Cystic fibrosis presenting as kwashiorkor with florid skin rash

Arch Dis Child. 1993 Oct;69(4):446-8. doi: 10.1136/adc.69.4.446.


Two infants with a florid erythematous rash and generalised oedema, hypoalbuminaemia, and anaemia were found to have cystic fibrosis. This rare presentation is associated with false negative sweat tests, delays in diagnosis, and a considerable mortality. It is proposed that this presentation represents a manifestation of kwashiorkor secondary to malabsorption. The recognition that these infants have kwashiorkor provides some insight into the pathogenesis and management of their illness.

Publication types

  • Case Reports

MeSH terms

  • Cystic Fibrosis / complications*
  • Erythema / etiology*
  • Female
  • Humans
  • Infant
  • Kwashiorkor / complications
  • Kwashiorkor / etiology*
  • Male