Michael Donnino, MD
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Donnino M. Gastrointestinal Beriberi: A Previously Unrecognized Syndrome. Ann Intern Med. 2004;141:898-899. doi: 10.7326/0003-4819-141-11-200412070-00035
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Published: Ann Intern Med. 2004;141(11):898-899.
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 2 cases of gastrointestinal symptoms and lactic acidosis that were probably related to thiamine deficiency.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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