Kwashiorkor is a type of severe malnutrition that is characterized by extreme protein deficiency. It is one of the two main types of severe protein-energy undernutrition, the other being marasmus. Kwashiorkor is most commonly seen in children, particularly in developing countries with high levels of poverty and food insecurity. People with kwashiorkor may have food to eat, but not enough protein. The symptoms of kwashiorkor include fatigue, irritability, lethargy, diarrhea, loss of muscle mass, failure to grow or gain weight, edema (swelling) of the ankles, feet, and belly, damaged immune system, which can lead to more frequent and severe infections, flaky rash, and shock. Kwashiorkor is rare in developed countries, and it is mostly found in sub-Saharan Africa and other countries where people routinely have a limited supply of food. The main causes of kwashiorkor are a lack of protein in the diet, poor sanitary conditions, and a high prevalence of infectious diseases. Kwashiorkor can be prevented by ensuring that the diet has enough carbohydrates, fat, and protein.