Symptomatic patients were evaluated based on several parameters to determine causative and exacerbating factors, and possible methods of prevention.

Potential exacerbating factors, including red blood cell transfusion, and potential therapies for pediatric trauma-induced innate immune suppression are deserving of further study.

Moisturizing of the skin and avoidance of identifiable exacerbating factors such as hot water baths and harsh soaps may reduce the frequency of recurrence.

So this is particularly concerning in an emergency because we have the chronic malnutrition and then we add some exacerbating factors on top of that.