Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Department of Research Center, Dongnam Institute of Radiological & Medical Sciences, Busan, Republic of Korea.
Vet Med Sci. 2021 Jan;7(1):69-76. doi: 10.1002/vms3.352. Epub 2020 Sep 23.
Thiamine (vitamin B ) is an essential nutrient that significantly influences ATP production in the body. It needs to be supplemented consistently through an exogenous source to prevent deficiency; however, it is easily affected by a variety of mitigating factors. Additionally, thiamine requirements can be influenced by an individual's dietary composition. The nervous system is particularly vulnerable to thiamine deficiency due to its high metabolic demand. Thiamine deficiency is typically diagnosed based on clinical signs, dietary history and response to thiamine administration. A 5-year-old neutered male Maltese Terrier dog presented with an acute onset of seizures and generalized ataxia. The dog was exclusively fed boiled sweet potato (Ipomoea batatas) as a primary diet source for 4 weeks. MR findings and hyperlactatemic conditions were consistent with thiamine deficiency, and the diagnosis was confirmed by measuring thiamine concentrations in blood using high-performance liquid chromatography (HPLC). Appropriate thiamine supplementation and diet changes resulted in a rapid improvement in neurological signs. Repeated MR imaging 2 weeks after starting the treatment completely resolved the previously identified abnormalities, and repeated measurements of blood lactate and thiamine levels revealed complete recovery of the thiamine-deficient status.
硫胺素(维生素 B1)是一种必需营养素,对体内 ATP 的产生有重要影响。需要通过外源性来源持续补充以预防缺乏,但它很容易受到多种缓解因素的影响。此外,个体的饮食结构也会影响硫胺素的需求。由于神经系统代谢需求高,因此特别容易受到硫胺素缺乏的影响。硫胺素缺乏症通常基于临床症状、饮食史和对硫胺素治疗的反应进行诊断。一只 5 岁已绝育的雄性马尔济斯犬突发癫痫和全身共济失调。这只狗连续 4 周以煮熟的红薯(Ipomoea batatas)为主食。磁共振成像(MRI)结果和高乳酸血症与硫胺素缺乏一致,使用高效液相色谱法(HPLC)测量血液中的硫胺素浓度来确诊。适当的硫胺素补充和饮食改变使神经症状迅速改善。开始治疗 2 周后重复 MRI 成像完全解决了之前发现的异常,重复测量血乳酸和硫胺素水平显示硫胺素缺乏状态完全恢复。