Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Beriberi Because of Continuous Rice-soup Feeding during One and Half Years

지속적인 쌀죽 섭취에 의한 각기병 1례

  • Yang, Eun Seok (Department of Pediatrics, College of Medicine, Chosun University) ;
  • Yoon, Young Hun (Department of Pediatrics, College of Medicine, Chosun University) ;
  • Rho, Young Il (Department of Pediatrics, College of Medicine, Chosun University) ;
  • Moon, Kyung Rye (Department of Pediatrics, College of Medicine, Chosun University)
  • 양은석 (조선대학교 의과대학 소아과학교실) ;
  • 윤영훈 (조선대학교 의과대학 소아과학교실) ;
  • 노영일 (조선대학교 의과대학 소아과학교실) ;
  • 문경래 (조선대학교 의과대학 소아과학교실)
  • Received : 2004.09.01
  • Accepted : 2004.09.20
  • Published : 2004.09.01
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Abstract

Beriberi, which is caused by thiamin deficiency, is a rare disease in recent years. But it has been described in the Eastern literature as far back as the 17th century. Early symptoms are fatigue, apathy, irritability, drowsiness, anorexia, nausea, vomiting and abdominal pain. Signs and symptoms of progression are peripheral neuritis, paresthesia, decreased tendon reflex and congestive heart failure. Thiamin deficiency remains as an important health care issue in many world population, specially in AIDS, pregnancy women and TPN associated patients. The best diagnostic test is assessing clinical response to administration of thiamin. We have experienced a case of Beriberi caused by continuous rice-soup feeding during one and half years in a 7-year-old boy.

저자들은 1년 6개월간 지속적인 쌀죽의 섭취이후에 발등부터 시작하여, 전신적인 부종과 무관심, 걷지 못하는 증상을 주소로 입원한 환아가 티아민 투여 이후에 증상의 회복을 보인 beriberi 1례를 치험 하였기에 보고하는 바이다.

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