Beriberi other diagnostic studies: Difference between revisions
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There are no other diagnostic studies associated with Beriberi. | There are no other diagnostic studies associated with Beriberi. | ||
== | ==Nerve conduction and electromyography== | ||
[[Nerve conduction study]] and [[electromyography]] may help. | |||
Thiamine deficiency has been reported to display demyelination<ref name="pmid28556429">{{cite journal| author=Hamel J, Logigian EL| title=Acute nutritional axonal neuropathy. | journal=Muscle Nerve | year= 2018 | volume= 57 | issue= 1 | pages= 33-39 | pmid=28556429 | doi=10.1002/mus.25702 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28556429 }} </ref><ref name="pmid18440777">{{cite journal| author=Koike H, Ito S, Morozumi S, Kawagashira Y, Iijima M, Hattori N | display-authors=etal| title=Rapidly developing weakness mimicking Guillain-Barré syndrome in beriberi neuropathy: two case reports. | journal=Nutrition | year= 2008 | volume= 24 | issue= 7-8 | pages= 776-80 | pmid=18440777 | doi=10.1016/j.nut.2008.02.022 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18440777 }} </ref><ref name="pmid11511711">{{cite journal| author=Koike H, Misu K, Hattori N, Ito S, Ichimura M, Ito H | display-authors=etal| title=Postgastrectomy polyneuropathy with thiamine deficiency. | journal=J Neurol Neurosurg Psychiatry | year= 2001 | volume= 71 | issue= 3 | pages= 357-62 | pmid=11511711 | doi=10.1136/jnnp.71.3.357 | pmc=1737557 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11511711 }} </ref> although per Shible, citing the two Koike reports, this may be late stage finding<ref name="pmid30862772">{{cite journal| author=Shible AA, Ramadurai D, Gergen D, Reynolds PM| title=Dry Beriberi Due to Thiamine Deficiency Associated with Peripheral Neuropathy and Wernicke's Encephalopathy Mimicking Guillain-Barré syndrome: A Case Report and Review of the Literature. | journal=Am J Case Rep | year= 2019 | volume= 20 | issue= | pages= 330-334 | pmid=30862772 | doi=10.12659/AJCR.914051 | pmc=6429982 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30862772 }} </ref> and due to severe protein calorie malnutrition<ref name="pmid3082465">{{cite journal| author=Chopra JS, Dhand UK, Mehta S, Bakshi V, Rana S, Mehta J| title=Effect of proteincalorie malnutrition on peripheral nerves. A clinical, electrophysiological and histopathological study. | journal=Brain | year= 1986 | volume= 109 ( Pt 2) | issue= | pages= 307-23 | pmid=3082465 | doi=10.1093/brain/109.2.307 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3082465 }} </ref>. | |||
After [[bariatric surgery]], 6% of patients developed polyneuropathy (none showed demyelination although inflammation was present) <ref name="pmid15505166">{{cite journal| author=Thaisetthawatkul P, Collazo-Clavell ML, Sarr MG, Norell JE, Dyck PJ| title=A controlled study of peripheral neuropathy after bariatric surgery. | journal=Neurology | year= 2004 | volume= 63 | issue= 8 | pages= 1462-70 | pmid=15505166 | doi=10.1212/01.wnl.0000142038.43946.06 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15505166 }} </ref>. However, both axonal and demyelination have been reported<ref name="pmid21514611">{{cite journal| author=Philippi N, Vinzio S, Collongues N, Vix M, Boehm N, Tranchant C | display-authors=etal| title=[Peripheral neuropathies after bariatric surgery]. | journal=Rev Neurol (Paris) | year= 2011 | volume= 167 | issue= 8-9 | pages= 607-14 | pmid=21514611 | doi=10.1016/j.neurol.2011.01.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21514611 }} </ref>. | |||
However, demyelination after [[bariatric surgery]] may be associated with: | |||
* Copper deficiency<ref name="pmid35386142">{{cite journal| author=Amin A, Khoury NC, Lacayo M, Kostanyan S| title=Copper Deficiency-Induced Neuropathy After Bariatric Surgery Disguised as Demyelinating Disease: A Case Report. | journal=Cureus | year= 2022 | volume= 14 | issue= 2 | pages= e22705 | pmid=35386142 | doi=10.7759/cureus.22705 | pmc=8967068 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35386142 }}</ref>. This patient also received treatment for [[immune globulin]] for possible [[Guillain-Barre Syndrome]]. | |||
* [[Guillain-Barre Syndrome]] including a case with axonal loss and positive anti-GM1, anti-MAG, anti-GD1a antibodies<ref name="pmid24913591">{{cite journal| author=Landais AF| title=Rare neurologic complication of bariatric surgery: acute motor axonal neuropathy (AMAN), a severe motor axonal form of the Guillain Barré syndrome. | journal=Surg Obes Relat Dis | year= 2014 | volume= 10 | issue= 6 | pages= e85-7 | pmid=24913591 | doi=10.1016/j.soard.2014.02.019 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24913591 }} </ref> and a case and with demeyllination with anti-GM1 IgG and anti-GD1a antibodies<ref name="pmid25765350">{{cite journal| author=Ishaque N, Khealani BA, Shariff AH, Wasay M| title=Guillain-Barré syndrome (demyelinating) six weeks after bariatric surgery: A case report and literature review. | journal=Obes Res Clin Pract | year= 2015 | volume= 9 | issue= 4 | pages= 416-9 | pmid=25765350 | doi=10.1016/j.orcp.2015.02.001 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25765350 }}. The report stated "fully compliant with the recommended diet plan and vitamin supplements" although these levels were not reported for confirmation.</ref>. | |||
Interpretation of nerve conduction studies is difficult and demyelination can be secondary to severe axonal degeneration<ref name="pmid15052622">{{cite journal| author=Van den Bergh PY, Piéret F| title=Electrodiagnostic criteria for acute and chronic inflammatory demyelinating polyradiculoneuropathy. | journal=Muscle Nerve | year= 2004 | volume= 29 | issue= 4 | pages= 565-74 | pmid=15052622 | doi=10.1002/mus.20022 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15052622 }} </ref>. | |||
==References== | ==References== | ||
Latest revision as of 16:17, 19 October 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Abdelrahman Ibrahim Abushouk, MD[2]
Overview
There are no other diagnostic studies associated with Beriberi.
Nerve conduction and electromyography
Nerve conduction study and electromyography may help.
Thiamine deficiency has been reported to display demyelination[1][2][3] although per Shible, citing the two Koike reports, this may be late stage finding[4] and due to severe protein calorie malnutrition[5].
After bariatric surgery, 6% of patients developed polyneuropathy (none showed demyelination although inflammation was present) [6]. However, both axonal and demyelination have been reported[7].
However, demyelination after bariatric surgery may be associated with:
- Copper deficiency[8]. This patient also received treatment for immune globulin for possible Guillain-Barre Syndrome.
- Guillain-Barre Syndrome including a case with axonal loss and positive anti-GM1, anti-MAG, anti-GD1a antibodies[9] and a case and with demeyllination with anti-GM1 IgG and anti-GD1a antibodies[10].
Interpretation of nerve conduction studies is difficult and demyelination can be secondary to severe axonal degeneration[11].
References
- ↑ Hamel J, Logigian EL (2018). "Acute nutritional axonal neuropathy". Muscle Nerve. 57 (1): 33–39. doi:10.1002/mus.25702. PMID 28556429.
- ↑ Koike H, Ito S, Morozumi S, Kawagashira Y, Iijima M, Hattori N; et al. (2008). "Rapidly developing weakness mimicking Guillain-Barré syndrome in beriberi neuropathy: two case reports". Nutrition. 24 (7–8): 776–80. doi:10.1016/j.nut.2008.02.022. PMID 18440777.
- ↑ Koike H, Misu K, Hattori N, Ito S, Ichimura M, Ito H; et al. (2001). "Postgastrectomy polyneuropathy with thiamine deficiency". J Neurol Neurosurg Psychiatry. 71 (3): 357–62. doi:10.1136/jnnp.71.3.357. PMC 1737557. PMID 11511711.
- ↑ Shible AA, Ramadurai D, Gergen D, Reynolds PM (2019). "Dry Beriberi Due to Thiamine Deficiency Associated with Peripheral Neuropathy and Wernicke's Encephalopathy Mimicking Guillain-Barré syndrome: A Case Report and Review of the Literature". Am J Case Rep. 20: 330–334. doi:10.12659/AJCR.914051. PMC 6429982. PMID 30862772.
- ↑ Chopra JS, Dhand UK, Mehta S, Bakshi V, Rana S, Mehta J (1986). "Effect of proteincalorie malnutrition on peripheral nerves. A clinical, electrophysiological and histopathological study". Brain. 109 ( Pt 2): 307–23. doi:10.1093/brain/109.2.307. PMID 3082465.
- ↑ Thaisetthawatkul P, Collazo-Clavell ML, Sarr MG, Norell JE, Dyck PJ (2004). "A controlled study of peripheral neuropathy after bariatric surgery". Neurology. 63 (8): 1462–70. doi:10.1212/01.wnl.0000142038.43946.06. PMID 15505166.
- ↑ Philippi N, Vinzio S, Collongues N, Vix M, Boehm N, Tranchant C; et al. (2011). "[Peripheral neuropathies after bariatric surgery]". Rev Neurol (Paris). 167 (8–9): 607–14. doi:10.1016/j.neurol.2011.01.011. PMID 21514611.
- ↑ Amin A, Khoury NC, Lacayo M, Kostanyan S (2022). "Copper Deficiency-Induced Neuropathy After Bariatric Surgery Disguised as Demyelinating Disease: A Case Report". Cureus. 14 (2): e22705. doi:10.7759/cureus.22705. PMC 8967068 Check
|pmc=value (help). PMID 35386142 Check|pmid=value (help). - ↑ Landais AF (2014). "Rare neurologic complication of bariatric surgery: acute motor axonal neuropathy (AMAN), a severe motor axonal form of the Guillain Barré syndrome". Surg Obes Relat Dis. 10 (6): e85–7. doi:10.1016/j.soard.2014.02.019. PMID 24913591.
- ↑ Ishaque N, Khealani BA, Shariff AH, Wasay M (2015). "Guillain-Barré syndrome (demyelinating) six weeks after bariatric surgery: A case report and literature review". Obes Res Clin Pract. 9 (4): 416–9. doi:10.1016/j.orcp.2015.02.001. PMID 25765350.. The report stated "fully compliant with the recommended diet plan and vitamin supplements" although these levels were not reported for confirmation.
- ↑ Van den Bergh PY, Piéret F (2004). "Electrodiagnostic criteria for acute and chronic inflammatory demyelinating polyradiculoneuropathy". Muscle Nerve. 29 (4): 565–74. doi:10.1002/mus.20022. PMID 15052622.