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Related to marasmic: marasmic kwashiorkor


Relating to or suffering from marasmus.
Synonym(s): marantic


adjective Referring to protein energy malnutrition (marasmus).


Relating to or suffering from marasmus.
Synonym(s): marantic.


(ma-raz'mus) [Gr. marasmos, a wasting away]
A generalized wasting and absence of subcutaneous fat caused by malnutrition; emaciation. It results from caloric deficiency secondary to acute diseases, esp. diarrheal diseases of infancy, deficiency in nutritional composition, inadequate food intake, malabsorption, child abuse, failure-to-thrive syndrome, deficiency of vitamin D, or scurvy. Synonym: athrepsia; pedatrophy; wasting See: kwashiorkor; protein-energy malnutritionmarasmic (ma-raz'mik), adjective


Signs include loss of muscle mass and other soft tissues and a wizened, sunken face, resembling that of an elderly person, from loss of temporal and buccal fat pads. Failure to gain weight is followed by a loss of weight. Brain and skeletal growth continues, resulting in a long body and a head too large in proportion to weight. Subcutaneous fat is minimal, the eyes are sunken, and tissue turgor is lost. The skin appears loose and sags. The infant is not active, muscles are flabby and relaxed, and the cry is weak and shrill. The absence of pitting edema of the hands and feet and of a protuberant abdomen differentiate this condition from kwashiorkor, but in marasmic kwashiorkor, features of both conditions are combined.


Initial feedings should be small and low in calories because digestive capacity is poor and a “refeeding” syndrome can occur, marked by hypophosphatemia, congestive heart failure, respiratory distress, convulsions, coma, and death. Diluted formula or breast milk is best. The amount of calories and protein, carbohydrates, and fat should be increased gradually. The goal for protein intake is 5 g/kg of body weight per day. If diarrhea due to disaccharidase deficiency is present, a low-lactose diet is beneficial. Parenteral fluid therapy is indicated if shock or fluid and electrolyte imbalance exists.


Death occurs in 40% of affected children.

References in periodicals archive ?
8%) and marasmic kwashiorkor (60%) in descending order, the observed differences in rates of detection in urine were not significant (p>0.
The median concentration of total aflatoxins in urine was highest in kwashiorkor patients, followed by marasmic kwashiorkor, controls and marasmus in descending order (table 2).
Qualified medical staff including clinical officers and nurses at each of the health centres assessed the clinical nutritional status of the children, classifying them as Marasmic, Kwashiorkor or Marasmic/ Kwashiorkor.
The results showed Meteitei to have the highest prevalence of 18% for Kwashiorkor, Marasmus and Marasmic Kwashiorkor while Makunga showed the least prevalence of 4%.
The prevalence of protein energy malnutrition (kwashiorkor, marasmus and marasmic kwashiorkor) was 8.
1) for all forms of severe PEM (marasmus, marasmic kwashiorkor, and kwashiorkor) (26).
Protein-energy malnutrition in children can be of three types by clinical classification: marasmus (wasting from malnutrition), kwashiorkor, and marasmic kwashiorkor; the latter two are oedematous malnutrition.
Assessment of dehydration in severely malnourished children, especially in marasmic and frank kwashiorkor patients might be difficult.