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Marasmus: The word marasmus comes from the Greek word ``marasmos'', which means wasting. It is applied to the state of chronic total under nutrition in children, which represents a deficiency of both protein and calories in various severity and produces a gradual wasting away of body tissue. Marasmus is most common in infants 6 to 18 months of age. It occurs in slum conditions in any country. General symptoms: Marasmus is characterized by gross underweight. There is atrophy of muscle mass and subcutaneous fat. Oedema is minimal or absent. Diarrhoea is common. It may result from infection or from pathogenic micro organisms in the stools, or there may be pre-existing nutritional diarrhoea complicated by infection. Growth rate declines progressively; there is both physical stunting and mental and emotional impairment. Body temperature may be subnormal, the heart is weak and urine scanty, prostration is common. Metabolic disturbances: Little or no water...

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