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Marasmus in Child
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Marasmus in Child

Contributors: Craig N. Burkhart MD, Dean Morrell MD, Lowell A. Goldsmith MD, MPH
Other Resources UpToDate PubMed

Synopsis

Marasmus is a disorder of malnutrition that is a result of total calorie starvation, especially protein and energy. It is often seen in children under 5 years of age, most commonly in developing countries (although older children and adults can have marasmus). The decreased nutrition is usually secondary to weaning problems resulting from disease, poor hygiene, poverty, and cultural factors. Young children with repeated bouts of gastroenteritis are particularly at risk.

Patients are emaciated with loss of the subcutaneous fat and muscle. The skin is dry and loose. They also have thin, fragile hair and nail abnormalities.

Codes

ICD10CM:
E41 – Nutritional marasmus

SNOMEDCT:
29740003 – Nutritional marasmus

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Kwashiorkor is also a disease of malnutrition that presents with depigmentation of the hair and areas of the skin, glossitis, edema, and desquamation, which distinguishes it from marasmus.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated:11/20/2019
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Marasmus in Child
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Marasmus : Failure to thrive, Fine scaly plaque, Cachexia
Clinical image of Marasmus
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