Malnutrition–inflammation complex
| Malnutrition–inflammation complex | |
|---|---|
| Synonyms | Protein-energy wasting, malnutrition-inflammation-atherosclerosis syndrome |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Weight loss, muscle wasting, fatigue, anorexia, inflammation |
| Complications | Cardiovascular disease, increased mortality, impaired quality of life |
| Onset | Gradual |
| Duration | Chronic |
| Types | N/A |
| Causes | Chronic kidney disease, dialysis, inflammatory cytokines |
| Risks | Chronic illness, inadequate nutrition, systemic inflammation |
| Diagnosis | Clinical assessment, biochemical markers, nutritional assessment |
| Differential diagnosis | Cachexia, sarcopenia, anorexia nervosa |
| Prevention | Nutritional support, anti-inflammatory treatment, dialysis optimization |
| Treatment | Nutritional intervention, anti-inflammatory therapy, exercise therapy |
| Medication | N/A |
| Prognosis | Variable, depends on underlying conditions and treatment |
| Frequency | Common in patients with chronic kidney disease |
| Deaths | N/A |
Malnutrition–inflammation complex (also known as malnutrition–inflammation syndrome or MICS) is a medical condition characterized by the simultaneous presence of malnutrition and inflammation in the body. This complex is often observed in patients with chronic diseases such as kidney disease, heart disease, and HIV/AIDS, among others.
Overview
The Malnutrition–inflammation complex is a vicious cycle where malnutrition and inflammation exacerbate each other, leading to a progressive decline in health. Malnutrition can lead to inflammation by weakening the immune system and making the body more susceptible to infections and diseases. On the other hand, inflammation can lead to malnutrition by increasing the body's metabolic rate and causing a loss of appetite.
Causes
The causes of the Malnutrition–inflammation complex are multifactorial and can include a combination of inadequate dietary intake, increased nutrient losses, and altered metabolism. Chronic diseases, infections, and aging can also contribute to the development of this complex.
Diagnosis
The diagnosis of the Malnutrition–inflammation complex is based on a combination of clinical, biochemical, and anthropometric assessments. These may include measurements of body mass index (BMI), serum albumin levels, and inflammatory markers such as C-reactive protein (CRP).
Treatment
The treatment of the Malnutrition–inflammation complex involves addressing both the malnutrition and the inflammation. This may involve dietary interventions, nutritional supplementation, and anti-inflammatory medications. In severe cases, hospitalization may be required.
Prognosis
The prognosis of the Malnutrition–inflammation complex is generally poor, as it is often associated with severe and chronic diseases. However, early detection and treatment can improve outcomes.
See also
References
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Contributors: Prab R. Tumpati, MD