Case study on Marasmus and Kwashiorkor.pptx

Case study

1. Marasmus

2. war 10 Differences between Kwashiorkor and Marasmus
www.majordifferences.com

belly

Itchy rash

Xerosis

Protuberant

Comparison Table

Kwashiorkor

It develops in children whose diets
are deficient of protein.

itis due to deficiency of proteins and
calories.

It occurs in children between 6
months and 3 years of age.

itis common in infants under 1 year of
age.

Subcutaneous fat is preserved.

Subcutaneous fat is not preserved.

Oedema is present.
Enlarged fatty liver.

Oedema is absent
No fatty liver.

Ribs are not very prominent.

Ribs become very prominent.

Kwashiorkor needs adequate
amounts of proteins.

ling

Lethargic Alert and irritable.
Muscle wasting mild or absent. Severe muscle wasting

Poor appetite. Voracious feeder.

The person suffering from The person suffering from Marasmus

needs adequate amount of protein,
fats and carbohydrates.

Marasmus

Prominent

Kwashiorkor vs Marasmus

3. | Differences B/W Marasmus & Kwashiorkor

4. Kwoshiorkor

Figure 5-10 A schema for classifying undernutrition. The presence of subcu
(directly underneath the skin) is a diagnostic key for distinguishing kwashiokor from marasmus.
ye ae a en

5. CASE REPORT

An infant with kwashiorkor: The forgotten disease

Kamaruzaman NA, Jamani NA, Said AH

Kamaruzaman NA, Jamani NA, Said AH. An

Keywords:

Authors:

Nurjesmine Aida Jomani
{Corresponding outor)
Department of Fomdy Medicine,
Kaliyyoh of Meds

Nor Azom Kamorizomon
Department ol Fomáy Medicine,
Suton Ahmad Shah, 25200

Abdul Hod Soid

tment of Fomáy Medicine,

Abstract

Indernutrition remains a major public health concern, especially in dev

ax with kwashiorkor: The forgotten disease. Maley Fm Physician, 2020;15(2)46~49.

oping countries. Despite

being rich in resources, Malaysia is still home to children suffering from severe undernutrition.

This paper presents the case of a 5-month-old boy with kwashiorkor ste
weaning which was overlooked. This case highlights the importance of reco

kwashi

Introduction

Undernutrition rem

a majo
concern, especially in developing regions such as
Africa, in which three million children under the
age of five die each year, constituting, nearly half
of global deaths in that category.’ Undernourished
infants and young children are at a greater risk of
dying from common infections, as undernutrition
not only increases the severity and frequency of
such infections but also delays recovery.

public he

Malaysia, a country that is rich with resources,
simulancously faces crises of overnutrition and
undemutrition. Based on the National Health
Morbidity Survey, eight percent of children under
5 suffer from undernutrition and wasting.

Undernurrtion is caused by an insufficient intake
of carbolydrates, fats, proteins, and micronutrients

mring from i

Hor to allow for carly referrals for proper management and prevent its possible complications,

This paper reports the case of an infane with
kwashiorkor stemming from improper weaning
which was overlooked.

Case report

A S-month-old Orang Adi baby boy was referred
to the visiting Family Medicine Specialist by
a nurse for failure to thrive because his serial
‘weight gain was unsatisfactory. He was born full
term with a birth weight of 2.42 kg. His weight
continued to rise through the second month but
began to fall below the -2SD in the third month
and below the -3SD in the ff
in Figure 1. Over this period, he was assumed to
neither parent y physical
mal

四
changes. He had a good appetite and
bowel function.

had no known medical illness.

6. vases erent =

7. Marasmus

SYMPTOMS

+ Severe growth retardation
+ Loss of subcutaneous fat
+ Severe muscle wasting

+ The child looks appallingly thin and
limbs appear as skin and bone

・ Shriveled 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 anoretic
・ Dehydration

+ Temperature is subnormal

・ Muscles are weak

- Oedema and fatty infiltration are
absent

8. MARASMIC-KWASHIORKOR

A severely malnourished child
with features of both
marasmus and Kwashiorkor.

ㆍ The features of
Kwashiorkor are severe
oedema of feet and legs
and also hands, lower
arms, abdomen and face.
Also there is pale skin and
hair, and the child is
unhappy.

・ There are also signs of
marasmus, wasting of the
muscles of the upper arms,
shoulders and chest so that
you can see the ribs.