Sir.—The cases reported in the article "Critical Weight Loss and Malnutrition in Breast-fed Infants: Four Case Reports" by Roddey and colleagues (Journal 1981;135:597-599) do not include sufficient comment on maternal factors nor do they discuss the pros and cons of continuing breast-feeding. In this regard, Roddey et al repeat many of the same omissions, and in some ways, their article is less informative than the article "Critical Malnutrition in Breast-fed Infants" by Gilmore and Rowland that was also published in the Journal (1978;132:885-887).
The marginal comment by Lawrence1 was an excellent addition, covering the majority of the points that should have been included in a case report on lactation problems. However, Roddey et al might have benefited from perusing the letters to the editor that were published after gilmore and Rowland's article, each of which asked for specific additional data.2-6 Although the marginal comment brings many problems to the fore,
LABBOK M. Weight Loss and Malnutrition in Breast-fed Infants. Am J Dis Child. 1982;136(5):472. doi:10.1001/archpedi.1982.03970410090026