Primary disaccharidase deficiency is a well-known cause of diarrhoea in infancy. The offending disaccharide appears in the stool after ingestion due to the absence in the intestinal mucosa of the appropriate splitting enzyme. A much rarer cause of diarrhoea in this period is a failure of absorption of the monosaccharides, glucose and galactose, in the presence of histologically normal mucosa and full disaccharidase activity. The clinical and biochemical picture of this newly-described entity is characteristic. Watery diarrhoea, with glucose and/or galactose in the stools, develops within three days of milk feeding and continues as long as the feeds contain these monosaccharides or any carbohydrate composed ofthem. Carbohydrate tolerance studies show that the patient can absorb fructose well, and diarrhoea stops with subsequent thriving when this monosaccharide is substituted for other carbohydrates in the feeds.A total of 13 cases has so far been reported from various parts of the world (Laplane, Polonovski,