RT Book, Section A1 Yan, Albert C. A2 Kang, Sewon A2 Amagai, Masayuki A2 Bruckner, Anna L. A2 Enk, Alexander H. A2 Margolis, David J. A2 McMichael, Amy J. A2 Orringer, Jeffrey S. SR Print(0) ID 1161338254 T1 Cutaneous Changes in Nutritional Disease T2 Fitzpatrick's Dermatology, 9e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071837798 LK dermatology.mhmedical.com/content.aspx?aid=1161338254 RD 2024/03/28 AB AT-A-GLANCEMarasmus is caused by chronic global nutrient deficiency and characterized by dry, loose, and wrinkled skin with a loss of subcutaneous fat.Kwashiorkor is caused by inadequate protein or fat in the context of ongoing carbohydrate intake and characterized by generalized edema with a “flaky paint” dermatosis.In modern industrialized settings, kwashiorkor may result from excessive intake of rice beverages (young children), anorexia and associated eating disorders (adolescents and young adults), and GI surgery, especially bariatric surgical procedures (adults).Particular attention should be given to preventing refeeding syndrome, which is characterized by electrolyte abnormalities.