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Postgastrectomy polyneuropathy with thiamine deficiency is identical to beriberi neuropathy.
Nutrition. 2004 Nov-Dec; 20(11-12):961-6.N

Abstract

OBJECTIVE

We assessed whether postgastrectomy polyneuropathy associated with thiamine deficiency is clinicopathologically identical to beriberi neuropathy, including a biochemical determination of thiamine status.

METHODS

Clinicopathologic features of 17 patients who had postgastrectomy polyneuropathy with thiamine deficiency were compared with those of 11 patients who had thiamine-deficiency neuropathy caused by dietary imbalance.

RESULTS

The typical presentation for the two etiologies was as a symmetric sensorimotor polyneuropathy predominantly involving the lower limbs. A variety of clinical features, including neuropathic symptoms, progression, and coexistence of heart failure or Wernicke's encephalopathy, was seen similarly in both conditions. In both groups, the main electrophysiologic findings were those of axonal neuropathy, most prominently in the lower limbs. Sural nerve biopsy specimens also indicated axonal degeneration in both groups. Subperineurial edema was commonly observed.

CONCLUSION

This study showed that thiamine-deficiency neuropathies due to gastrectomy and dietary imbalance are identical despite variability in their clinicopathologic features and suggested that thiamine deficiency can be a major cause of postgastrectomy polyneuropathy.

Authors+Show Affiliations

Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15561484

Citation

Koike, Haruki, et al. "Postgastrectomy Polyneuropathy With Thiamine Deficiency Is Identical to Beriberi Neuropathy." Nutrition (Burbank, Los Angeles County, Calif.), vol. 20, no. 11-12, 2004, pp. 961-6.
Koike H, Iijima M, Mori K, et al. Postgastrectomy polyneuropathy with thiamine deficiency is identical to beriberi neuropathy. Nutrition. 2004;20(11-12):961-6.
Koike, H., Iijima, M., Mori, K., Hattori, N., Ito, H., Hirayama, M., & Sobue, G. (2004). Postgastrectomy polyneuropathy with thiamine deficiency is identical to beriberi neuropathy. Nutrition (Burbank, Los Angeles County, Calif.), 20(11-12), 961-6.
Koike H, et al. Postgastrectomy Polyneuropathy With Thiamine Deficiency Is Identical to Beriberi Neuropathy. Nutrition. 2004 Nov-Dec;20(11-12):961-6. PubMed PMID: 15561484.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postgastrectomy polyneuropathy with thiamine deficiency is identical to beriberi neuropathy. AU - Koike,Haruki, AU - Iijima,Masahiro, AU - Mori,Keiko, AU - Hattori,Naoki, AU - Ito,Hiroki, AU - Hirayama,Masaaki, AU - Sobue,Gen, PY - 2003/12/01/received PY - 2004/02/20/accepted PY - 2004/11/25/pubmed PY - 2005/4/9/medline PY - 2004/11/25/entrez SP - 961 EP - 6 JF - Nutrition (Burbank, Los Angeles County, Calif.) JO - Nutrition VL - 20 IS - 11-12 N2 - OBJECTIVE: We assessed whether postgastrectomy polyneuropathy associated with thiamine deficiency is clinicopathologically identical to beriberi neuropathy, including a biochemical determination of thiamine status. METHODS: Clinicopathologic features of 17 patients who had postgastrectomy polyneuropathy with thiamine deficiency were compared with those of 11 patients who had thiamine-deficiency neuropathy caused by dietary imbalance. RESULTS: The typical presentation for the two etiologies was as a symmetric sensorimotor polyneuropathy predominantly involving the lower limbs. A variety of clinical features, including neuropathic symptoms, progression, and coexistence of heart failure or Wernicke's encephalopathy, was seen similarly in both conditions. In both groups, the main electrophysiologic findings were those of axonal neuropathy, most prominently in the lower limbs. Sural nerve biopsy specimens also indicated axonal degeneration in both groups. Subperineurial edema was commonly observed. CONCLUSION: This study showed that thiamine-deficiency neuropathies due to gastrectomy and dietary imbalance are identical despite variability in their clinicopathologic features and suggested that thiamine deficiency can be a major cause of postgastrectomy polyneuropathy. SN - 0899-9007 UR - https://www.unboundmedicine.com/medline/citation/15561484/Postgastrectomy_polyneuropathy_with_thiamine_deficiency_is_identical_to_beriberi_neuropathy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899-9007(04)00185-6 DB - PRIME DP - Unbound Medicine ER -