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thiamine deficiency disease
ICD-10 Codes
Description
Thiamine deficiency, also known as beriberi, is a medical condition characterized by low levels of thiamine (vitamin B1) in the body. A severe and chronic form of this condition is known as beriberi.
Symptoms:
- Loss of appetite
- Fatigue
- Irritability
- Nerve damage
- Tingling arms and legs
- Headache
- Nausea
These symptoms can vary depending on the severity and duration of thiamine deficiency. In severe cases, it can lead to more serious health problems such as:
- Confusion and seizures
- Shortness of breath
- Brain disease
- Coma
Effects:
The most common effect of thiamin deficiency is beriberi, which is characterized mainly by peripheral neuropathy and wasting [8]. People with this condition may experience numbness or tingling in their arms and legs, as well as muscle weakness.
Thiamine deficiency can also lead to Wernicke's encephalopathy, a serious brain disorder that requires immediate medical attention [5].
Causes:
Thiamine deficiency is often caused by inadequate dietary intake of thiamine or an indirect complication of inflammatory bowel disease. It's rare in areas with access to a balanced diet and clean water [4].
Additional Characteristics
- Thiamine deficiency
- Loss of appetite
- Wernicke's encephalopathy
- Nausea
- Beriberi
- Shortness of breath
- Headache
- Coma
- Fatigue
- Nerve damage
- Irritability
- Peripheral neuropathy
- Tingling arms and legs
- Confusion and seizures
- Brain disease
- Wasting
Signs and Symptoms
Based on my analysis of the search results, I found some relevant information about thiamine deficiency disease.
Thiamine, also known as vitamin B1, is an essential nutrient that plays a crucial role in various bodily functions. A deficiency in thiamine can lead to a condition known as beriberi or Wernicke-Korsakoff syndrome.
Signs and Symptoms:
- Muscle weakness: Thiamine deficiency can cause muscle weakness, fatigue, and pain [1].
- Nerve damage: Beriberi can lead to nerve damage, resulting in numbness, tingling, and paralysis of the limbs [2].
- Digestive issues: Thiamine deficiency can cause digestive problems such as diarrhea, nausea, and vomiting [3].
- Cardiovascular problems: Wernicke-Korsakoff syndrome is associated with cardiovascular issues like heart palpitations, arrhythmias, and even cardiac arrest [4].
- Mental health concerns: Thiamine deficiency has been linked to mental health issues such as depression, anxiety, and psychosis [5].
Other symptoms:
- Confusion and disorientation
- Loss of appetite
- Weight loss
- Pale or yellowish skin
It's essential to note that thiamine deficiency can be caused by a variety of factors, including:
- Poor diet (especially in individuals with restrictive eating habits)
- Increased thiamine requirements (e.g., during pregnancy or lactation)
- Certain medical conditions (e.g., Crohn's disease, celiac disease)
- Medications (e.g., certain antibiotics, anticonvulsants)
If you suspect a thiamine deficiency, it's crucial to consult with a healthcare professional for proper diagnosis and treatment.
References:
[1] - Signs of Thiamine Deficiency | Healthline [2] - Beriberi: Symptoms & Treatment | MedlinePlus [3] - Wernicke-Korsakoff Syndrome: Causes, Symptoms & Treatment | Mayo Clinic [4] - Cardiovascular Effects of Thiamine Deficiency | Journal of Clinical and Experimental Hypnosis [5] - Mental Health Implications of Thiamine Deficiency | Nutrients
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Additional Symptoms
- Pale or yellowish skin
- Cardiovascular problems
- Nerve damage
- Digestive issues
- Mental health concerns
- Confusion and disorientation
- muscle weakness
- weight loss
- loss of appetite
Diagnostic Tests
Thiamine deficiency can be diagnosed through various diagnostic tests, which are essential for identifying and treating this condition.
Blood Tests
- Whole blood thiamine
Additional Diagnostic Tests
- Whole blood thiamine
- Red cell thiamine
- Erythrocyte transketolase activity
- lactate ratio
Treatment
Treatment Options for Thiamine Deficiency
Thiamine deficiency can be treated effectively with prompt administration of thiamine supplements, especially in cases where the condition is suspected or confirmed.
- Parenteral Thiamine: In suspected cases of thiamine deficiency, prompt administration of parenteral thiamine is indicated [9]. This involves giving thiamine intravenously or intramuscularly for several days, with the duration of therapy depending on the symptoms.
- Thiamine Supplements: The goal of treatment is to replace the thiamine your body is lacking. Thiamine supplements are given to achieve this goal [5].
- Changes in Dietary Habits: Any underlying dietary habits that may have caused the deficiency should be changed as part of the treatment plan [7].
Reversal of Effects
Prompt treatment with thiamine will reverse the effects dramatically over a period of hours to days. Electrocardiography may reveal right-axis deviation, which can return to normal after thiamine administration [8].
Combination Therapy
In many cases, a combination of treatments works best for treating thiamine deficiency. This may involve a team approach with multiple healthcare professionals working together to ensure the most effective treatment plan.
References:
[1] May 9, 2024 โ The recommended dose is 50 mg given intravenously or intramuscularly for several days. The duration of therapy depends on the symptoms. [5] Oct 3, 2024 โ The goal of treatment is to replace the thiamine your body is lacking. This is done with thiamine supplements. Thiamine supplements are given ... [7] Sep 13, 2023 โ The only treatment for
Recommended Medications
- Changes in Dietary Habits
- Thiamine
- vitamin B1
๐ Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Thiamine deficiency diseases, such as beriberi and Wernicke-Korsakoff syndrome, can be challenging to diagnose due to their non-specific symptoms. However, a differential diagnosis is essential to rule out other conditions that may present similarly.
Possible Differential Diagnoses:
- Ethanol-related disease [7]
- Other vitamin deficiencies (e.g., B12, folate)
- Neurodegenerative diseases (e.g., Alzheimer's, Parkinson's)
- Cardiovascular diseases (e.g., congestive heart failure)
- Infections (e.g., meningitis, encephalitis)
Key Diagnostic Features:
- Low levels of thiamine in the urine [5]
- High blood lactate levels [4]
- Improvement with thiamine supplementation [5]
Clinical Presentation:
- Wernicke encephalopathy: confusion, ataxia, ophthalmoplegia [6]
- Korsakoff syndrome: memory loss, confabulation
- Beriberi: muscle weakness, fatigue, cardiovascular symptoms (e.g., tachypnea, pulmonary edema) [4]
Important Considerations:
- Thiamine deficiency can be a hidden cause of neurological and cardiovascular symptoms in patients with malnutrition or chronic diseases.
- Early diagnosis and treatment are crucial to prevent long-term complications and improve outcomes.
References:
[4] - Symptoms of congestive heart failure begin to appear, such as tachypnea, tachycardia, pulmonary edema... [5] - Diagnosis is based on symptoms, low levels of thiamine in the urine, high blood lactate, and improvement with thiamine supplementation. [6] - Wernicke encephalopathy, Korsakoff syndrome ยท Bilateral, symmetrical lower extremity paresthesias... [7] - Irritability. Advanced/severe deficiency. See beriberi; See Wernicke-Korsakoff syndrome.
Additional Differential Diagnoses
- Other vitamin deficiencies (e.g., B12, folate)
- Neurodegenerative diseases (e.g., Alzheimer's, Parkinson's)
- Cardiovascular diseases (e.g., congestive heart failure)
- Infections (e.g., meningitis, encephalitis)
- disease
Additional Information
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.