Abstract
We report the case of a 45-year-old patient who presented with acute dilated cardiomyopathy. During admission the patient was consecutively diagnosed with cryoglobulinaemic vasculitis and beriberi. In both diseases, cardiac involvement may occur as dilated cardiomyopathy. Thiamin deficiency was the final cause for the severe cardiac manifestations (cardiac acute beriberi or Shoshin syndrome), which returned to normal after thiamin supplementation.
MeSH terms
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Acute Disease
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Beriberi* / complications
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Beriberi* / diagnosis
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Beriberi* / drug therapy
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Beriberi* / physiopathology
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Cardiomyopathy, Dilated* / diagnosis
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Cardiomyopathy, Dilated* / etiology
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Cardiomyopathy, Dilated* / physiopathology
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Cardiomyopathy, Dilated* / therapy
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Cryoglobulinemia* / complications
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Cryoglobulinemia* / diagnosis
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Fatal Outcome
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Glucocorticoids / administration & dosage
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Glucocorticoids / adverse effects
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Herpes Zoster / complications*
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Herpesvirus 3, Human / pathogenicity
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Humans
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Male
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Middle Aged
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Multiple Organ Failure / etiology
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Opportunistic Infections / complications*
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Systemic Vasculitis* / blood
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Systemic Vasculitis* / complications
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Systemic Vasculitis* / diagnosis
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Systemic Vasculitis* / drug therapy
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Systemic Vasculitis* / physiopathology
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Thiamine / administration & dosage*
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Vitamins / administration & dosage
Substances
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Glucocorticoids
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Vitamins
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Thiamine