[Scurvy with simultaneous wet beriberi in 2 patients].
Two patients developed the clinical picture of scorbut and simultaneous wet beriberi. The diagnosis was confirmed by low concentrations of ascorbic acid and thiamin and thiaminfosfate-ester in serum and in whole blood. Treatment with ascorbic acid led to a rapid reversal of scorbutic changes, but the changes due to the wet beri-beri persisted. Thiamine supplementation was given only perorally in the first patient, and a severe catabolic state in the other delayed the improvement in the beriberi. Direct determination of ascorbic acid and thiamin and thiaminfosfate-esters in serum and in whole blood may confirm the diagnosis of vitamin deficiencies.
Bøhmer
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Medisinsk avdeling Aker sykehus, Oslo.
Utzon
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Tallaksen
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D000368:Aged; D000428:Alcohol Drinking; D001205:Ascorbic Acid / Q000008:administration & dosage; D001602:Beriberi / Q000150:complications* / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D009748:Nutrition Disorders; D012614:Scurvy / Q000150:complications* / Q000209:etiology / Q000473:pathology; D013831:Thiamine / Q000008:administration & dosage
D001205:Ascorbic Acid; D013831:Thiamine
Skjørbuk med samtidig våt beriberi hos to pasienter.