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An Unusual Case of Infantile Hepatic Steatosis Caused by Coconut-Based Infant Formula
Paula M Prieto Jimenez1, Esther Jun-Ihn2, Michael Matthews3
1From the Department of Pediatrics at Mattel Children's Hospital, Pediatric Gastroenterology Fellow at University of California Los Angeles, Los Angeles, CA.
Insights
A homemade coconut milk formula caused fatty liver disease in an infant. Symptoms resolved after stopping the formula, highlighting dietary risks.
Area of Science:
- Pediatric Gastroenterology
- Nutritional Science
Background:
- Infant nutrition requires careful consideration of macronutrient and micronutrient balance.
- Homemade formulas may lack essential nutrients or contain harmful components if not properly prepared.
Observation:
- A 5-month-old African American male infant presented with hepatic steatosis (fatty liver disease).
- The infant had been exclusively fed a homemade coconut milk formula for an extended period.
Findings:
- Chronic and exclusive ingestion of homemade coconut milk formula was identified as the cause of hepatic steatosis.
- Discontinuation of the homemade formula led to the complete resolution of the hepatic steatosis.
Implications:
- This case underscores the potential dangers of unverified homemade infant formulas.
- Healthcare providers should inquire about formula type, including homemade preparations, during infant check-ups.
- Further research into the long-term effects of alternative homemade formulas is warranted.
Abstract:
We report a 5-month-old African American male with hepatic steatosis secondary to chronic and exclusive homemade coconut milk formula ingestion. Findings resolved with discontinuation.
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