title: Acute dilated cardiomyopathy in a patient with beriberi and cryoglobulinaemic vasculitis: an unusual potential complication of two rare disorders.
abstract: We report the case of a 45-year-old patient who presented with acute dilated cardiomyopathy. During admission the patient was consecutively diagnosed with cryoglobulinaemic vasculitis and beriberi. In both diseases, cardiac involvement may occur as dilated cardiomyopathy. Thiamin deficiency was the final cause for the severe cardiac manifestations (cardiac acute beriberi or Shoshin syndrome), which returned to normal after thiamin supplementation.
authors.affiliation: Vasculitis Research Unit, Department of Autoimmune Diseases. Hospital Clínic of Barcelona. IDIBAPS. University of Barcelona. Barcelona, Spain. atejedor@clinic.ub.es.
authors.forename: Ana
authors.initials: A
authors.lastname: Tejedor
authors.forename: Manel
authors.initials: M
authors.lastname: Solé
authors.forename: Sergio
authors.initials: S
authors.lastname: Prieto-González
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Alba
authors.forename: Josep Maria
authors.initials: JM
authors.lastname: Grau
authors.forename: Maria Cinta
authors.initials: MC
authors.lastname: Cid
authors.forename: José
authors.initials: J
authors.lastname: Hernández-Rodríguez
mesh_terms: D000208:Acute Disease; D001602:Beriberi / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D003449:Cryoglobulinemia / Q000150:complications / Q000175:diagnosis; D017809:Fatal Outcome; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects; D006562:Herpes Zoster / Q000150:complications*; D014645:Herpesvirus 3, Human / Q000472:pathogenicity; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D009894:Opportunistic Infections / Q000150:complications*; D056647:Systemic Vasculitis / Q000097:blood / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D013831:Thiamine / Q000008:administration & dosage*; D014815:Vitamins / Q000008:administration & dosage
chemical_list: D005938:Glucocorticoids; D014815:Vitamins; D013831:Thiamine