A severe form of malnutrition in young children that occurs principally in poor rural areas in the tropics. Affected children have stunted growth and a puffy appearance due to oedema. The liver often enlarges, dehydration may develop, and the child loses resistance to infection, which may have fatal consequences. The more advanced stages are marked by jaundice, drowsiness, and a fall in body temperature. Initially, the child is frequently fed with small amounts of milk, and vitamin and mineral tablets. A nutritious diet is then gradually introduced. Most treated children recover, but those less than 2 years old may suffer from permanently stunted growth.
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