Slowly Progressive Type 1 Diabetes Mellitus Complicated by Beriberi Caused by Excessive Restriction of Dietary Intake. Case Report.
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Accession number;05A0269253
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| Title;Slowly Progressive Type 1 Diabetes Mellitus Complicated by Beriberi Caused by Excessive Restriction of Dietary Intake. Case Report. |
| Author;
INOUE MARIKO
(Nippon Telegraph and Telephone East Corp., Kanto Medical Center, JPN)
AJIMA MIHO
(Nippon Telegraph and Telephone East Corp., Kanto Medical Center, JPN)
HAMANO KUMIKO
(Nippon Telegraph and Telephone East Corp., Kanto Medical Center, JPN)
TOTSUKA YASUO
(Nippon Telegraph and Telephone East Corp., Kanto Medical Center, JPN)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.48;NO.2;PAGE.103-107(2005)
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| Figure&Table&Reference;FIG.2, TBL.2, REF.13 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We report the case of a diabetic patient who developed beriberi after being started on a severer proteirn-restricted diet and diuretic therapy. A 54-year-old woman with a 14-year history of slowly progressive type 1 diabetes mellitus was admitted to our hospital because of a progressive sensory disturbance in the extremities, muscle pain and weakness, gait disturbance, and peripheral edema. She had started a low-protein diet (50 g/day; 0.8 g/kg ideal body weight) at age 51. Three months previously, she had been admitted to the nephrology department of our hospital for amoxicillin-induced acute renal failure, and at that time, her protein intake had been further restricted to 30 g/day and furosemide had been started. Cardiomegaly (C/T ratio; 53.9%) and a heart murmur were observed in addition to neurological abnormalities, and a subsequent blood examination revealed vitamin Bi deficiency (6.9 ng/ml; normal range: 28-56 ng/ml). All of her symptoms resolved after treatment with thiamine hydrochloride (10 mg/day). (author abst.) |
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