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
Which of the following is not seen in kwashiorkor? 
Select and explain. 
A. Apathy, B. Flaky paint dermatosis, C. Baggy paint appearance, D. Increased transaminases
C: Baggy paint appearance
Answer: C: Baggy paint appearance 
Explanation: 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)