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 |
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Rok vydání: | 2019 |
Předmět: |
Pediatrics
medicine.medical_specialty Wernicke Encephalopathy medicine.diagnostic_test business.industry food and beverages Thiamine Deficiency Sural nerve Non alcoholic Beriberi medicine.disease Mini review Feeding and Eating Disorders Psychiatry and Mental health Clinical Psychology Peripheral neuropathy Biopsy Medicine Humans Thiamine Female business |
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 |
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