Protein-Energy Malnutrition

  • Kwashiorkor
    • Protein malnutrition resulting in skin lesions, edema due to ↓ plasma oncotic pressure, liver malfunction (fatty change due to ↓ apolipoprotein synthesis). Clinical picture is small child with swollen abdomen (A).
    • Kwashiorkor results from protein-deficient MEALS:
      • Malnutrition
      • Edema
      • Anemia
      • Liver (fatty)
      • Skin lesions (eg, hyperkeratosis, dyspigmentation)
  • Marasmus
    • Malnutrition not causing edema. Diet is deficient in calories but no nutrients are entirely absent.
    • Marasmus results in Muscle wasting.

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