To the Editor: Drs. A. L. Skinner and F. C. Moll presented a report on "Hypernatremia Accompanying Infant Diarrhea" in the December issue of the A. M. A. Journal of Diseases of Children (Vol. 92:562 ). A surprisingly large number of their patients developed edema, paralysis, and convulsions; two of their twelve patients died.
It was not pointed out that five out of six patients in whom serum potassium analyses were made had hypokalemia. It would appear that potassium deficiency could not be excluded as a component in the symptomatology of some of their patients.