Abstract

Two major clinical syndromes, kwashiorkor and nutritional marasmus are widely recognized. These syndromes constitutes only tip of iceberg of the problem of the problem of protein energy malnutrition. Children’s also suffer from mild to moderate malnutrition while they hidden in the community. Several theories have been put forward to explain the etiology of the severe forms of PEM. WHO criteria was used to define protein energy malnutrition. Detailed history and systemic examination was done. The clinical signs of micronutrient deficiency such as bitot’s spots, xerophthalmia, keratomalacia and corneal opacities in vitamin A deficiency, glossitis, angular stomatitis, seborrheic dermatitis in vitamin B deficiency, anorexia, pallor, irritability, bleeding from gums and conjunctiva in vitamin C deficiency, deformities in forearm, bow legs (genu varum) or knock knees (genu valgum), craniotabes, poor growth in height and weight, frontal bossing of the skull, swelling of the wrist and knees in vitamin D deficiency. Poor physical growth, delayed sexual maturation anemia, anorexia, diarrhea hair loss dermatitis impaired immune response, poor wound healing in Zinc deficiency was assessed. In our study, the prevalence of anemia is 74.88%, prevalence of Vit. D deficiency 32.70%, Vit. B deficiency 30.81% and Vit.

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