  5. Barbezat G. O. The exocrine pancreas and protein-calorie malnutrition. S Afr Med J. 1967 Jan 28;41(4):84–84. [PubMed] [Google Scholar]
  6. Bowie M. D., Barbezat G. O., Hansen J. D. Carbohydrate absorption in malnourished children. Am J Clin Nutr. 1967 Feb;20(2):89–97. doi: 10.1093/ajcn/20.2.89. [DOI] [PubMed] [Google Scholar]
  7. Burman D. The jejunal mucosa in kwashiorkor. Arch Dis Child. 1965 Oct;40(213):526–531. doi: 10.1136/adc.40.213.526. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. CROSBY W. H., KUGLER H. W. Intraluminal biopsy of the small intestine; the intestinal biopsy capsule. Am J Dig Dis. 1957 May;2(5):236–241. doi: 10.1007/BF02231100. [DOI] [PubMed] [Google Scholar]
  9. DOBBINS W. O., 3rd, RUBIN C. E. STUDIES OF THE RECTAL MUCOSA IN CELIAC SPRUE. Gastroenterology. 1964 Nov;47:471–479. [PubMed] [Google Scholar]
  10. Keet M. P., Thom H. Serum immunoglobulins in kwashiorkor. Arch Dis Child. 1969 Oct;44(237):600–603. doi: 10.1136/adc.44.237.600. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kowalski R. Roentgenologic studies of the alimentary tract in kwashiorkor. Am J Roentgenol Radium Ther Nucl Med. 1967 May;100(1):100–112. doi: 10.2214/ajr.100.1.100. [DOI] [PubMed] [Google Scholar]
  12. Mahalanabis D., Wallace C. K., Kallen R. J., Mondal A., Pierce N. F. Water and electrolyte losses due to cholera in infants and small children: a recovery balance study. Pediatrics. 1970 Mar;45(3):374–385. [PubMed] [Google Scholar]
  13. Stanfield J. P., Hutt M. S., Tunnicliffe R. Intestinal biopsy in kwashiorkor. Lancet. 1965 Sep 11;2(7411):519–523. doi: 10.1016/s0140-6736(65)91474-1. [DOI] [PubMed] [Google Scholar]
  14. Watson C. E., Freesemann C. Immunoglobulins in protein-calorie malnutrition. Arch Dis Child. 1970 Apr;45(240):282–284. doi: 10.1136/adc.45.240.282. [DOI] [PMC free article] [PubMed] [Google Scholar]

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