Marasmic kwashiorkor

E4_MARAKWASH

kwashiorkor: A syndrome produced by severe protein deficiency, characterized by retarded growth, changes in skin and hair pigment, edema, and pathologic changes in the liver, including fatty infiltration, necrosis, and fibrosis. The word is a local name in Gold Coast, Africa, meaning 'displaced child'. Although first reported from Africa, kwashiorkor is now known throughout the world, but mainly in the tropics and subtropics. It is considered to be related to marasmus. (From Dorland, 27th ed)

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

473681

1. Apply sex-specific rule

None

473681

2. Check conditions

None

473681

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E42
  • Cause of death: ICD-10 E42

2 out of 7 registries used, show all original rules.

73

4. Check minimum number of events

None

73

5. Include endpoints

None

73

6. Filter based on genotype QC (FinnGen only)

71

Control definitions (FinnGen only)

Control exclude E4_MALNUTRITION

Extra metadata

Level in the ICD hierarchy 3
First used in FinnGen datafreeze DF2
Parent code in ICD-10 E40-E46
Name in latin Malnutritio gravis ex deficientia proteino-energetica

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 1073 584 487
Only index persons 804 455 349
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.01
Only index persons 0.02 0.02 0.01
Median age at first event (years)
Whole population 58.77 60.88 56.20
Only index persons 62.87 64.42 60.86

-FinnGen-

Key figures

All Female Male
Number of individuals 71 42 29
Unadjusted period prevalence (%) 0.02 0.02 0.01
Median age at first event (years) 55.24 52.53 59.16

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

Mortality – FinRegistry

Association

Association between endpoint E4_MARAKWASH and mortality.

Females

Parameter HR [95% CI] p-value
E4_MARAKWASH 5.458 [2.91, 10.24] < 0.001
Birth year 0.993 [0.98, 1.0] 0.121

During the follow-up period (1.1.1998 — 31.12.2019), 139 out of 423 females with E4_MARAKWASH died.

Males

Parameter HR [95% CI] p-value
E4_MARAKWASH 5.927 [2.85, 12.32] < 0.001
Birth year 0.986 [0.98, 1.0] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 143 out of 376 males with E4_MARAKWASH died.

Mortality risk

Mortality risk for people of age

years, who have E4_MARAKWASH.

N-year risk Females Males
1 0.551% 1.038%
5 3.196% 6.602%
10 7.482% 16.39%
15 14.462% 28.837%
20 23.039% 44.041%

Relationships between endpoints

Index endpoint: E4_MARAKWASH – Marasmic kwashiorkor

GWS hits: -

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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