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[An elderly patient with beriberi]

Y Mon1

  • 1Department of Medicine, Ayabe Kyoritsu Hospital.

Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

This case study highlights an elderly man diagnosed with beriberi, a thiamine deficiency. Early diagnosis and thiamine treatment effectively resolved symptoms of heart failure and polyneuropathy.

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Area of Science:

  • Cardiology
  • Neurology
  • Nutritional Science

Background:

  • Beriberi, a disease caused by thiamine (vitamin B1) deficiency, can manifest with cardiovascular and neurological symptoms.
  • While historically associated with younger populations, recent trends suggest an increased prevalence in older individuals, particularly in regions like Japan.

Observation:

  • An 82-year-old male presented with dyspnea, edema, and peripheral neuropathy.
  • Clinical findings included signs of heart failure and polyneuropathy.
  • Laboratory results revealed significantly low vitamin B1 levels and reduced erythrocyte transketolase activity.

Findings:

  • Diagnostic imaging confirmed cardiomegaly and left ventricular dysfunction.
  • The patient was diagnosed with beriberi, potentially exacerbated by strenuous activity during summer heat.

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  • Treatment with thiamine led to a rapid and complete resolution of symptoms.

    • Implications:

    • This case underscores the importance of considering beriberi in the differential diagnosis of heart failure and polyneuropathy in elderly patients.
    • The findings suggest that beriberi may be underdiagnosed in older populations and prompt further investigation into risk factors and diagnostic approaches.
    • Increased awareness and timely intervention with thiamine can significantly improve outcomes for elderly patients with beriberi.