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The development of PEM is influenced by a complex interplay of factors: Protein Energy Malnutrition Ppt
PEM is typically categorized into two severe clinical forms, though many patients present with overlapping symptoms: Marasmus (Energy Deficiency) Appearance Slide 11: Complications of PEM PEM is typically
| Feature | Marasmus | Kwashiorkor | |---------|----------|--------------| | Edema | No | Yes (bilateral) | | Weight loss | Severe | Moderate | | Skin changes | Rare | Common | | Appetite | Good | Poor | | Serum albumin | Normal/low-normal | Very low | | Prognosis | Better | Worse (higher mortality) | reduced fat and muscle mass