Introduction Malnutrition is a silent emergency. Severe Protein Energy Malnutrition (PEM) affects 23% of the pediatric population worldwide. Malnutrition leads to Nutritional Dermatosis which is a condition that affects the skin, nails, hairs and glands. Skin disorders are one of the major health problems in pediatric age. Objective The aim of this study is to study various cutaneous features of Nutritional Dermatosis in Children and their Nutritional Management. Methodology This cross-sectional study was conducted at medical teaching institute Khyber teaching hospital Peshawar to find out the nutritional status of malnourished children with dermatosis and their management. A total of 102 children were extensively assessed over a period of 3 months. Preliminary data of children regarding age, sex, feeding history, complementary feeding, dietary history, demographic history and anthropometric measurements were recorded. All the children were examined thoroughly for the presence of a cutaneous feature of dermatosis. The collected data was analyzed through SPSS. Results of this study showed that the majority of the children were in the age group of 6-12 months. Most of the subjects were female. About 66% of babies were formula fed and complementary feeding started between the age of 6-12 months. About 32 %of children were preterm / low-birth-weight and about 63% were multiparous mothers. approximately 56% families from lower socioeconomic status. and the majority of the mothers were illiterate. The cutaneous features observed were hair changes (96%), nail disorders (86%), pigmented skin (90%), sunken eyes (88%), dehydration (70%) and oedema (68%). The most caoutanus features seen were hair hangs and pigmented skin. 

Key Words: Malnutrition, Dermatosis, Nutritional management, Cutaneous features