Dry beriberi: unusual complication of prolonged parenteral nutrition.
An adult with Crohn's disease on home total parenteral nutrition (TPN) for 8 months presented with peripheral neuropathy and ataxia. The patient was found to be deficient of thiamine. A prompt symptomatic response to intravenous thiamine suggests that the patient had the chronic form of dry beriberi. To our knowledge, this variety of beriberi in a patient on TPN has not previously been reported.
Zak
J
J
Gastrointestinal Clinic, Groote Schuur Hospital, Observatory, Republic of South Africa.
Burns
D
D
Lingenfelser
T
T
Steyn
E
E
Marks
I N
IN
D000328:Adult; D001259:Ataxia / Q000209:etiology; D001602:Beriberi / Q000188:drug therapy / Q000209:etiology*; D003424:Crohn Disease / Q000628:therapy*; D006801:Humans; D008297:Male; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D013831:Thiamine / Q000627:therapeutic use; D013832:Thiamine Deficiency / Q000209:etiology; D014810:Vitamin E / Q000627:therapeutic use
D014810:Vitamin E; D013831:Thiamine