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KMID : 0816120000030010068
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2000 Volume.3 No. 1 p.68 ~ p.74
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Clinical Manifestation of Children with Failure to Thrive
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Moon Jeong-Hee
Beck Nam-Sun
Kim Ji-Young
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Abstract
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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.
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KEYWORD
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Failure to thrive, Familial short stature, Constitutional growth delay, Idiosyncray, Intrauterin growth retardation,
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