- Use of adequate proteins, early waaningi with mixed diet education

desquamation is deep enough and resembles a burn involving limbs and abdomen and Cack, face very rarely affected enamel paint dermatosis. Petechial haemonthages terminal. Other changes not characterisic -crazy pavsment dermatosis, tissures Hair - Decolouration and brittleness of hair. Easy pluckability which is painless .During better periods of nutrition. the scalp hair may grow more normally, but a fresh band of abnormal hair will appear during another period of malnutrition [flag sign). Diarrhoea - prominent feature with watery, offensive stools leading to dehydration. Secondary to bactarial infaction. lactose Intolarance or worms, or mucosal atrophy or oedema due to PEM. Liver - may be enlarged dua to falty infiliration, due lo delcieni beta-lipoprotain, Cardiac falture - secondary to severe anemia and myopathy or protein deficiency. Occurs more in second week of dietary trealment as oadema fluid is reabaorbed. Cardinal signs of Kwashiorkor - 1 Oedema 2 Growth 1-retardation 3 Muscle wasting 4 Mental changes Differentiating features of mrasrnus and kwashiorkor. Often not wasted Prevention - Use of adequate proteins, early waaningi with mixed diet education