| Thiamine-responsive pulmonary hypertension. | |
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MedLine Citation:
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PMID: 23302552 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The aim of this report is to call attention to a poorly recognised cause of pulmonary hypertension, thiamine deficiency. A 78-year-old woman without alcoholism or malabsorption presented with progressive dyspnoea and generalised oedema. Echocardiography showed signs of right ventricular overload with an estimated systolic pulmonary artery pressure of 50 mm Hg. Increased lactate concentrations prompted us to investigate thiamine deficiency. A 3-month history of picky eating, relying exclusively on white rice as the staple food, and low blood concentrations of thiamine confirmed the diagnosis. She recovered fully after 12 days of intravenous thiamine administration. Thiamine deficiency should be considered in all patients with pulmonary hypertension of unknown origin. |
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Authors:
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Takanori Asakura; Satoshi Kodera; Junji Kanda; Masayuki Ikeda |
Publication Detail:
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Type: Journal Article Date: 2013-01-08 |
Journal Detail:
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Title: BMJ case reports Volume: 2013 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2013 |
Date Detail:
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Created Date: 2013-01-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Keio University Hospital, Shinjuku-ku, Tokyo, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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