A CASE REPORT ON SUCCESSFUL MANAGEMENT OF SEVERE ACUTE MALNUTRITION IN A CHILD WITH HYPERKERATOSIS AND DERMATOSIS

Severe acute malnutrition (SAM) continues to pose significant health risks to children under five, contributing to mortality and morbidity globally. This case report highlights the successful management of a 3-year-old boy from the Union Territory of Puducherry, who presented with grade 3 SAM, dermatosis, and hyperkeratosis, and weighed only 9 kg at diagnosis. The intervention spanned 11 months and included comprehensive dietary adjustments, improved hygiene practices, and socioeconomic support to elevate the family's living conditions. A male Case Selection: child aged 3 years was identified during routine health surveys in urban Puducherry, displaying classic signs of SAM along with skin complications. Methods: 1) Clinical Assessment: Initial assessments confirmed SAM without complications as per WHO criteria. 2) Dietary Assessment: A deficit of essential nutrients was addressed by introducing a tailored diet plan. 3) Socioeconomic and Environmental Assessment: The child's poor health was linked to inadequate family income, poor sanitation, and suboptimal use of local health services. Intervention: Nutritional rehabilitation was supported by local health services, incorporating home-based, nutrient-rich recipes. Simultaneously, efforts were made to improve family income and educate the parents about nutrition and hygiene. The child's growt Measurements: h was meticulously tracked through regular monitoring of weight, height, and other anthropometric data, alongside the resolution of dermatosis and hyperkeratosis. Results:The child experienced significant weight gain, reaching a healthy weight for his age within 11 months. Alongside this, notable improvements in skin health and overall physical condition were observed, with the child's developmental milestones aligning with his age group. Enhanced cooperation from the family and better utilization of community health resources further contributed to the child's sustained health and recovery. Conclusion: This case illustrates the efficacy of a multidimensional approach in managing SAM, emphasizing the importance of addressing both medical and socioeconomic factors. Continued efforts are necessary to reduce the prevalence of SAM, aligning with Sustainable Development Goals to ensure health and well-being for all children