This Nepalese child is exhibiting signs of extreme malnutrition such as marasmus, and kwashiorkor, or pedal edema.
The signs of marasmus are loose, folded skin and a protruding rib cage with the manifestation of such symptoms in a developing child, whose body is in need of vast quantities of nutrients, being quite rapid and producing profound consequences.
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Some of the images on this website are in the public domain.