MARASMIC KWASHIKOR

     

Symptoms: General weakness, irritability, failure to thrive, low weight
Special signs: Dry skin, hair spare, head large;  hypothermia, atrophy of filiform papillae of tongue; candidiasis of mouth is common.
Special investigations: Weight below ten percentile; BMI below ten percentile.

SHORT DESCRIPTION:
This is midway between frank kwashiokor with edema and hypoalbuminemia and frank marasmus with wasting and low weight. It therefore combines the features of both malnutrition with subcutaneous edema, sparse and weak hair, with wasting and low BMI and weight.

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