Dilated Cardiomyopathy Induced by Chronic Starvation and Selenium Deficiency

Table 1

A comparison between marasmus and kwashiorkor.

Marasmus (PEM)	Kwashiorkor
Severe deficiency of all nutrients and inadequate caloric intake	Severe protein deficiency but normal caloric intake
Peripheral edema is absent	Peripheral edema is present
Hair changes absent	Hair changes common (sparse and easily pulled out)
Skin is dry and wrinkled but no dermatosis	Dermatosis, flaky paint appearance of skin
Voracious appetite	Poor appetite
Absent subcutaneous fat	Reduced subcutaneous fat
Fatty liver uncommon	Fatty liver common
Better prognosis	Worse prognosis