I received a lady aged 23 in the ward who presented with a very dry skin. Other sections were peeling off, others intact but either hyper- or hypopigmented. Had oedema, facial puffiness. No ascites. Reported occasional diarrhea. Wasn't pale, fully oriented to PTT. Complained of anorexia. No history leading to lack of food or reduced supply at any given moment. Experienced pain on lower limbs only when walking.
Reports step mother died of same condition.