Marasmus differs from Kwashiorkor in

Options

A. Absence of oedema
B. Match stick legs
C. Protruded belly
D. Anaemia

Answer

### Step-by-Step Solution:

1. **Understanding Marasmus and Kwashiorkor**:
- Marasmus is a form of severe malnutrition characterized by energy deficiency. It occurs due to a significant lack of calories and proteins, resulting in extreme weight loss and muscle wasting.
- Kwashiorkor, on the other hand, is primarily caused by a deficiency of protein despite adequate caloric intake. It is associated with edema (swelling), a protruding belly, and other symptoms.

2. **Key Differences**:
- **Edema**:
- In Kwashiorkor, edema is present due to protein deficiency leading to fluid retention.
- In Marasmus, there is no edema because of the overall deficiency of calories and proteins, leading to weight loss and muscle wasting without fluid retention.
- **Subcutaneous Fat**:
- Marasmus is characterized by a lack of subcutaneous fat due to severe caloric deficiency.
- In Kwashiorkor, subcutaneous fat may be present despite the protein deficiency.
- **Physical Appearance**:
- Marasmus often presents with "mat stick legs" (thin limbs) due to muscle wasting.
- Kwashiorkor may show a protruded belly due to edema and fluid accumulation.

3. **Analyzing the Options**:
- **Absence of Edema**: This is a characteristic of Marasmus, making this option correct.
- **Mat Stick Legs**: This feature can be seen in both conditions, so it is not a distinguishing factor.
- **Protruded Belly**: This is a characteristic of Kwashiorkor, not Marasmus.
- **Anemia**: Anemia can occur in both conditions, thus not a distinguishing feature.

4. **Conclusion**:
- The major difference between Marasmus and Kwashiorkor is the **absence of edema** in Marasmus, while it is present in Kwashiorkor.

### Final Answer:
Marasmus differs from Kwashiorkor primarily in the **absence of edema**.

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