<prompt> Kwashiorkor is characterized by all EXCEPTAlertnessEdemaFlag signHepatomegaly  <response>: A. i.e. Alertness 67- Ghai 7th 104 - 05 Ghai 6thDifferentiating features of - Marasmus and KwashiorkorMARASMUSKWASHIORKOR Emaciation, stunting No edema Wrinkled skin, loose folds of skin are prominent over glutei and inner side of thigh Skin appears dry, scaly and inelastic and prone to infections Hair is hypopigmented Abdomen is distended due to wasting and hypotonia of abdominal wall muscles Bony points prominent Alert, often irritable Voracious appetiteMarkedly retarded growth,Edema, psychomotor change Face appears moon- shaped and puffy Lethargic, listless and apathetic Hepatomegaly Skin is dry, inelastic, mosaic in appearance Flag sign - alternate bands of the hypopigmented and normally pigmented hair Petechiae or ecchymosis in severeases GFR and plasma flow are diminished Appetite is impaired The estimation of 3 methyl histidine in urine is study skeletal muscle mass Main sign of kwashiorkor is pitting edema 