Work

Misdiagnosed as a "High-Need Baby": Delayed Diagnosis of Cow’s Milk Protein Allergy in an Exclusively Breastfed Infant

Year: 2025

Type: article

Abstract: Background: The term "high-need baby" has gained popularity among parents and on social media, but lacks clinical recognition. This non-medical label can delay the diagnosis of underlying medical conditions. Case Presentation: We report the case of a 7-month-old exclusively breastfed infant with persistent irritability and sleep disturbances, diagnosed by his pediatrician as a "high-need baby." Clinical evaluation revealed symptoms compatible with cow’s milk protein allergy (CMPA). Elimination of dairy from the maternal diet led to full symptom resolution. A subsequent oral challenge confirmed the diagnosis. Conclusion: This case illustrates the importance of maintaining clinical rigor when evaluating persistent infant symptoms and avoiding reliance on non-medical labels such as “high-need baby.”

Source: International Journal of Clinical Case Reports and Reviews

DOI: 10.31579/2690-4861/783

Author: Martin Gruenberg

Institution: Universidad de Buenos Aires

Language: English

Topic: Food Allergy and Anaphylaxis Research

Subfield: Immunology and Allergy

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4410823404