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Journal of Parenteral and Enteral Nutrition
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Case Reports

Dry Beriberi: Unusual Complication of Prolonged Parenteral Nutrition

J. Zak, III, M.D.

Gastrointestinal Clinic, Groote Schuur Hospital and Department of Medicine, University of Cape Town, South Africa

D. Burns, PH.D.

Gastrointestinal Clinic, Groote Schuur Hospital and Department of Medicine, University of Cape Town, South Africa

T. Lingenfelser, M.D.

Gastrointestinal Clinic, Groote Schuur Hospital and Department of Medicine, University of Cape Town, South Africa

E. Steyn, MB.CH.B.

Gastrointestinal Clinic, Groote Schuur Hospital and Department of Medicine, University of Cape Town, South Africa

I.N. Marks, B.Sc.

Gastrointestinal Clinic, Groote Schuur Hospital and Department of Medicine, University of Cape Town, South Africa

An adult with Crohn's disease on home total parenteral nutrition (TPN) for 8 months presented with peripheral neuropathy and ataxia. The patient was found to be deficient of thiamine. A prompt symptomatic response to intravenous thiamine suggests that the patient had the chronic form of dry beriberi. To our knowledge, this variety of beriberi in a patient on TPN has not previously been reported. (Journal of Parenteral and Enteral Nutrition 15: 200-201, 1991)

Journal of Parenteral and Enteral Nutrition, Vol. 15, No. 2, 200-201 (1991)
DOI: 10.1177/0148607191015002200
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