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A child with Kohlerâs disease may present similarly to a child with a foot injury. An examination will reveal pain and tenderness over the dorsomedial midfoot, with or without local skin changes. Affected children typically walk with a limp or antalgic gait, with weight bearing on the lateral side of the foot.
Causes. Kwashiorkor disease is very rare in children in the United States and when it does occur, severe neglect and child abuse is suspected (The New York Times, 2008). Children get a number of vital nutrients and amino acids through their mothersâ milk.