7-month-old boy on an oligoantigenic diet because of multiple food int
olerances presented with anorexia, failure to gain weight and severe h
ypochloremic metabolic alkalosis with hyperreninemia. Clinical symptom
s and biochemical abnormalities disappeared after adequate dietary sup
plementation with potassium and sodium chloride. This case emphasizes
that minimal daily mineral requirements must be provided in infant die
ts, and highlights the risk of nutritional deficiencies inherent in th
e prolonged use of oligoantigenic diets not adequately supplemented.