Shoshin beriberi after 20-year use of an alternative medicine.
症例は42歳, 女性. 進行する浮腫, 全身倦怠感にて来院. 心エコー上右心負荷所見が強く当初原発性肺高血圧症を疑った. 入院後急性増悪しショック, 急性腎不全となったが右心カテーテル所見より脚気心が疑われビタミンB1投与により速やかに循環動態が改善した. 健康に関心が強く健康食品を中心とした食生活を送っていた事がビタミンB1欠乏の原因と考えられ, 偏った健康知識が致命的となりかねなかった教訓深い症例と考えられた.
Tsuyoshi Onoe +8 more
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Shoshin beriberi in an AIDS patient with end‐stage renal disease [PDF]
AbstractAsymptomatic cardiomegaly and subsequent fulminant pulmonary edema developed in an AIDS patient with end‐stage renal disease who had no prior history of cardiac disease. Intravenous thiamine administration led to dramatic resolution of both obtundation and cardiovascular collapse within 4 hours.
John Bright Cage, Barry M. Wall
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Histopathological Changes of Biopsied Myocardium in Shoshin Beriberi
Cardiovascular beriberi is caused by thiamine deficiency and usually arises for one of two reasons: alcoholism or diet. Shoshin beriberi is a fulminant form of cardiac beriberi. We investigated the histopathological features of biopsied myocardial tissue samples from two patients with Shoshin beriberi (one patient with nonalcoholic beriberi and another
Hiroaki Kawano +4 more
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ST-segment Elevation of Electrocardiogram in a Patient with Shoshin Beriberi
We report a case of a 58-year-old man with Shoshin beriberi who demonstrated ST-segment elevation and myocardial damage without coronary artery stenosis. The patient subsequently recovered with thiamine treatment. We conclude that it is important to consider Shoshin beriberi as part of the differential diagnosis in patients with shock and ST-segment ...
Hiroaki Kawano +3 more
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Clinical Features and Outcomes of Shoshin Beriberi
Shoshin beriberi is a fulminant form of wet beriberi, but there are no large-scale studies detailing the clinical features of this disease. We investigated the clinical features and outcomes of Shoshin beriberi using data from a nationwide database in Japan.Using the Diagnosis Procedure Combination database, we identified patients with Shoshin beriberi
Yoshiki Mizuguchi +7 more
+6 more sources
Clinical correlates and outcome of shoshin beriberi.
Saya RP +4 more
europepmc +4 more sources
Thiamine deficiency unrelated to alcohol consumption in high-income countries: a literature review. [PDF]
Abstract Thiamine deficiency has been typically associated with alcoholism or as a prevalent problem in low‐ and middle‐income countries (LMICs) whose populations rely on staple foods with a low content of thiamine. We conducted a literature review of published and unpublished data to identify relevant adult cases with confirmed thiamine deficiency of ...
Gomes F +3 more
europepmc +2 more sources
Characteristics of Shoshin Beriberi, a Fulminant Cardiovascular Type of Beriberi
Eisuke Amiya, Hiroyuki Morita
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Pediatric thiamine deficiency disorders in high-income countries between 2000 and 2020: a clinical reappraisal. [PDF]
Pediatric thiamine deficiency (PTD) is perceived as being eradicated or anecdotal in high‐income countries (HICs). This study aims to assess PTD in HICs in the 21st century. Literature searches were conducted to identify case reports of PTD observed in HICs and published between 2000 and 2020.
Rakotoambinina B, Hiffler L, Gomes F.
europepmc +2 more sources
Infantile thiamine deficiency in South and Southeast Asia: An age-old problem needing new solutions. [PDF]
Abstract Infantile beriberi, a potentially fatal disorder caused by thiamine deficiency, is often viewed as a disease confined to history in regions of the world with predominant white rice consumption. Recent case reports have, however, highlighted the persistence of thiamine deficiency as a cause of infant mortality in South and Southeast Asia.
Smith TJ, Hess SY.
europepmc +2 more sources

