Although CRP and AN are associated with obesity, they are distinct entities with different clinical features. However, a close relationship between the two is suggested by similar predisposing characteristics including young age, obese, dark-skinned persons and parallel response to weight reduction or etre- tinate therapy. A pathogenetic link between the two conditions is suggested by [...]
Case 1 A 40-year-old female patient presented with a 10-year history of asymptomatic, symmetric, slowly progressive, skin eruptions. The eruption consisted of reticulated, brownish patches on the trunk and grayish, velvety plaques on both axillary folds (Fig. 1A). She denied any family history or personal history of similar eruptions or diabetes. However, she was on [...]
INTRODUCTION Acanthosis nigricans (AN) is characterized by symmetric, velvety, gray-brown hypertrophied plaques most commonly on the axillae and neck. Confluent and reticulated papillomatosis (CRP) is manifested clinically by papules in the mid-chest that coalesce in the midline, and are arranged in a reticulated pattern peripherally. Even though there are some reports of CRP without papillomatosis, [...]
In this group of elderly African-American hospitalized patients, resting energy expenditure was significantly greater than Harris-Benedict equation predictions. If the Harris-Benedict predictions were applied to caloric delivery, weight loss as a result of underfeeding might be expected. The reasons for this difference may be myriad, but consideration should be given to issues of age, metabolic [...]
Demographics A total of 61 patients, of which 66% were female, were included in the study. The primary reason for admission covered a full range of medical conditions (Table 1). Only 3/21 men and 2/40 women were receiving mechanical ventilation during their RMR measurement.
METHODS All African-American patients 65 years or older, who were admitted to the Skilled Nursing Facility or general medical floors of the University of Pennsylvania Health System/Presbyterian Medical Center in Philadelphia, PA during 1998, were potential candidates for study. Of those patients referred for nutritional consultation or for management of enteral or parenteral feedings, a [...]
INTRODUCTION The ill elderly often present with elevated nutritional risk and a history of weight loss. Elderly patients who lose weight during hospital admissions have an eight-fold greater in-hospital and nearly three-fold greater 90-day mortality, when compared to patients without significant weight loss.
