Loop diuretic precipitated beriberi in a patient after pancreaticoduodenectomy: a case report.

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Loop diuretic precipitated beriberi in a patient after pancreaticoduodenectomy: a case report. Abstract Text:

Takeshi Tsujino,Shinji Nakao,Kana Wakabayashi,Masaaki Lee,Takashi Kimura,Hiroo Yoshikawa,Tsuyoshi Sakoda,Mitsumasa Ohyanagi,Tohru Masuyama,Takeshi Tsujino,Shinji Nakao,Kana Wakabayashi,Masaaki Lee,Takashi Kimura,Hiroo Yoshikawa,Tsuyoshi Sakoda,Mitsumasa Ohyanagi,Tohru Masuyama,Takeshi Tsujino,Shinji Nakao,Kana Wakabayashi,Masaaki Lee,Takashi Kimura,Hiroo Yoshikawa,Tsuyoshi Sakoda,Mitsumasa Ohyanagi,Tohru Masuyama,

Upper gastrointestinal tract surgery and diuretic use are 2 unrecognized causes of thiamine (vitamin B1) deficiency. Upper gastrointestinal tract surgery decreases the thiamine absorption, and diuretic use increases urinary excretion of thiamine. We present a case of a patient with a history of pancreaticoduodenectomy who had development of beriberi by diuretic use. A 68-year-old man was referred to our hospital because of pretibial pitting edema, foot numbness, and gait disturbance. He had a history of pancreaticoduodenectomy 8 years before and had been taking loop diuretics for 2 months. He had signs of polyneuropathy and hyperkinetic heart. Beriberi was suspected, and thiamine supplementation was started immediately. Edema disappeared within several days, and signs of polyneuropathy gradually subsided. Because diuretics enhance urinary thiamine excretion, practitioners should use caution for thiamine deficiency when they prescribe diuretics for patients who have a history of upper gastrointestinal surgery and potentially have latent thiamine deficiency.

Loop diuretic precipitated beriberi in a patient after pancreaticoduodenectomy: a case report. Publishing Authors By Initials

T Tsujino,S Nakao,K Wakabayashi,M Lee,T Kimura,H Yoshikawa,T Sakoda,M Ohyanagi,T Masuyama,T Tsujino,S Nakao,K Wakabayashi,M Lee,T Kimura,H Yoshikawa,T Sakoda,M Ohyanagi,T Masuyama,T Tsujino,S Nakao,K Wakabayashi,M Lee,T Kimura,H Yoshikawa,T Sakoda,M Ohyanagi,T Masuyama,

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Loop diuretic precipitated beriberi in a patient after pancreaticoduodenectomy: a case report. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The American journal of the medical sciences

VOLUME: 334

Page Numbers: 407-9

Journal Abbreviation: Am. J. Med. Sci.

ISSN: 0002-9629

DAY: 16

MONTH: Nov

YEAR: 2007

Loop diuretic precipitated beriberi in a patient after pancreaticoduodenectomy: a case report. Information

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LANGUAGE: eng

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AFFILIATION: From the Cardiovascular Division (tt, sn, kw, ml, tm), the Division of Neurology (tk, hy), and the Division of Coronary Heart Disease (ts, mo), Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.

Country: United States

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MEDLINETA: Am J Med Sci

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