Which statement is NOT true regarding kwashiorkor?

Correct option is B

Kwashiorkor is a severe form of protein-energy malnutrition, primarily affecting children. It is characterized by symptoms like edema, poor appetite, dermatitis, and hair changes. "Monkey face" is a classic feature of marasmus, not kwashiorkor. In kwashiorkor, the face often appears puffy due to edema. Hence, the statement mentioning "monkey face" is not true for kwashiorkor.
Explanation of options: (a) Silky, easily pulled hair – This is a characteristic sign of kwashiorkor due to protein deficiency leading to hair fragility and depigmentation. (b) Monkey face – This is the correct answer. It is not seen in kwashiorkor but in marasmus, where the loss of subcutaneous fat gives the face a shrunken, monkey-like appearance. (c) Poor appetite – Children with kwashiorkor typically exhibit poor appetite, which further complicates their nutritional status and recovery. (d) Oedema present in the lower limbs and arms – This is a hallmark symptom of kwashiorkor caused by hypoalbuminemia leading to fluid accumulation in the tissues.