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A Case of Pulmonary Hypertension in a 67-Year-Old Woman with Thiamine Deficiency Following Partial Gastrectomy and Exacerbated by Diuretics.

Author: KawashiriMasa-Aki, MoritaMayumi, SakataKenji, ShibayamaJunichi, TadaHayato, TakamuraMasayuki, UsuiSoichiro, YoshidaShohei

Case ReportsIn the medical field, a report that describes in detail a unique case, an unusual medical condition, or the effect of a treatment. Provides new insights and possibilities for treatment through individual patient cases.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.

Overview

This case report describes a 67-year-old woman who presented with pulmonary hypertension and thiamine deficiency following partial gastrectomy and exacerbated by diuretics. The study highlights the importance of recognizing that thiamine deficiency can be a cause of pulmonary hypertension, which is completely reversible.
Paper Details　
Original Abstract of the Article :
BACKGROUND Thiamine deficiency often occurs in patients with alcohol abuse and unbalanced diets. However, gastric surgery and/or use of diuretics can also cause this situation. Importantly, thiamine deficiency can cause pulmonary hypertension, which is completely reversible. This report is of a case...See full text at original site
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引用元：
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938710/

データ提供：米国国立医学図書館（NLM）

Thiamine Deficiency: A Hidden Oasis in the Desert of Pulmonary Hypertension

Pulmonary hypertension (PH) is a serious condition that can be challenging to diagnose and treat. This case report highlights the importance of considering thiamine deficiency as a potential cause of PH, particularly in patients with certain risk factors, such as gastric surgery or the use of diuretics. The researchers describe the case of a 67-year-old woman who presented with PH and thiamine deficiency following partial gastrectomy and exacerbation by diuretics. This case underscores the crucial role of recognizing and addressing thiamine deficiency in the management of PH.

Thiamine Deficiency: A Hidden Oasis in the Desert of PH

This case report highlights the importance of considering thiamine deficiency as a potential cause of PH, particularly in patients with certain risk factors, such as gastric surgery or the use of diuretics. The patient's symptoms improved dramatically after intravenous thiamine administration, demonstrating the crucial role of addressing thiamine deficiency in the management of PH.

Navigating the Desert of PH Diagnosis and Treatment

This case report underscores the importance of maintaining a high index of suspicion for thiamine deficiency in patients presenting with PH, particularly in those with risk factors such as gastric surgery or diuretic use. This approach could lead to earlier diagnosis and treatment, improving patient outcomes.

Dr.Camel's Conclusion

This case report reminds us that the desert of PH diagnosis and treatment is full of hidden oases. It highlights the importance of considering thiamine deficiency as a potential cause of PH, particularly in patients with risk factors such as gastric surgery or diuretic use. This awareness could lead to earlier diagnosis and treatment, improving patient outcomes.

Date :
  1. Date Completed 2022-03-18
  2. Date Revised 2022-04-09
Further Info :

Pubmed ID

35296632

DOI: Digital Object Identifier

PMC8938710

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