Marasmus

  • Prolonged deficiency in calories and protein
  • Risk factors
    • Alcoholism, psychiatric disorders, special diets, child abuse, neglect
    • Malabsorption, chronic diarrhea, malignancy, chronic disease, AIDS, metabolic disorders
  • Clinical presentation
    • Dry, thin, wrinkled, pale skin with scale
    • Hyperpigmentation
    • Follicular hyperkeratosis, folliculitis, ulcerations, lanugo-like hair, purpura