Which finding most strongly supports a diagnosis of marasmus in a young child?

Correct answer: A. Severe wasting with marked loss of subcutaneous fat

  • A. Severe wasting with marked loss of subcutaneous fat
  • B. Bilateral pitting oedema with a rounded face
  • C. Generalised oedema with fatty liver enlargement
  • D. Depigmented hair with a flaky skin rash

Explanation

Marasmus is severe energy deficiency causing extreme wasting and loss of fat and muscle, usually without oedema. Bilateral oedema, skin changes, and fatty liver are more characteristic of kwashiorkor.

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About Childhood Nutrition and Malnutrition

Childhood nutrition covers essential nutrients, breastfeeding, complementary feeding, dietary assessment, growth monitoring and age-appropriate feeding practices. Questions distinguish protein-energy malnutrition, including marasmus and kwashiorkor, from micronutrient deficiencies such as iron, vitamin A, vitamin D and iodine deficiency, using clinical signs and anthropometric findings.

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