Same treatment as for MALABSORPTION.
A severe form of protein and calorie malnutrition that usually occurs in famine or semi-starvation conditions. Marasmus is common in young children in developing countries. The disorder causes stunted growth, emaciation, and loose folds of skin on the limbs and buttocks due to loss of muscle and fat. Other signs include sparse, brittle hair; diarrhoea; and dehydration.
Treatment includes keeping the child warm and giving a high-energy, proteinrich diet. Persistent marasmus can cause mental handicap and impaired growth. (See also kwashiorkor.)
Progressive wasting, especially in young children, when there is no ascertainable cause. It is generally associated with defective feeding. (See also ATROPHY; INFANT FEEDING.)
n. mixed deficiency of both protein and calories, resulting in severe wasting in infants. Body weight is below 60% of that expected for age, the infant looks ‘old’, has thin sparse hair, is pallid and apathetic, lacks skin fat, and has subnormal temperature. The condition may be due to *malabsorption, wrong feeding, metabolic disorders, repeated vomiting, diarrhoea, severe disease of the heart, lungs, kidneys, or urinary tract, or chronic bacterial or parasitic disease (especially in tropical climates). Maternal rejection of an infant may cause marasmus through undereating. Acute infection may precipitate death. Treatment depends on the underlying cause, but initially very gentle nursing and the provision of nourishment and fluids by gradual steps is appropriate for all.