Gewichtsverlies bij kinderen: waaraan denken en hoe aanpakken

Weight loss in children: which diagnosis to think about and how to handle The interpretation of „insufficient weight" and the differential diagnosis of weight loss in children have many differences when compared to the approach for adults. In children, weight stagnation, poor weight gain and weight loss have to be taken seriously since it is often the first symptom of an underlying disease. To interpret a child's weight in a correct manner, it is crucial to use weight and height percentiles. A minimum of technical examinations besides an anamnesis and a clinical examination is necessary. A dietary intake will be needed to evaluate a sufficient intake. A  stool examination for parasites, a urine examination, a blood test with antibodies for coeliac disease and a measurement of the faecal calprotectin above the age of five are the first-line technical investigations. This manuscript is a centre-based expertise on how to handle weight loss in children, using case-reports as an example.

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