Underlying Illness Associated with Failure to Thrive in Breastfed Infants

1990 ◽  
Vol 29 (8) ◽  
pp. 468-470 ◽  
Author(s):  
James L. Lukefahr
Author(s):  
R. Mark Beattie ◽  
Anil Dhawan ◽  
John W.L. Puntis

Factors influencing growth 51Pitfalls 51Management 51Growth faltering or failure to thrive (FTT) is a descriptive term implying failure not only of growth, but also impairment of other aspects of a child's well-being. It is a dynamic process involving a failure to meet expected potential, and there is no universally accepted definition. Weight crossing down two major centile lines is often taken as an indicator of need for referral to a paediatrician. In the absence both of symptoms suggesting specific organ dysfunction (e.g. vomiting, diarrhoea, breathlessness, etc.) and physical findings other than poor growth, an underlying illness is unlikely. It is important to bear in mind common factors influencing growth, such as parental size and ...


Author(s):  
John Puntis

Growth faltering or ‘failure to thrive’ is a descriptive term implying failure not only of growth, but also impairment of other aspects of a child’s well-being. Weight crossing down over two major centiles is often taken as an indication for referral to a paediatrician. In the absence of specific symptoms or physical findings (other than poor growth) an underlying illness is unlikely. Few investigations may be needed, and should be guided by symptoms and any clinical findings. Coeliac disease and occasionally Crohn’s disease may present as growth faltering in the absence of symptoms. For some children, multidisciplinary assessment is appropriate; home visits at meal times can be particularly instructive.


2011 ◽  
Vol 81 (5) ◽  
pp. 328-334 ◽  
Author(s):  
Oya Halicioglu ◽  
Sezin Asik Akman ◽  
Sumer Sutcuoglu ◽  
Berna Atabay ◽  
Meral Turker ◽  
...  

Aim: Nutritional vitamin B12 deficiency in infants may occur because the maternal diet contains inadequate animal products. Clinical presentations of the infants who had nutritional vitamin B12 deficiency were analyzed in this study. Subjects and Methods: Patients with nutritional vitamin B12 deficiency were enrolled in the study between 2003 and 2010. The diagnosis was based on a nutritional history of mothers and infants, clinical findings, hematological evaluation, and low level of serum vitamin B12. Results: Thirty children aged 1 - 21 months constituted the study group. Poverty was the main cause of inadequate consumption of animal products of the mothers. All infants had predominantly breastfed. The most common symptoms were developmental delay, paleness, apathy, lethargy, anorexia, and failure to thrive. Hematological findings were megaloblastic anemia (83.3 %), thrombocytopenia (30 %), and severe anemia (13.3 %). All of the mothers had low serum B12 levels; eight of them had megaloblastic anemia. Conclusion: The unusual clinical manifestations of vitamin B12 deficiency may also be seen apart from neurological and hematological findings. Nutritional vitamin B12 deficiency due to maternal deficiency might be a serious health problem in infants. Therefore, screening and supplementation of pregnant and lactating women to prevent infantile vitamin B12 deficiency should be considered.


PsycCRITIQUES ◽  
2009 ◽  
Vol 54 (17) ◽  
Author(s):  
Robert A. Bischoff
Keyword(s):  

1970 ◽  
Vol 25 (3) ◽  
pp. 161-163
Author(s):  
Nurun Nahar Fatema ◽  
Mamunur Rahman ◽  
Mujubul Haque

A four year old girl was diagnosed as a case of mid muscular Ventricular Septal Defect (VSD) since early infancy. She had history of failure to thrive (FTT) and recurrent chest infection or pneumonia. As her pulmonary artery pressure was almost normal she was planned for device closure on elective basis once device and technology would be available in cardiac centre of combined Military Hospital (CMH) Dhaka. Finally it was done on 21st August 2005 and patient was discharged after 72 hours observation period. Echocardiography on next morning showed complete occlusion of defect with no residual shunt. (J Bangladesh Coll Phys Surg 2007; 25 : 161-163)


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