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July 1981

Critical Weight Loss and Malnutrition in Breast-fed Infants: Four Case Reports

Author Affiliations

From the Department of Pediatrics, Presbyterian Hospital, Charlotte, NC.

Am J Dis Child. 1981;135(7):597-599. doi:10.1001/archpedi.1981.02130310003002

• In four infants of primiparous mothers, critical dehydration, hypothermia, and azotemia developed while they were being breast-fed exclusively. Three had significant hypernatremia, one had a perforated duodenal ulcer, and one had transient renal failure. Although the causes of the inadequate nutrition are unclear, these cases emphasize the necessity of close follow-up for breast-fed babies, especially those of primiparous mothers and those in whom there has been excessive weight loss while in the hospital.

(Am J Dis Child 1981;135:597-599)

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