[An Uncommon Diagnosis].

Leonhard, Nicole; Aeberhard, Carla; Birrenbach, Tanja Nicole; Stanga, Zeno (2015). [An Uncommon Diagnosis]. Praxis - schweizerische Rundschau für Medizin, 104(21), pp. 1151-1156. Huber 10.1024/1661-8157/a002163

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We report on a 61-year-old patient who suffered from severe protein-energy malnutrition due to an inadequately treated exocrine pancreatic insufficiency. In this context, a thiamine deficiency was not recognized and there were clinical manifestations of beriberi disease with decompensated biventricular heart failure. In the course of time, a manifest niacin deficiency (pellagra) with dermatitis, diarrhea and persistent delirium occurred, which was recognized and could be treated. We highlight differential diagnostic considerations about the consequences and the treatment of malnutrition, with special focus on the classical deficiency diseases beriberi and pellagra.

Item Type:

 Journal Article (Further Contribution)

Division/Institute:

 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition

UniBE Contributor:

 Stanga, Zeno

Subjects:

 600 Technology > 610 Medicine & health

ISSN:

 1661-8157

Publisher:

 Huber

Language:

 German

Submitter:

 Jacques Donzé

Date Deposited:

 10 Mar 2016 17:20

Last Modified:

 02 Mar 2023 23:27

Publisher DOI:

 10.1024/1661-8157/a002163

PubMed ID:

 26463907

Uncontrolled Keywords:

 Beriberi; Mangelernährung; Niacinmangel; Pellagra; Thiaminmangel; beriberi; malnutrition; niacin deficiency; pellagra; thiamine deficiency

BORIS DOI:

 10.7892/boris.77307

URI:

 https://boris.unibe.ch/id/eprint/77307

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