Beriberi history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
*Cardiovascular or wet beriberi is manifested by | *Cardiovascular or wet beriberi is manifested by cardiac hypertrophy and [[Congestive heart failure|heart failure]] with high cardiac output. | ||
**[[Tachycardia]], | |||
**Respiratory distress, | |||
**[[Edema]] of the legs | |||
**Severe [[lactic acidosis]]. | |||
*Neurological or dry beriberi is manifested by | *Neurological or dry beriberi is manifested by [[polyneuritis]] (sometimes paralysis) that typically starts in the lower limbs and progresses to the upper limbs, | ||
**Exaggeration, followed by loss of [[deep tendon reflexes]] | |||
**Muscle weakness and muscle pain | |||
**[[Convulsions]]. | |||
* | *Gastrointestinal symptoms are due to delayed gastric emptying and colon dilation. | ||
**Loss of appetite, | |||
**Vague abdominal complaints | |||
**[[Constipation]] | |||
**[[Nausea]] and [[vomiting]] in advanced stages. | |||
*Wernicke-korsakoff syndrome: [[Wernicke's]] disease is a triad of [[nystagmus]], [[ophthalmoplegia]], and [[ataxia]], along with [[confusion]]. [[Korsakoff's]] [[psychosis]] is impaired short-term memory and confabulation with otherwise grossly normal cognition. This combination is almost exclusively described in chronic [[alcoholic]]s with thiamine deficiency | *Wernicke-korsakoff syndrome: | ||
**[[Wernicke's]] disease is a triad of [[nystagmus]], [[ophthalmoplegia]], and [[ataxia]], along with [[confusion]]. | |||
**[[Korsakoff's]] [[psychosis]] is impaired short-term memory and confabulation with otherwise grossly normal cognition. | |||
**This combination is almost exclusively described in chronic [[alcoholic]]s with thiamine deficiency. | |||
==References== | ==References== | ||
Revision as of 14:44, 12 November 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
History and Symptoms
- Cardiovascular or wet beriberi is manifested by cardiac hypertrophy and heart failure with high cardiac output.
- Tachycardia,
- Respiratory distress,
- Edema of the legs
- Severe lactic acidosis.
- Neurological or dry beriberi is manifested by polyneuritis (sometimes paralysis) that typically starts in the lower limbs and progresses to the upper limbs,
- Exaggeration, followed by loss of deep tendon reflexes
- Muscle weakness and muscle pain
- Convulsions.
- Gastrointestinal symptoms are due to delayed gastric emptying and colon dilation.
- Loss of appetite,
- Vague abdominal complaints
- Constipation
- Nausea and vomiting in advanced stages.
- Wernicke-korsakoff syndrome:
- Wernicke's disease is a triad of nystagmus, ophthalmoplegia, and ataxia, along with confusion.
- Korsakoff's psychosis is impaired short-term memory and confabulation with otherwise grossly normal cognition.
- This combination is almost exclusively described in chronic alcoholics with thiamine deficiency.