疑似二次性胺缺乏和慢性胃肠道疾病:一个病例报告
Abigail L Meckley1, Natalie LaGattuta2, Elise Gonzalez3
1HCA Florida Orange Park Hospital, Orange Park, FL.
HCA healthcare journal of medicine
|July 10, 2024
概括
胺缺乏,缺乏维生素B1,可以导致神经和心血管问题. 早期诊断和治疗对于康复至关重要,如长时间吐的情况.
科学领域:
- 营养神经科学 营养神经科学
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 胺缺乏症 (beriberi) 是由于摄入不够的维生素B1造成的.
- 它呈现为干燥 (神经系统) 或湿 (心血管) beriberi,胃肠 beriberi 影响消化系统.
- 在美国,它通常与酒 (韦尼克-科尔萨科夫综合征) 有关,但也可能由其他营养不良引起.
研究的目的:
- 在没有酒精使用障碍的患者中呈现一种胺缺乏病例.
- 突出在患有无法解释的神经和胃肠道症状的患者中考虑胺缺乏的重要性.
主要方法:
- 一个45岁女性的病例报告,精神状态发生变化,恶心,吐和下肢虚弱.
- 诊断工作排除了改变精神状态和代谢性酸性疾病的其他常见原因.
- 治疗包括提氨酸补充和重新养综合征的管理.
主要成果:
- 胺缺乏被确定为患者症状的原因,可能是由于长时间的吐和口服摄入不足.
- 患者的精神状况和神经缺陷在胺剂后显著改善.
- 重新养综合征是住院期间的并发症.
结论:
- 胺缺乏症在美国并不常见,但在营养不良和神经症状患者中应考虑.
- 提前诊断和治疗胺缺乏症对于逆转神经和全身影响至关重要.
- 这一案例强调了在出现复杂症状的患者中需要广泛的差异诊断的必要性.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
Other Disorders of Digestive System
768
The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
768
Chronic Bowel Disorders: Introduction
439
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
439
Assessment of the Gastrointestinal System I: Subjective Data
171
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
171
Inflammatory Bowel Disease II: Crohn's Disease
212
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
212
Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160


