title: Thiamine deficiency in self-induced refeeding syndrome, an undetected and potentially lethal condition.
abstract: Rapid restoration of nutrients and electrolytes after prolonged starvation could result in a life threatening condition characterized by sensory and neurological dysfunction and severe metabolic imbalance that has been designated as refeeding syndrome. Its diagnosis is frequently missed resulting in severe complications and even death. We describe a 25-years-old female patient with mental disorders and severe malnutrition who developed severe clinical manifestations and biochemical abnormalities characteristic of the refeeding syndrome, after restarting oral feeding on her own. Schizophrenia was later diagnosed. Increased awareness of this condition and its complications is necessary to prevent its detrimental complications.
authors.affiliation: Department of Clinical Nutrition, Haemek Medical Center, Afula, Israel ; Department of Internal Medicine A, Haemek Medical Center, 18101 Afula, Israel.
authors.forename: Einat
authors.initials: E
authors.lastname: Hershkowitz
authors.affiliation: Department of Psychiatry, Haemek Medical Center, Afula, Israel ; Technion, Faculty of Medicine, Haifa, Israel.
authors.forename: Alon
authors.initials: A
authors.lastname: Reshef
authors.affiliation: Department of Internal Medicine A, Haemek Medical Center, 18101 Afula, Israel.
authors.forename: Olga
authors.initials: O
authors.lastname: Munich
authors.affiliation: Department of Internal Medicine A, Haemek Medical Center, 18101 Afula, Israel.
authors.forename: Bracha
authors.initials: B
authors.lastname: Yosefi
authors.affiliation: Department of Internal Medicine A, Haemek Medical Center, 18101 Afula, Israel ; Technion, Faculty of Medicine, Haifa, Israel.
authors.forename: Arie
authors.initials: A
authors.lastname: Markel