Nutritional status in children with Shwachman-diamond syndrome

Pancreas
Judith PichlerNeil Shah

Abstract

In Shwachman-Diamond syndrome (SDS), pancreatic insufficiency can lead to malabsorption of fat-soluble vitamins and trace elements. The aim of this study was to assess the serum concentrations of vitamins A and E, zinc, copper, and selenium and their deficiencies. This retrospective review was performed in 21 children (12 were male; median age, 7.8 years) with genetically confirmed SDS at a tertiary pediatric hospital. Pancreatic enzyme replacement therapy (PERT) and vitamin or trace elements supplements were documented. Twenty patients (95%) had pancreatic insufficiency receiving PERT, 10 (47%) had a combined vitamin and trace element deficiency, 6 (29%) had an isolated vitamin deficiency, and 4 (19%) had an isolated trace element deficiency. Vitamins A and E deficiency occurred in 16 (76%) and 4 (19%) of 21, respectively. Low serum selenium was found in 10 (47%), zinc deficiency in 7 (33%), and copper deficiency in 5 (24%). Eleven patients (52%) were on multivitamin supplementation, and 2 (10%) on zinc and selenium supplements. No statistical differences were found between repeated measurements for all micronutrients. More than 50% of the children had vitamin A and selenium deficiencies despite adequate supplementation of PER...Continue Reading

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Citations

Oct 11, 2017·Journal of Pediatric Gastroenterology and Nutrition·Rosalie H BartelsWieger P Voskuijl
May 29, 2018·Pediatrics International : Official Journal of the Japan Pediatric Society·Tamaki IkuseToshiaki Shimizu
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Oct 27, 2016·Journal of Pediatric Gastroenterology and Nutrition·Cheryl E GariepyAliye Uc

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