Hypernatremic Dehydration in Breast-Fed Infants: A Diagnostic Enigma Because of the Variable Presentation

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[A case of hypernatremic dehydration due to breast-feeding].

The authors report an 11-day-old exclusively breast-fed female, with a birth weight of 3 300 g, who had suffered from dehydration stage I, with acute renal failure and metabolic acidosis, with 170 mmol/L of serum sodium. Renal ultrasounds were normal but the rate of sodium in mother's milk was three times higher than controls (87 versus 21 mmol/L). Intravenous rehydration allowed the correction...

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Neonatal hypernatremic dehydration secondary to lactation failure.

Dehydration in the neonatal period has many causes. Dehydration is classified as isotonic, hypotonic, or hypertonic, based on the serum osmolality that in most cases is reflected in the serum sodium level. Hypernatremic dehydration is usually caused by gastroenteritis, but it can also be caused by salt poisoning or diabetes insipidus. This type of dehydration can be especially dangerous. The hy...

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Neonatal hypernatremic dehydration associated with breast-feeding malnutrition: a retrospective survey.

BACKGROUND Hypernatremic dehydration in neonates is a potentially devastating condition. Recent reports have identified breast-feeding malnutrition as a key factor in its pathophysiology. METHODS Using a theoretical framework for breast-feeding kinetics, a retrospective chart review of all neonates less than 28 days of age who were seen at either British Columbia's Children's Hospital or the ...

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Favism in breast-fed infants.

Sir, I read with considerable interest the paper by the late Salman Taj Eldin, on 'Favism in breast-fed infants' which appeared in your issue of February 1971 (p. 121), and I feel that the following data will give additional information on certain points which are stated in this report, and are yet unclarified. In countries with a high incidence of both G6PD deficiency and favism, acute haemoly...

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ژورنال

عنوان ژورنال: Pediatric Research

سال: 1999

ISSN: 0031-3998,1530-0447

DOI: 10.1203/00006450-199904020-01718