European Journal of Pediatrics

, Volume 169, Issue 7, pp 829–832 | Cite as

Severe hypernatremia in newborns due to salting

  • Erdal PekerEmail author
  • Ercan Kirimi
  • Oguz Tuncer
  • Abdullah Ceylan
Original Paper


The aim of this study was to evaluate the etiology, clinical, and laboratory findings and prognostic features of life-threatening hypernatremic newborns secondary to salting. Ten severely hypernatremic newborns (four females) with a mean age of 6.5 ± 2.6 days were followed up. Nine of them were full term, and one was preterm. It was noticeable that 60% of them were small for gestational age. In the laboratory investigation, five uremias were detected. It was interesting to find in the etiologic history that 40% of the patients had been salted just after birth. Twenty percent of them had also hyperbilirubinemia and kernicterus, 20% had neonatal convulsion, and 50% had dehydration. Two of the hypernatremic newborns died during the study; the others were followed up. One case had spasticity and developmental disability at the 3rd month, and another one had developmental disability at the 6th month of ages. As a conclusion, although salting of newborns is not so frequent, it could be seen in rural places of our country, and this may be one of the reasons for serious hypernatremia in newborns whose skin integrity have not been formed completely. These cases should be treated carefully.


Hypernatremia Newborn Salting Dehydration 


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Erdal Peker
    • 1
    • 2
    Email author
  • Ercan Kirimi
    • 1
  • Oguz Tuncer
    • 1
  • Abdullah Ceylan
    • 1
  1. 1.Department of Pediatrics, Division of Neonatology, School of MedicineYuzuncu Yil UniversityVanTurkey
  2. 2.Hospital of the Yuzuncu Yil UniversityVanTurkey

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