Community Nutrition

COMMUNITY NUTRITION 3 (1+2)

Lesson 4 : Clinical Assessment of Nutritional Status

Skin

Xerosis	:	Generalised dryness with branny desquamation.
Follicular hyperkeratosis	:	Type 1: In which the lesion consists of hyperkeratosis surroundings the mouths of hair follicles and forming plaques that resemble spines. Type 2: In which the lesions have a similar appearance, but the mouths of the hair follicles contain blood or pigment.
Petechiae	:	Small hemorrhagic spots in the skin or mucus membranes.
Pellagrous Dermatitis	:	Typical pellagrous skin lesions are symmetrical, clearly demarcated, hyper pigmented areas with or without exfoliation. The lesions are common in parts of the body exposed to sunlight, including the cheeks and the fore arms. When they appear around the neck, the condition is called “Casal’s necklace”. In acute cases, the skin is red, slightly swollen and may show vesicular exudation and cracking. The lesion itches and burns. In chronic cases, the dermatitis occurs as a roughening and thickening of the skin with dryness, scaling and brown pigmentation.
Flaky–Paint dermatitis	:	Extensive often bilateral hyper pigmented patches of skin which desquamate to leave hypo pigmented skin or superficial ulceration, often resembling a second degree burn.