What is the difference between kwashiorkor and marasmus. Data of the study is available as a supplemental excel file. A kid who is suffering from marasmus can be identified at a glance. Difference between kwashiorkor and marasmus kwashiorkor vs. The who pocketbook of hospital care for children defines severe malnutrition as the presence of oedema of both.
Difference between marasmus and kwashiorkor youtube. Characteristic features of marasmus and kwashiorkor. Youd think that it would be better to have kwashiorkor, because at least you are consuming. The aids epidemic has also significantly changed the clinical course of classic marasmus. Dia seperti anakanak lain, masih bermain dan sebagainya, tetapi bila diamati dengan seksama badannya mulai kurus. Apr 04, 2020 one major difference between kwashiorkor and marasmus is that kwashiorkor can occur rapidly, while marasmus is usually the result of a gradual process. Having a diet thats mainly carbohydrates can lead to this condition. Kwashiorkor is a serious form of malnutrition caused by a lack of protein. Children who develop kwashiorkor are often older than children who develop marasmus.
The clinical signs and symptoms of protein energy malnutrition are summarized in table 2. Children with marasmus may become acutely emaciated and fail to grow. Sinonim marasmus diterapkan pada pola penyakit klinis yang menekankan satu ayau lebih tanda defisiensi protein dan kalori. Should the rehabilitation phase of treatment for children. Marasmic kwashiorkor is a form of malnutrition that lies in between kwashiorkor and marasmus, as is clear by its name. Anak kurang gizi pada tingkat ringan dan atau sedang tidak selalu diikuti dengan gejala sakit. Find, read and cite all the research you need on researchgate. What links here related changes upload file special pages permanent link page. Differences between marasmus and kwashiorkor all medical stuff. Difference between kwashiorkor and marasmus kwashiorkor. It can be distinguished from kwashiorkor in that kwashiorkor is protein deficiency with adequate energy intake whereas marasmus is inadequate energy intake in all forms, including protein. Mental changes, skin and hair changes and hepatomegaly are evident.
Severe malnutrition includes kwashiorkor, a form of severe acute malnutrition symmetrical oedema defines kwashiorkor, regardless of other anthropometric parameters. The two terms do differ with respect to their definition, clinical symptoms, sings, biochemical change. The two terms do differ with respect to their definition, clinical symptoms, sings, biochemical changes seen and the management. Body weight is reduced to less than 62% of the normal expected body weight for the age. This clearcut separation of marasmus and kwashiorkor. Two main types of this undernutrition are marasmus and kwashiorkor. Dec 09, 2012 overview of pem the term proteinenergy malnutrition pem applies to a group of related disorders. Kwashiorkor is a form of severe protein malnutrition characterized by edema and an enlarged liver with fatty infiltrates. Failure to thrive is the earliest manifestation, associated with irritability or apathy.
In marasmusthis mayfall to around 5%anda high proportion ofthe residual fat upto 50%maybein. Difference between kwashiorkor and marasmus difference. Marasmic kwashiorkor is a mixed form of pem, with oedema occurring in children who are otherwise marasmic and. Get a printable copy pdf file of the complete article 810k, or click on a page image below to browse page by page. Secondary infection is very common in protein energy malnutrition. Marasmus can also make children shorttempered and irritable, but this is usually a more common symptom of kwashiorkor. Difference between marasmus and kwashiorkor compare the. Bodyfat normallyfatconstitutes around19%ofbodyweight. One major difference between kwashiorkor and marasmus is that kwashiorkor can occur rapidly, while marasmus is usually the result of a gradual process. Marasmus occurrence increases prior to age 1, whereas kwashiorkor occurrence increases after 18 months. Marasmus is a form of severe malnutrition characterized by energy deficiency. May 09, 2016 marasmus is a form of severe malnutrition. Both marasmus and kwashiorkor are diseases that arise due to an inadequate diet and starvation. There are two extreme protein deficiency malnutrition defects that exists in infants and pre school childs.
Hence, proteincalorie malnutrition encompasses a group of related disorders that include kwashiorkor, marasmus, and intermediate or mixed states of kwashiorkor and marasmus. Management of severe and moderate acute malnutrition in children. Pdf the haematological findings in 47 children with marasmus and kwashiorkor are presented and the aetiology and response to treatment is. Marasmus adalah malnutrisi berat pada bayi sering ada di daerah dengan makanan tidak cukup atau higiene kurang. Correction of essential fattyacid deficiency in man by the cutaneous application of sunflowerseed oil. Fisipoatologia patterns among marasmic patients define them as metabolically thrifty, while kwashiorkor patients function as metabolically profligate. Learn vocabulary, terms, and more with flashcards, games, and other study tools. It is caused by sufficient calorie intake, but with insufficient protein consumption, which distinguishes it from marasmus. Find highquality kwashiorkor stock photos and editorial news pictures from getty images. Differences between marasmus and kwashiorkor all medical. Marasmus involves inadequate intake of both protein and calories. It can occur in anyone with severe malnutrition but usually occurs in children. While the marasmus occurs due to energy deficiency, kwashiorkor is attributed to protein deficiency, the two being most common in children. P em or proteinenergy malnutrition is a macronutrient deficiency rather than micronutrient deficiency.
Marasmus is a form of pem which is characterized by muscle wasting and shrunken appearance of the child. Youd think that it would be better to have kwashiorkor, because at least you are consuming enough calories, than marasmus, where you dont have anything. Learn how to spot this condition and how to prevent it. These are one of the most common nutrition disorders in most of the under developed or developing countries. Doctors lead to pem diagnosis based on signs and symptoms, that are usually easy to observe, although laboratory diagnosis is always useful for workup. Kwashiorkor and marasmus can be differentiated primarily on the basis of symptoms, causes and treatment. While the marasmus occurs due to energy deficiency. Kwashiorkor often manifests in an affected person as a wellnourished appearance, but marasmus manifests as a starved appearance.
A weight for height zscore of pdf on jan 1, 1988, m. It is decreased or normal in kwashiorkor while increased in marasmus. He will have dry and lose skin hanging over the glutei. Using of who guidelines for the management of severe. It is actually a combination of two pediatric diseases very commonly encountered, kwashiorkor and marasmus. Download premium images you cant get anywhere else. Oct 04, 2016 the aids epidemic has also significantly changed the clinical course of classic marasmus. Marasmus is another type of malnutrition that can affect young children in regions of the world where theres an unstable food supply. Sorry, you need the flash player to view these lessons. Another kind of malnutrition that is related to kwashiorkor and marasmus is known as marasmic kwashiorkor. Wholebody protein kinetics in marasmus and kwashiorkor during. Jul 22, 2016 marasmus occurs more often in young children and babies. Jun 09, 2017 difference between marasmus and kwashiorkor. Marasmic kwashiorkor is the third form of proteinenergy malnutrition that combines features and symptoms of both marasmus and kwashiorkor.
The wellcome classification also introduced the term marasmic kwashiorkor for. Hi all, kwashiorkor is protein malnutrition, but adequate calories. Jackson and others published protein energy malnutrition. Marasmus is typically observed in infants who are breastfeeding when the amount of milk is markedly reduced or, more frequently, in those who are artificially fed. Article information, pdf download for incap studies of kwashiorkor and. Marasmus adalah suatu penyakit yang disebabkan oleh kekurangan kalori protein. Somatic investigation and treatment of eating disorders. Total body sodium, calcium and phosphorus are depleted to 93%, 77%, and 79%of expected values garrowet al. Please try again later or contact us if the issue continues. Start studying characteristic features of marasmus and kwashiorkor. Some of the most important differences betwwen kwashiorkor and marasmus are. The etiology of kwashiorkor remains enigmatic and longitudinal studies examining potential causes of kwashiorkor are scarce.
Marasmus occurs more often in young children and babies. Using historical, longitudinal study data from the rural area of bwamanda, democratic republic of congo, we investigated the potential causal association between diet and the development of kwashiorkor in 5 657 preschool children followed 3monthly during 15 months. Marasmic kwashiorkor definition of marasmic kwashiorkor. Should the rehabilitation phase of treatment for children with severe malnutrition marasmus or kwashiorkor take place within communities, or as inpatients.
Golden and others published marasmus and kwashiorkor. Overview of pem the term proteinenergy malnutrition pem applies to a group of related disorders. Proteinenergy malnutrition elsa xxx dcem1 toulouse purpan medical school 230309. Six surveys for proteinenergy malnutrition were carried out in sequence in baszaire beginning at the end of 1978 at the estimated height of the famine and. Kwashiorkor causes a buildup of fluid in the body that can cause the face to become round and the belly to become distended. There are relatively few pharmacokinetic studies dealing with the use drugs as an intervention for children with kwashiorkor and pem. Like kwashiorkor, marasmus is caused by a lack of the right types of nutrients. So, these were the few major differences between marasmus and kwashiorkor. In this condition, features of marasmus and kwashiorkor are present simultaneously. Kwashiorkor and marasmus are both associated with impaired glucose clearance related to pancreatic. Heck, why not just treat kids with kwashiorkor by taking away.
Six surveys for proteinenergy malnutrition were carried out in sequence in baszaire beginning at the end of 1978 at the estimated height of the famine and continuing throughout the recovery period. Protein energy malnutrition has been identified as a major health and nutrition problem in the developing countries which is manifested as marasmus or kwashiorkor. These documents attempt to summarize the known facts and. There are subtle differences between the two conditions. Adequate calories and protein can alleviate symptoms associated with both marasmus and kwashiorkor. Ramirez prada d1, delgado g, hidalgo patino ca, pereznavero j, gil campos m. Pdf file of the complete article 810k, or click on a page image below to browse page by page. Signs of marasmus include thinness and loss of fat and muscle without any tissue swelling. The other form of proteinenergy malnutrition is the condition known as marasmus.
Menurut departemen kesehatan 2004, pada tahun 2003 terdapat sekitar. Kwashiorkor is the edematous form of protein energy malnutrition. A weight for height zscore of marasmus, a form of severe acute malnutrition. Links to pubmed are also available for selected references. Kwashiorkor is another form of serious malnutrition. Kwashiorkor results from relative protein deficiency in the setting of adequate energy intake and is characterized by hypoproteinemia, pitting pathophysiology. It can occur in anyone who has severe malnutrition, but it usually occurs in children. Marasmus differs from kwashiorkor in various ways see fig. Using historical, longitudinal study data from the rural area of bwamanda, democratic republic of congo, we investigated the potential causal association between diet and the development of kwashiorkor in 5 657 preschool children. But according to robbins, kwashiorkor is worse than marasmus.