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Histopathological changes of biopsied myocardium in Shoshin beriberi
Hiroaki Kawano1, Tomayoshi Hayashi, Yuji Koide
1Department of Cardiovascular Medicine, Course of Medical and Dental Science, Graduate School of Biomedical Science, Nagasaki University, Nagasaki 852-8501, Japan.
Insights
Shoshin beriberi, a severe form of cardiac beriberi caused by thiamine deficiency, presents persistent myocardial fibrosis and fiber size variation even after treatment. These histopathological changes are observed in both alcoholic and nonalcoholic cases.
Area of Science:
- Cardiology
- Nutritional Science
- Pathology
Background:
- Cardiovascular beriberi results from thiamine deficiency, often linked to alcoholism or poor diet.
- Shoshin beriberi represents a critical, rapidly progressing form of cardiac beriberi.
Observation:
- This study examined myocardial tissue from two Shoshin beriberi patients post-thiamine treatment.
- One patient had nonalcoholic beriberi, the other had alcoholic beriberi.
Findings:
- Persistent interstitial fibrosis was noted in myocardial samples.
- Variations in myocardial fiber size were a consistent histopathological finding.
Implications:
- These persistent changes suggest long-term cardiac impact of Shoshin beriberi.
- Understanding these features is crucial for managing patients with thiamine deficiency-related heart conditions.
Abstract:
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 patient with alcoholic beriberi). Interstitial fibrosis and a variation in size of the myocardial fibers were the main findings in the sample from these patients after thiamine treatment. These findings are persistent histopathological features in the myocardium of patients with Shoshin beriberi after thiamine treatment.
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