Magnesium in the therapy of orofacial lesions of severe protein-calorie malnutrition

Proposed Recommended Nutrient Densities for Moderately Malnourished Children

Recommended Nutrient Intakes (RNIs) are set for healthy individuals living in clean environments. There are no generally accepted RNIs for those with moderate malnutrition, wasting, and stunting, who live in poor environments. Two sets of recommendations are made for the dietary intake of 30 essential nutrients in children with moderate malnutrition who require accelerated growth to regain normality: first, for those moderately malnourished children who will receive specially formulated foods and diets; and second, for those who are to take mixtures of locally available foods over a longer term to treat or prevent moderate stunting and wasting. Because of the change in definition of severe malnutrition, much of the older literature is pertinent to the moderately wasted or stunted child. A factorial approach has been used in deriving the recommendations for both functional, protective nutrients (type I) and growth nutrients (type II).

Noma in a full-term neonate

Noma is an uncommon gangrenous process usually affecting malnourished children. A full-term neonate with orofacial noma, bilateral choanal atresia, and transient neutropenia with B cell deficiency is reported. This unusual appearance of noma in a well-nourished newborn might be related to the combination of choanal atresia and transient immune deficiency.

Nomalike lesion in a patient with chronic lymphocytic leukemia. Review of the literature and report of a case

A case in which a nomalike lesion occurred in a patient being treated for chronic lymphocytic leukemia has been reported. Differential diagnosis of noma from other oral gangrenous processes has been described. The pathophysiology of systemic disease and blood dyscrasias contributing to the development of the lesion has been discussed with reference to management and treatment. A review of the literature is included.