1. Kwashiorkor
Most common and widespread nutritional disorder in developing country. May be due to acute illness/infection.
2. Marasmus
One of the most serious form of protein energy malnutrition in the world.
May be due to prolonged starvation.
Difference between Kwashiorkor and marasmus
Kwashiorkor
Deficiency- this disease is causes by deficiency of protein. Inadequate amount of protein in diet.
Child appearance- flabby, moon face because of less muscle wasting
Digestive system- diarrhoea and vomiting present
Weight- Wight loss is marked up by oedema. Oedema is an important systoms of this disease.
Edema or swelling of the hands and feet.
Mental status- mental status changed due to less protein metabolism and supply to brain tissue.
Face appearance- moon face
Skin appearance- scaly skin, dry skin
Stomach- stomach bulging
Hepatic - hepatic enlargement
Appetite- appetite is poor, associated with depigmentatiom of skin
Hair colour- sparse and greyish hair.
Marasmus
Deficiency- cause due to deficiency of calories
Child appearance- child looks like lean, thin, skinny due to severe muscle wasting.
Digestive system- dehydration is present
Weight- weight loss is more
Edema- oedema is absent
Mental status - child mental status is intact. not impaired
Face appearance- old man's face, skin become wrinkle
Appetite- appetite is good
Skin- wrinkled skin,.old appearance
Hepatic - hepatic changes
Hair- hair changes
Stomach- stomach shrinks
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