This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gastrointestinal tract, Subject name: Pediatrics
Liver biopsy shows fatty change in 
Select and explain. 
A. Marasmus, B. Marasmic kwashiorkor, C. Nutritional dwarfism, D. Kwashiokor
D: Kwashiokor
Answer: D: Kwashiokor 
Explanation: clinical finding marasmus kwashiorkor occurance more common less common edema absent present activity active apathetic appetite good poor liver enlargement absent present,fatty liver due to deposition of triglycerides moality less than kwashiorkar high in early stage recovery recover early long to recover infection less prone more prone Ref : ESSENTIAL PEDIATRICS,O.P.GHAI,PG NO:66, 7th edition