Beriberi history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
*Cardiovascular or wet beriberi is manifested by cardiac hypertrophy and [[Congestive heart failure|heart failure]] with high cardiac output. | *Cardiovascular or wet beriberi is manifested by cardiac hypertrophy and [[Congestive heart failure|heart failure]] with high cardiac output.<ref name="pmid23849362">{{cite journal| author=Chisolm-Straker M, Cherkas D| title=Altered and unstable: wet beriberi, a clinical review. | journal=J Emerg Med | year= 2013 | volume= 45 | issue= 3 | pages= 341-4 | pmid=23849362 | doi=10.1016/j.jemermed.2013.04.022 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23849362 }}</ref> | ||
**[[Tachycardia]], | **[[Tachycardia]], | ||
**Respiratory distress, | **Respiratory distress, | ||
**[[Edema]] of the legs | **[[Edema]] of the legs | ||
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*Wernicke-korsakoff syndrome: | *Wernicke-korsakoff syndrome: | ||
**[[Wernicke's]] disease is a triad of [[nystagmus]], [[ophthalmoplegia]], and [[ataxia]], along with [[confusion]]. | **[[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. | **[[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. | **This combination is almost exclusively described in chronic [[alcoholic]]s with thiamine deficiency.<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> | ||
==References== | ==References== | ||
Revision as of 15:57, 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.[1]
- 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.[2]
References
- ↑ Chisolm-Straker M, Cherkas D (2013). "Altered and unstable: wet beriberi, a clinical review". J Emerg Med. 45 (3): 341–4. doi:10.1016/j.jemermed.2013.04.022. PMID 23849362.
- ↑ 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.