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.

International Heart Journal
|September 15, 2005
PubMed

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.

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