Hiroi K, Goto Y, Ishikawa J, Kida K, Matsuda H
Department of Pediatrics, Ehime University School of Medicine, Japan.
Acta Paediatr Jpn. 1995 Feb;37(1):84-7. doi: 10.1111/j.1442-200x.1995.tb03694.x.
A case of beriberi based on short bowel is reported. A 4 year old girl, who underwent a resection of the intestine when a neonate and has had a short bowel, manifested beriberi despite eating normal Japanese food. Considering that she has had no dislikes of foods, and her family members, who have eaten meals similar to hers have been healthy, beriberi is considered in this case to have developed mainly through hypoabsorption of vitamin B1. This patient has responded well to vitamin B1 therapy with a relatively slow recovery in neural functions. Although it has not been confirmed whether short bowel syndrome is prone to be accompanied by beriberi, special attention should be given to vitamin B1 in short bowel syndrome patients.
报告了一例基于短肠的脚气病病例。一名4岁女孩,在新生儿期接受了肠切除术,患有短肠,尽管食用正常的日本食物仍出现了脚气病。考虑到她对食物没有厌恶,且食用与她相似饮食的家庭成员都很健康,该病例中的脚气病被认为主要是由于维生素B1吸收不良所致。该患者对维生素B1治疗反应良好,但神经功能恢复相对较慢。虽然尚未证实短肠综合征是否容易并发脚气病,但对于短肠综合征患者应特别关注维生素B1。