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A partially-breastfed male baby aged 11 months and 22 days was admitted as he had been passing loose stools since birth and had experienced occasional vomiting and failure to thrive. He passed watery stools 8-10 times per day, but there was no blood or mucous. The parents were healthy and their marriage was nonconsanguineous. The antenatal and birth history included polyhydramnios and premature delivery at 35 weeks of gestation. The baby's birthweight was 2.3kg (P23). He was hospitalised several times for persistent diarrhoea before coming to our hospital, but had no episodes of intestinal pseudo-obstruction. He always had to take medication, such as oral rehydration salts and Smectite. This article is protected by copyright. All rights reserved.

SUMMARY 3 cases of probable congenital, familial allergy to human milk are reported. The dominant symptom in all cases was frequent, squirting watery stools. In spite of the most varied forms of treatment, all three cases proved fatal.

Summary A case of congenital alkalosis with diarrhea has been described in a newborn male infant. The characteristic finding in the disease is the combination of persistent metabolic alkalosis and watery stools with a high concentration of chloride. The disorder was presumably present already during fetal life and manifested itself from the neonatal period. In spite of treatment the patient died when twelve months old.