PEDIATRICS Vol. 90 No. 1 July 1992, pp. 110-113
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Causation of Kwashiorkor: Toward a Multifactorial Consensus

DERRICK B. JELLIFFE MD1 and E. F. PATRICE JELLIFFE MPH1

1 School of Public Health, University of California, Los Angeles

The pioneer research and writings by Hendrickse on the human health hazards of aflatoxins, including their potential role in the etiology of kwashiorkor, are of great importance.1,2 They draw attention to at least some of the wealth of mycotoxicological information sometimes inadequately recognized by pediatricians and other health professionals. However, while acknowledging the significance of this underemphasized linkage and the need for much further communication between workers in the various highly complex fields involved, a different interpretation of the potential role of aflatoxins in the etiology of kwashiorkor needs consideration, based on present evidence. The converse is also true, as the focus of mycotoxicologists regarding human pathology seems mainly concerned with cancer of the liver.

Submitted on December 12, 1991
Accepted on December 12, 1991




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