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Shoshin beriberi: an underdiagnosed condition?

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Shoshin beriberi, a fulminant form of heart failure due to thiamine deficiency has a different presentation to the classical form of beriberi heart failure. It is characterized by a cold periphery, low blood pressure, renal shutdown and a severe metabolic acidosis. The true incidence is unknown. Two patients were seen within a few months in a general hospital and in both dietary deficiency of thiamine was a major factor.

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Pang, J.A., Yardumian, A., Davies, R. et al. Shoshin beriberi: an underdiagnosed condition?. Intensive Care Med 12, 380–382 (1986).

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