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thiamine deficiency disease

ICD-10 Codes

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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

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

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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.