This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pediatrics
[{'content': 'Which of the following is not seen in kwashiorkor? \nSelect and explain. \nA. Apathy, B. Flaky paint dermatosis, C. Baggy paint appearance, D. Increased transaminases', 'role': 'user'}, {'content': "Answer: C \nExplanation: Baggy Paint appearamce--refer to loose skin of buttock hanging downSeen in MarasmusFlaky paint appearance:- Refer to hyperpigmentation depigmentation, desquamation which may be confluently seen in kwashiorkorApathy, increase liver enzyme is also seen in kwashiorkor(Refer: OP Ghai's Textbook of Pediatrics, 8th edition, pg no. 66, 67)", 'role': 'assistant'}]