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Journal of the American College of Nutrition, Vol 16, Issue 4 366-375, Copyright © 1997 by American College of Nutrition
JOURNAL ARTICLE |
B. Y. Lee and T. F. Thurmon
Department of Pediatrics, Louisiana State University Medical Center, Shreveport, Louisiana, USA.
OBJECTIVE: Observations on nutritional disorders were made by a physician inmate in a concentration camp before and during the Great Starvation in China. METHODS/RESULTS: Based on therapeutic response, many unique abnormalities should be considered as a part of clinical picture of malnutrition, such as mucocutaneous pigmentation, nail layering phenomena and intranail hemorrhage, palmar/plantar fissures, vegetative system crisis, a avitaminostic fevers, multiple premature beats, and enlargement of cartilage, lymph nodes, and submandibular glands. DISCUSSION: Thiamin deficiency should be also considered as one, if not the only, etiologic factor of several common disorders, including submandibular gland cyst, Baker's cyst, stenosing tenosynovitis, direct inguinal hernia, among others.
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