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10.1179/2046905514Y.0000000154 http://scihub22266oqcxt.onion/10.1179/2046905514Y.0000000154 C4462841!4462841!25223408     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Paediatr+Int+Child+Health 2015 ; 35 (2): 83-9 Nephropedia Template TP {{tp|p=25223408|t=2015. Oedema in kwashiorkor is caused by hypoalbuminaemia |pdf=|usr=}}{{25223408}} gab.com Text Oedema in kwashiorkor is caused by hypoalbuminaemia JO: Paediatr Int Child Health http://www.kidney.de/pget.php?&tw=1&pmid=25223408 #FOAvip It has been argued that the oedema of kwashiorkor is not caused by hypoalbuminaemia because the oedema disappears with dietary treatment before the plasma albumin concentration rises. Reanalysis of this evidence and a review of the literature demonstrates that this was a mistaken conclusion and that the oedema is linked to hypoalbuminaemia. This misconception has influenced the recommendations for treating children with severe acute malnutrition. There are close pathophysiological parallels between kwashiorkor and Finnish congenital nephrotic syndrome (CNS) pre-nephrectomy; both develop protein-energy malnutrition and hypoalbuminaemia, which predisposes them to intravascular hypovolaemia with consequent sodium and water retention, and makes them highly vulnerable to develop hypovolaemic shock with diarrhoea. In CNS this is successfully treated with intravenous albumin boluses. By contrast, the WHO advise the cautious administration of hypotonic intravenous fluids in kwashiorkor with shock, which has about a 50% mortality. It is time to trial intravenous bolus albumin for the treatment of children with kwashiorkor and shock. Twit Text FOAVip Oedema in kwashiorkor is caused by hypoalbuminaemia ????Paediatr Int Child Health http://www.kidney.de/pget.php?&tw=1&pmid=25223408 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=25223408 #FOAvip English Wikipedia <ref>{{Cite pmid|25223408}}</ref> Oedema in kwashiorkor is caused by hypoalbuminaemia #MMPMID25223408 G. Coulthard M Paediatr Int Child Health 2015[May]; 35 (2): 83-9 PMID25223408show ga It has been argued that the oedema of kwashiorkor is not caused by hypoalbuminaemia because the oedema disappears with dietary treatment before the plasma albumin concentration rises. Reanalysis of this evidence and a review of the literature demonstrates that this was a mistaken conclusion and that the oedema is linked to hypoalbuminaemia. This misconception has influenced the recommendations for treating children with severe acute malnutrition. There are close pathophysiological parallels between kwashiorkor and Finnish congenital nephrotic syndrome (CNS) pre-nephrectomy; both develop protein-energy malnutrition and hypoalbuminaemia, which predisposes them to intravascular hypovolaemia with consequent sodium and water retention, and makes them highly vulnerable to develop hypovolaemic shock with diarrhoea. In CNS this is successfully treated with intravenous albumin boluses. By contrast, the WHO advise the cautious administration of hypotonic intravenous fluids in kwashiorkor with shock, which has about a 50% mortality. It is time to trial intravenous bolus albumin for the treatment of children with kwashiorkor and shock. äOedema in kwashiorkor is caused by hypoalbuminaemia (epmc).pdf DeepDyve Pubget Overpricing