Last update Oct. 4, 2020
Very High Risk
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Congenital lactose intolerance belongs to this group or family:
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A very rare and extremely serious disease, via autosomal recessive inheritance (Vandenplas 2015, Diekmann 2015, Torniainen 2009, Järvelä 1998, Levin 1970).
The congenital absence of intestinal lactase prevents the hydrolyzing of lactose in breastmilk, resulting in very serious diarrhea from the first days of life (Torniainen 2009, Savilahti 1973, Levin 1970).
Although the treatment consists of a lactose-free diet and, therefore, it is not possible to breastfeed, there is a reported case of feeding an infant suffering from congenital lactose intolerance with hydrolyzed bank milk with added lactase: 900 units of lactase activity in 200 ml of milk (Similä 1982).
Breastfeeding is not contraindicated in temporary intolerance secondary to gastroenteritis (Vandenplas 2015).