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.

JPGN Reports
|May 11, 2023
PubMed

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.

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