“…Other organs, induding the pituitary gland, may be small and morphologically affected to some degree (14,18), The major impact of PCM, however, is not on structure, but rather on function; hence, the major changes are to be found in the development and the biochemical, physiologi cal, and metabolic functions of organ systems. Gradually, the chronically malnourished child is unable to defend body composition and metabolism, his life becomes precariously balanced and a relatively minor disturbance of physiological equilibrium may be fatal (9).…”