Journal List > Korean J Pediatr Gastroenterol Nutr > v.3(1) > 1110523

Korean J Pediatr Gastroenterol Nutr. 2000 Mar;3(1):68-74. Korean.
Published online Mar 31, 2000.  https://doi.org/10.5223/kjpgn.2000.3.1.68
Copyright © 2000 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Clinical Manifestation of Children with Failure to Thrive
Jeong Hee Moon, Nam Sun Beck,1 and Ji Young Kim
Department of Pediatrics, Samaung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea.
1Department of Nutrition, Samaung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract

PURPOSE

This study was to investigate the clinical manifestations of FTT in children.

METHODS

From March 1997 to July 1999, clinical observations were made on patients with FTT who had visited to Samsung Medical Center. Detailed histories and through physical examinations were taken, and when suspected organic FTT, basic laboratory studies were done.

RESULTS

Upon the review of medical records, we investigated the clinical manifestations of 74 children, aged 1 month and 13 year 1 month. The causes of FTT were composed of either physiologic (47.8%) or pathologic (52.2%) ones. Among the physiologic FTT, were there familial short stature (FSS, 14.5%), intrauterine growth retardation (IUGR, 14.5%), constitutional growth delay (CGD, 11.6%), idiosyncrasy and prematurity. Among pathologic causes, neurologic disorders (20%) are the most common causes of FTT, and then follow by GI (13.4%), allergic and infectious disorders in decreasing order. The data showed that average caloric intake in patients with FTT was 76.2% of recommended amount. FTT patients with CGD, IUGR, and idiosyncrasy had tendency to take small foods. The FTT children with prematurity, IUGR and pathologic FTT, were short and thin for their ages. However FTT children with CGD and FSS had tendency to be thin with relatively normal heights for their ages, in comparison with those of the children with prematurity, IUGR and pathologic FTT.

CONCLUSION

The diagnosis of FTT was easily obtained with simple and through medical history, physical examination, and minimal laboratory tests. In this study, organic FTT was more prevalent than physiologic one. This results indicate that early intervention is mandatory, because children may develop significant long-term sequelae from nutritional deficiency.

Keywords: Failure to thrive; Familial short stature; Constitutional growth delay; Idiosyncray; Intrauterin growth retardation