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Shoshin beriberi: an underdiagnosed condition?

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Abstract

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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References

  1. Wolf PL, Levin MB (1960) Shoshin beriberi N Engl J Med 262:1302

    Google Scholar 

  2. McIntyre N, Stanley NN (1971) Cardiac beriberi: two modes of presentation. Br Med J 3:567

    Google Scholar 

  3. Aalsmeer WC, Wenckeback KF (1929) The heart and circulatory system in beriberi. Am Heart J 4:630

    Google Scholar 

  4. Anonymous (1982) Cardiovascular beriberi (Editorial). Lancet 1:1297

  5. Engbers JG, Molhoek GP, Arntzenius AC (1984) Shoshin beriberi: a rare diagnostic problem. Br Heart J 51:581

    Google Scholar 

  6. Attas M, Hanley HG, Stultz D, Jones MR, McAllister RG (1978) Fulminant beriberi heart disease with lactic acidosis: presentation of a case with evaluation of left ventricular function and review of pathophysiologic mechanisms. Circulation 58:566

    Google Scholar 

  7. Blackett RB, Palmer AJ (1966) Haemodynamic studies in high output beriberi. Br Heart J 22:483

    Google Scholar 

  8. Akbarian M, Yankopoulos NA, Abelman WH (1966) Haemodynamic studies in beriberi heart disease. Am J Med 41:197

    Google Scholar 

  9. Brink AJ, Lochner A, Lewis CM (1966) Thiamine deficiency and beriberi heart disease. S Afr Med J 41:581

    Google Scholar 

  10. Thomson AD, Baker H, Leevy CM (1970) Patterns of 358-thiamine hydrochloride absorption in the malnourished alcoholic patient. J Lab Clin Med 76:34

    Google Scholar 

  11. Mahoor CLH (1978) Alcoholism as a cause of beriberi heart disease. J Coll Physicians Lond 12:143

    Google Scholar 

  12. Ikram H, Maslowski AH, Smith BL, Nicholls MG (1981) The haemodynamic, histopathological and hormonal features of alcoholic cardiac beriberi. Q J Med 200:359

    Google Scholar 

  13. Robin E, Goldschlager N (1970) Persistence of low cardiac output after relief of high output by thiamine in a case of alconolic beriberi and cardiac myopathy. Am Heart J 80:103

    Google Scholar 

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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). https://doi.org/10.1007/BF00292932

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  • DOI: https://doi.org/10.1007/BF00292932

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