Coelho Liana S, Hueb João C, Minicucci Marcos F, Azevedo Paula S, Paiva Sergio A R, Zornoff Leonardo A M
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, UNESP, Botucatu, SP, Brasil.
Arq Bras Cardiol. 2008 Jul;91(1):e7-9. doi: 10.1590/s0066-782x2008001300013.
Thiamine deficiency may present four classic clinical forms: peripheral polyneuropathy, anorexia and muscular weakness (dry beriberi); high output heart failure with signs of congestion (wet beriberi); beriberi associated with shock (Shoshin beriberi) and Wernicke's encephalopathy. In this report we describe a picture that is suggestive of severe pulmonary hypertension and cor pulmonale, with jugular stasis, congestive hepatitis and generalized edema that reversed completely after the administration of thiamine.
周围性多发性神经病、厌食和肌肉无力（干性脚气病）；伴有充血体征的高输出量心力衰竭（湿性脚气病）；与休克相关的脚气病（急性暴发性脚气病）和韦尼克脑病。在本报告中，我们描述了一幅提示严重肺动脉高压和肺心病的图景，伴有颈静脉瘀血、充血性肝炎和全身性水肿，在给予硫胺素后完全逆转。
