Marasmus involves inadequate intake of protein and calories, whereas a child with kwashiorkor has fairtonormal calorie intake with inadequate protein intake. Body weight is reduced to less than 62% of the normal expected body weight for the age. It can occur in anyone who has severe malnutrition, but it usually occurs in children. Kwashiorkor is another severe form of proteinenergy malnutrition where the main deficiency is protein. A kid who is suffering from marasmus can be identified at a glance. Kwashiorkor and marasmus can be differentiated primarily on the basis of symptoms, causes and treatment. It is caused by sufficient calorie intake, but with insufficient protein consumption, which distinguishes it from marasmus. Pdf file of the complete article 810k, or click on a page image below to browse page by page. Hence, proteincalorie malnutrition encompasses a group of related disorders that include kwashiorkor, marasmus, and intermediate or mixed states of kwashiorkor and marasmus. Marasmic kwashiorkor is a form of malnutrition that lies in between kwashiorkor and marasmus, as is clear by its name. Kwashiorkor vs marasmus pediatric high yield topic. Kwashiorkor could have caused hospitals to incorrectly assign codes 261 and 262 code 260 kwashiorkor doesnotinclude protein malnutrition clarified by aha coding clinicq3 2009 code 260, kwashiorkor, is not appropriate since the provider did not specifically document this condition.
Kwashiorkor often manifests in an affected person as a wellnourished appearance, but marasmus manifests as a starved appearance. Unlike marasmus, kwashiorkor causes the body to retain fluid in the lower legs, feet, arms, hands, and face, leading to a swollen appearance. Protein energy malnutrition has been identified as a major health and nutrition problem in the developing countries which is manifested as marasmus or kwashiorkor. Kwashiorkor and marasmus are both associated with impaired glucose clearance related to. Download premium images you cant get anywhere else. Find highquality kwashiorkor stock photos and editorial news pictures from getty images. Doctors lead to pem diagnosis based on signs and symptoms, that are usually easy to observe, although laboratory diagnosis is always useful for workup. The political revolution has given selfgovernment to nearly a third of the. Marasmus is a form of severe malnutrition characterized by energy deficiency. May 09, 2016 marasmus is a form of severe malnutrition. Kwashiorkor is a form of malnutrition that is caused due to insufficient intake of proteins, whereas marasmus is caused due to insufficient intake of proteins, fats and carbohydrates. Marasmus involves inadequate intake of both protein and calories.
The two terms do differ with respect to their definition, clinical symptoms, sings, biochemical change. Kwashiorkor dan marasmus adalah dua contoh penyakit akibat gizi buruk yang sering kita kenal sebagai busung lapar. Marasmus occurrence increases prior to age 1, whereas kwashiorkor occurrence increases after 18 months. Marasmic kwashiorkor is the third form of proteinenergy malnutrition that combines features and symptoms of both marasmus and kwashiorkor. It can occur in anyone with severe malnutrition but usually occurs in children. The original view that kwashiorkor resulted from protein lack in the presence ofadequate, evenexcess carbohydrate, in contrast to marasmus which followeddeficiency ofenergyalone, is notnowaccepted. Adequate calories and protein can alleviate symptoms associated with both marasmus and kwashiorkor. High rates of acute and chronic malnutrition are not welldocumented, but are likely true because over 40% of burmese children younger than age 5 in. Marasmus is a type of malnutrition primarily caused by a deficiency in calories and energy. The distinction between the 2 forms of pem is based on the presence kwashiorkor or absence marasmus of edema. 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. It is caused by dietary insufficiency of protein in combination will a high level of carbohydrate diet.
Kwashiorkor dan marasmus, malanutrisi yang mengancam nyawa. Kwashiorkor refers to a form of malnutrition common seen in children. Marasmus and kwashiorkor free download as powerpoint presentation. Differences between marasmus and kwashiorkor all medical. Kurang energi protein kep merupakan salah satu penyakit gangguan gizi yang disebabkan oleh kekurangan energi maupun protein dalam proporsi yang berbedabeda, pada derajat yang ringan sampai berat. Signs of marasmus include thinness and loss of fat and muscle without any tissue swelling. It occurs due to deficiency of proteins, carbohydrates and fats in the diet.
Difference between kwashiorkor and marasmus kwashiorkor. This clearcut separation of marasmus and kwashiorkor. Golden and others published marasmus and kwashiorkor. Differences between marasmus and kwashiorkor all medical stuff. Nutrition 10 kwashiorkor and marasmus flashcards quizlet. 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. Refugees from myanmar are susceptible to acute and severe undernutrition, presenting as marasmus and kwashiorkor, as well as cachexia, chronic undernutrition, and micronutrient deficiencies 5. Incap studies of kwashiorkor and marasmus abstract this article summarizes thirty years of intensive clinical metabolic and therapeutic studies of the consequences of severe protein deficiency relative to calories, which results in kwashiorkor, and of a balanced deficiency of protein and calories that results in marasmus. The malnourished children involve those with marasmus, kwashiorkor.
Children with marasmus may become acutely emaciated and fail to grow. While the marasmus occurs due to energy deficiency, kwashiorkor is attributed to protein deficiency, the two being most common in children. Kwashiorkor is caused by protein deficiency, and symptoms include swelling. Kwashiorkor is the edematous form of protein energy malnutrition. It is actually a combination of two pediatric diseases very commonly encountered, kwashiorkor and marasmus. These are one of the most common nutrition disorders in most of the under developed or developing countries. Sorry, you need the flash player to view these lessons.
Malnutrition kwashiorkor and marasmus symptoms and treatment see online here one of the most common reasons for the death of almost 300,000 children per year is malnutrition. Recent pathophysology infection has been found as a risk factor for the development of kwashiorkor, many caretakers report diarrhea as a precipitating factor in kwashiorkor. Marasmus is one of the 3 forms of serious proteinenergy malnutrition pem. Listen to the audio pronunciation in the cambridge english dictionary. Selain di negara miskin, kondisi ini juga dapat terjadi di negaranegara yang tingkat pendidikan penduduknya rendah, sedang mengalami situasi politik yang tidak. There is a severe deficiency of nearly all nutrients, especially protein, carbohydrates, and lipids. Feb 22, 2019 kwashiorkor dan marasmus adalah dua contoh penyakit akibat gizi buruk yang sering kita kenal sebagai busung lapar.
Kwashiorkor and marasmus are both associated with impaired glucose clearance related to pancreatic. Gejala klinis marasmuskwasiorkormarasmus kwasiorkor. Learn vocabulary, terms, and more with flashcards, games, and other study tools. There are subtle differences between the two conditions. Marasmus is not the only syndrome that results from severe malnutrition. Marasmic kwashiorkor definition of marasmic kwashiorkor by. Foreword the first half of the twentieth century has witnessed three major revolutions. Kwashiorkor is a form of severe protein malnutrition characterized by edema and an enlarged liver with fatty infiltrates. Another kind of malnutrition that is related to kwashiorkor and marasmus is known as marasmic kwashiorkor. Oct 04, 2016 marasmus is one of the 3 forms of serious proteinenergy malnutrition pem. High rates of acute and chronic malnutrition are not welldocumented, but are likely true because over 40% of burmese children younger than age 5 in western myanmar are stunted and onethird are.
Get a printable copy pdf file of the complete article 674k, or click on a page image below to browse page by page. Find, read and cite all the research you need on researchgate. Kwashiorkor and marasmus are 2 forms of pem that have been described. Full text full text is available as a scanned copy of the original print version. A child with kwashiorkor is likely to present with a distended stomach. Kwashiorkor is the edematous form of proteinenergy malnutrition and is distinguished from marasmus by the presence of edema, hypoalbuminemia, and dermatosis.
Kwashiorkor in adults doctors answer your questions. The two terms do differ with respect to their definition, clinical symptoms, sings, biochemical changes seen and the management. In this video we will be learned about the difference between kwashiorkor vs marasmus, which is the high yield topic in pediatric. Selain itu marasmus juga disebabkan karena pemberian makanan tambahan yang tidak terpelihara kebersihannya serta susu buatan yang terlalu encer dan jumlahnya. Doctor answers on symptoms, diagnosis, treatment, and more. Kwashiorkor and marasmus both fall in category of malnutrition. Malnutrition is a serious condition occurred due to insufficient intake of nutrients in the diet. Kwashior and marasmus ppt dehydration malnutrition.
The other form of proteinenergy malnutrition is the condition known as marasmus. One major difference between kwashiorkor and marasmus is that kwashiorkor can occur rapidly, while marasmus is usually the result of a gradual process. The symptoms of marasmus are physical weakness, flabby body, elevated ribs, depressed eyes, dry skin etc. Overview of pem the term proteinenergy malnutrition pem applies to a group of related disorders. Marasmus occurs more often in young children and babies. P em or proteinenergy malnutrition is a macronutrient deficiency rather than micronutrient deficiency. Kwashiorkor dan marasmus adalah dua bentuk malnutrisi yang sering terjadi pada anakanak di negara berkembang. Marasmic kwashiorkor definition of marasmic kwashiorkor. There are relatively few pharmacokinetic studies dealing with the use drugs as an intervention for children with kwashiorkor and pem. Start studying characteristic features of marasmus and kwashiorkor.
Malnutrition kwashiorkor and marasmus symptoms and. So, these were the few major differences between marasmus and kwashiorkor. Salah satu sebab yang mengakibatkan terjadinya marasmus adalah kehamilan berturutturut dengan jarak kehamilan yang masih terlalu dini. Like kwashiorkor, marasmus is caused by a lack of the right types of nutrients. He will have dry and lose skin hanging over the glutei.
Kwashiorkor is a form of severe protein malnutrition characterized by edemaand an enlarged liver with fatty infiltrates. Links to pubmed are also available for selected references. Meskipun keduanya hampir sama, namun kita perlu tahu bagaimana membedakan kedua kondisi tersebut satu sama lain. Kwashiorkor and marasmus are different terms used to address different forms of malnutrition. These forms of serious pem represent a group of pathologic. It is seen more frequently among children who are younger than. Marasmus is another type of malnutrition that can affect young children in regions of the world where theres an unstable food supply. Difference between kwashiorkor and marasmus kwashiorkor vs. Difference between marasmus and kwashiorkor compare the. What is the difference between kwashiorkor and marasmus. The other 2 forms are kwashiorkor kw and marasmic kw.
Jul 22, 2016 marasmus occurs more often in young children and babies. Start studying nutrition 10 kwashiorkor and marasmus. Malnutrition kwashiorkor and marasmus symptoms and treatment. Difference between kwashiorkor and marasmus difference. It is decreased or normal in kwashiorkor while increased in marasmus.
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