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Timothy A. Sentongo, MD; Richard I. Markowitz, MD; Pierre Russo, MD; Daniel vonAllmen, MD; David A. Piccoli, MD
From the Division of Gastroenterology, Hepatology, and Nutrition, Children's Memorial Medical Center, Northwestern University, Chicago, Ill (Dr Sentongo); and the Departments of Radiology (Dr Markowitz), Pathology (Dr Russo), and Surgery (Dr von Allmen), and the Division of Gastroenterology and Nutrition (Dr Piccoli), Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia.

Arch Pediatr Adolesc Med. 2002;156:405-406.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 26-MONTH-OLD GIRL was evaluated for stunted growth (weight, height, and head circumference less than the 5th percentile for age) and a 2-month history of altered bowel patterns with perianal pain. The decelerating growth pattern was first noted between the ages of 6 and 12 months, when her weight and length for age-growth percentiles fell from the 25th and 50th, to 5th and 25th, respectively. They later fell to less than the 5th percentile at the time of consultation. The 3-day diet record obtained at consultation revealed an average caloric intake of 121 kcal/kg per day (protein, 12%; carbohydrate, 57%; fat, 31%). Loose stools alternating with constipation characterized the altered bowel pattern. There was no history of mucus in stools, melena, or hematochezia. The perianal pain was most prominent when she sat . . . [Full Text of this Article]

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