Differences between Kwashiorkor and Marasmus

S.N Biochemical parameter          Kwashiorkor           Marasmus
1. Age of onset Pre-school children (1-5 years) Weaned infants(<1  year)
2. Nutritional cause Low protein intake Low calorie intake
3. Weight of body 60-80% of normal Less than 60% of normal
4. Growth Mild retardation Severe retardation
5. Oedema Present Absent
6. Facial appearance Moon face Like old man’s face
7. Abdomen Protruding Shrunken
8. Skin Dermatitis Dry and atrophic
9. Muscles Undergo wasting Weak and atrophic
10. Subcutaneous fat Present Absent
11. Appetite Poor Voracious feeder
12. Serum albumin 0.5-2 g/dl 2-3 g/dl
13. Ribs Not very prominent Become very prominent
14. Serum K+ Decreased Normal
15. Serum cortisol Normal or decreased Increased
16. Hair Hair  changes absent Hair changes common.
17. Prognosis Better Worse

Kwashiorkor Protein Energy Malnutrition – Otosection

                                                                                          Image source: otosection

References:

i) https://www.healthline.com/health/kwashiorkor-and-marasmus

ii) https://www.medicalnewstoday.com/articles/322453#causes

Differences between Kwashiorkor and Marasmus