Non-alcoholic beriberi, Wernicke encephalopathy and long-term eating disorder: case report and a mini-review

Autor: Andrea Rigamonti, M. Sciacco, Ugo Pozzetti, Andrea Farina, Vittorio Mantero, G Bianchi, Nicola Rifino, Michela Ripolone, Gisella Costantino, Andrea Salmaggi
Rok vydání: 2019
Předmět:
Zdroj: Eating and weight disorders : EWD. 26(2)
ISSN: 1590-1262
Popis: Nowadays, reports of beriberi are rare in developed countries. Wernicke encephalopathy may be present in about 25% of patients with beriberi. We report the case of a woman with history of depression and chronic eating disorder, who complained Wernicke encephalopathy and beriberi. Sural nerve and muscular biopsy were performed, showing severe axonal neuropathy. Thiamine supplementation was started with rapid improvement of the pulmonary and cardiac affections; improvement of peripheral neuropathy was incomplete. Thiamine deficiency can be misdiagnosed. Beriberi is an important cause of acute flaccid paralysis; hence, clinicians should consider this diagnosis and prompt start thiamine treatment to avoid permanent neurological sequelae.
Databáze: OpenAIRE