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Ahmet Karadag, MD
From the Department of Pediatrics, Fatih University Medical School, Emek Ankara, Turkey.

Arch Pediatr Adolesc Med. 2002;156:291-292.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 7-MONTH-OLD BOY with malnutrition and chronic diarrhea came to the emergency department with dehydration and metabolic acidosis. His medical history revealed that he had diarrhea, vomiting, and abdominal distension for 1 months. His stool was defined as foul-smelling, greasy, and bulky. He was born from nonconsanguineous parents following an uneventful pregnancy. He had been breastfed until he was 3 months old, at which time he began receiving formula, rice, and biscuits.

At physical examination, his weight was 5800 g (<3rd percentile), his height was 68 cm (<75th percentile), and his head circumference was 42 cm(<10th percentile). He was dehydrated and his abdomen was severely distended but there was no organomegaly. Results of laboratory investigations were compatible with metabolic acidosis and mild hypokalemia. A complete blood cell count showed hemoglobin to be 11.4 g/dL; hematocrit, 35.3%; mean corpuscular volume, 71.9 fL; white blood cell count, 9.2 x . . . [Full Text of this Article]