What is the Difference Between Marasmus and Kwashiorkor?

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Marasmus and kwashiorkor are both forms of severe protein-energy undernutrition, but they differ in their specific causes and symptoms. The main differences between them are:

  1. Causes: Kwashiorkor is predominantly a protein deficiency, while marasmus is a deficiency of all macronutrients, including protein, carbohydrates, and fats.
  2. Age Factors: Kwashiorkor most commonly affects children between the ages of 6 months and 3 years, while marasmus affects children between the ages of 6 months and 1 year.
  3. Weight Loss: In kwashiorkor, there is some weight loss, while in marasmus, there is severe weight loss.
  4. Oedema: Kwashiorkor is characterized by the presence of edema (swelling due to fluid retention), while marasmus does not have this symptom.
  5. Subcutaneous Fat: Subcutaneous fat is present in kwashiorkor but absent in marasmus.
  6. Appetite: Children with kwashiorkor have a voracious appetite, while those with marasmus have a poor appetite.
  7. Texture of the Skin: The skin of children with kwashiorkor has a flaky paint appearance, while the skin of children with marasmus is dry and wrinkled.
  8. Nutritional Requirements: Kwashiorkor requires adequate amounts of proteins, while marasmus requires adequate amounts of proteins, carbohydrates, and fats for treatment.

Both conditions can lead to death if left untreated. Early diagnosis and treatment are crucial for recovery and long-term survival.

Comparative Table: Marasmus vs Kwashiorkor

Marasmus and Kwashiorkor are both forms of malnutrition that can lead to severe health complications if left untreated. Here is a table highlighting the differences between the two:

Characteristic Marasmus Kwashiorkor
Age Group Affects infants under one year of age Occurs in children between 6 months and 3 years
Deficiency Deficiency of proteins, carbohydrates, and fats Deficiency of proteins
Main Symptoms Weight loss, dehydration, chronic diarrhea, and stomach shrinkage Edema, stunted growth, mental retardation, wrinkled skin, thin legs, bulged eyes, protruded belly
Subcutaneous Fat Absent Present
Oedema Absent Present
Fatty Liver Cells No enlargement Enlargement
Appetite Poor Voracious
Skin Dry and wrinkled Flaky paint appearance
Nutritional Requirement Adequate amounts of proteins, carbohydrates, and fats Adequate amounts of proteins

Marasmus is caused by a deficiency of both proteins and calories, while Kwashiorkor is caused by a deficiency of proteins alone. Both conditions can lead to long-term health complications if not addressed early on.