PEM can appear as conditions called marasmus, kwashiorkor, and an intermediate state of marasmus-kwashiorkor. The cause of death was a wasting disease known at the time as marasmus. The name comes from the Greek "marasmus" meaning "wasting". Dry skin and brittle hair are also symptoms of marasmus. Both clinical subtypes of severe acute malnutrition (kwashiorkor and marasmus) are treated similarly. This is due to marasmus not being reported as an admission or discharge diagnosis. Root decoctions are used to treat marasmus, debility, intestinal complaints, and convulsions. In 2016, the prevalence of marasmus in the United States was 0.5%. Kwashiorkor is distinguished from marasmus by the presence of edema. Children with marasmus commonly develop infections, and are consequently treated with antibiotics or other medications. Kwashiorkor and marasmus are childhood disorders caused by lack of dietary protein. Two forms of PEM are kwashiorkor and marasmus, and they commonly coexist. On March 9, 2007, a new album, "Marasmus", was released on Relapse Records. Marasmus occurrence increases prior to age 1, whereas kwashiorkor occurrence increases after 18 months.