@Meher89 29 September 2020 edited

Marasmus and Marasmic Kwashiorkor *****Marasmus:***** Child reacts to the stress of PEM and secretes cortisol, which mobilises protein from muscle and subcutaneous tissue to amino acid pool resulting in wasting with no oedema and no hepatomegaly.Raised cortisol level lowers growth hormone and so the child is stunted.Marasmus is said to be well adapted to the stress of deficit in protein and calories.The signs and symptoms observed in marasmic child are the following : Severe growth retardation Loss of subcutaneous fat Severe muscle wasting The child looks appallingly thin and limbs appear as skin and bones Shrivelled body Wrinkled skin Bony prominence Associated vitamin deficiencies Failure to thrive Irritability, fretfulness and apathy Frequent watery diarrhoea and acid stools Mostly hungry but some are anorectic Dehydration Temperature is subnormal Muscles are weak Oedema and fatty infiltration are absent

*****Marasmic Kwashiorkor:***** The child shows a mixture of some of the features of marasmus and kwashiorkor. This is due to the varying nature of the dietary deficiency and the social factors responsible for the disease and presence or absence of infections. 💕.........End.........💕 Thanks for reading. Thanks to @Dreamer @Omar for always encouraging us💞 You can learn many things from here👇 Nutrition Science by B. Srilakshmi `Image from Google` Here's some of my latest articles https://read.cash/@Meher89/osteomalacia-diagnosis-and-its-treatment-e66ff717 https://read.cash/@Meher89/requirements-and-sources-of-iron-a3dc0eb0