
TY - JOUR T1 - Severe protein-calorie malnutrition in two brothers due to abuse by starvation JO - Revista Paulista de Pediatria (English Edition) T2 - AU - Montenegro Braga Barroso,Marcela AU - Martins Salvador,Luiza AU - Fagundes Neto,Ulysses SN - 23593482 M3 - 10.1016/j.rppede.2016.06.002 DO - 10.1016/j.rppede.2016.06.002 UR - AB - ObjectiveTo describe the case of two siblings with severe protein-calorie malnutrition due to abuse by starvation. Cases descriptionThe two patients were simultaneously referred to the Hospital Municipal, where they were admitted to the Pediatric Gastroenterology clinic of a university hospital for diagnostic investigation of the cause of severe malnutrition and screening tests for Celiac Disease, Cystic Fibrosis and Environmental enteropathy among others. The exams were all normal, and after detailed research on the interactions of this family, we reached the conclusion that the malnutrition was due to abuse by starvation. The children spent approximately two months in the hospital, receiving a high-protein and high-calorie diet, with significant nutritional recovery. CommentsAbuse by starvation, although rare, should always be considered of as one of the causes of child malnutrition and pediatrician should be aware of the child's development, as well as the family interactions, to prevent more severe nutritional and emotional consequences in the future. ER