Gastrointestinal Beriberi: A Previously Unrecognized Syndrome
Authors: Michael Donnino
Journal: Annals of Internal Medicine (2004)

Letters7 December 2004Gastrointestinal Beriberi: A Previously Unrecognized SyndromeMichael Donnino, MDMichael Donnino, MDFrom Henry Ford Hospital, Detroit, MI 48202.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-141-11-200412070-00035 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Editor's Note:The lead author of the following Clinical Observation was one of a dozen Associates of the American College of Physicians selected to present a clinical vignette at the 2004 Annual Session in Philadelphia. We are proud to present this case report through a special arrangement with the Council of Associates of the College.TO THE EDITOR:Background: Thiamine deficiency is prevalent among nutritionally deficient persons and typically manifests as Wernicke encephalopathy or beriberi (1). In the published literature, a primary syndrome consisting of gastrointestinal symptoms and signs has not been previously attributed to thiamine deficiency. The following report illustrates ...References1. Reuler JB, Girard DE, Cooney TG. Current concepts. Wernicke's encephalopathy. N Engl J Med. 1985;312:1035-9. [PMID: 3885034] CrossrefMedlineGoogle Scholar2. Williams R. Observations on induced thiamine deficiency in man. Arch Intern Med. 1940;66:785-99. CrossrefGoogle Scholar3. Kitamura K, Yamaguchi T, Tanaka H, Hashimoto S, Yang M, Takahashi T. TPN-induced fulminant beriberi: a report on our experience and a review of the literature. Surg Today. 1996;26:769-76. [PMID: 8897674] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Michael Donnino, MDAffiliations: From Henry Ford Hospital, Detroit, MI 48202. 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