Kwashiorkor and marasmus — photos

Symptoms and syndromes in photos

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Oedema and hypopigmentation.

Photo 1. Oedema and hypopigmentation. The presence of oedema may give a false impression that a kwashiorkor infant is well nourished. General hypopigmentation together with some haemorrhagic skin lesions are seen in this infant who died shortly after the photograph was taken.

Kwashiorkor and marasmus in brothers.

Photo 2. Kwashiorkor and marasmus in brothers. Compare the miserable expression, pale hair, generalised oedema and skin changes in the child on the left with the marasmic wasting of his older brother. Kwashiorkor frequently follows acute infection and/or diarrhoea in a child during the weaning period.

Skin changes in kwashiorkor.

Photo 3. Skin changes in kwashiorkor. Serious skin changes including erythema, followed by hyperpigmentation, 'black enamel skin' and peeling, may terminate in serious ulceration and gangrene. Note the ulceration where desquamation has occurred in this child.

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