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The patient experiences great loss in weight--as much as
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thirty to forty pounds in an adult--
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and may suffer from frank starvation.
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In addition, there's a complete loss of
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muscle tone, while the face,
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in severe cases, takes on the appearance of a cadaver,
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making the patient almost unrecognizable,
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even to his or her closest relatives.
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The scalp may be one large lesion, and tangled with hair.
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And lesions, as you can imagine,
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under the nails of fingers
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and toes were exquisitely painful.