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A case of vomiting in an anorexic achalasic patient.
Eur Rev Med Pharmacol Sci. 2012 Oct; 16 Suppl 4:44-7.ER

Abstract

Wernicke's encephalopathy is a neurological disorder caused by thiamine (vitamin B1) deficiency characterized by vertigo, ataxia, and mental confusion. Wernicke's encephalopathy has a causative association with alcoholism but recently there has been an increased prevalence also in other clinical conditions. In literature potentially fatal Wernicke's encephalopathy onset in an advanced achalasia has been previously reported only once. We describe for the first time an improvement of achalasic symptoms in a young patient affected by end-stage achalasia and anorexia nervosa (coming from ineffective Heller-Dor myotomy) after vitamin B1 supplementation. This case report suggest a potential positive impact of B1 supplementation on end-stage achalasic patients and requires systematic studies to confirm this observation.

Authors+Show Affiliations

Scarpellini E
Internal Medicine Department, Catholic University of the Sacred Heart, Rome, Italy.
Cafarotti S
No affiliation info available
Cesario A
No affiliation info available
Lococo F
No affiliation info available
Margaritora S
No affiliation info available
Gabrielli M
No affiliation info available
Tortora A
No affiliation info available
Gasbarrini A
No affiliation info available
Granone P
No affiliation info available

MeSH

AdultAnorexia NervosaEsophageal AchalasiaFemaleHumansThiamineVomitingWernicke Encephalopathy

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23090806

Citation

Scarpellini, E, et al. "A Case of Vomiting in an Anorexic Achalasic Patient." European Review for Medical and Pharmacological Sciences, vol. 16 Suppl 4, 2012, pp. 44-7.
Scarpellini E, Cafarotti S, Cesario A, et al. A case of vomiting in an anorexic achalasic patient. Eur Rev Med Pharmacol Sci. 2012;16 Suppl 4:44-7.
Scarpellini, E., Cafarotti, S., Cesario, A., Lococo, F., Margaritora, S., Gabrielli, M., Tortora, A., Gasbarrini, A., & Granone, P. (2012). A case of vomiting in an anorexic achalasic patient. European Review for Medical and Pharmacological Sciences, 16 Suppl 4, 44-7.
Scarpellini E, et al. A Case of Vomiting in an Anorexic Achalasic Patient. Eur Rev Med Pharmacol Sci. 2012;16 Suppl 4:44-7. PubMed PMID: 23090806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of vomiting in an anorexic achalasic patient. AU - Scarpellini,E, AU - Cafarotti,S, AU - Cesario,A, AU - Lococo,F, AU - Margaritora,S, AU - Gabrielli,M, AU - Tortora,A, AU - Gasbarrini,A, AU - Granone,P, PY - 2012/10/24/entrez PY - 2012/12/12/pubmed PY - 2013/6/13/medline SP - 44 EP - 7 JF - European review for medical and pharmacological sciences JO - Eur Rev Med Pharmacol Sci VL - 16 Suppl 4 N2 - Wernicke's encephalopathy is a neurological disorder caused by thiamine (vitamin B1) deficiency characterized by vertigo, ataxia, and mental confusion. Wernicke's encephalopathy has a causative association with alcoholism but recently there has been an increased prevalence also in other clinical conditions. In literature potentially fatal Wernicke's encephalopathy onset in an advanced achalasia has been previously reported only once. We describe for the first time an improvement of achalasic symptoms in a young patient affected by end-stage achalasia and anorexia nervosa (coming from ineffective Heller-Dor myotomy) after vitamin B1 supplementation. This case report suggest a potential positive impact of B1 supplementation on end-stage achalasic patients and requires systematic studies to confirm this observation. SN - 1128-3602 UR - https://www.unboundmedicine.com/medline/citation/23090806/A_case_of_vomiting_in_an_anorexic_achalasic_patient_ L2 - http://www.diseaseinfosearch.org/result/7414 DB - PRIME DP - Unbound Medicine ER -