We're back and better than ever. "Like us" on Facebook and enjoy the perks of Student BMJ right at your fingertips at facebook.com/StudentBMJ.

Education

Thiamine deficiency

This can present as Wernicke’s encephalopathy, which is a medical emergency

  • By: Clare Bolton, Andrew Jones
  • Published: 31 December 2012
  • DOI: 10.1136/sbmj.e8309
  • Cite this as: Student BMJ 2012;20:e8309

Thiamine, also known as vitamin B1, is a coenzyme that has a vital role in the metabolism of carbohydrates. Thiamine deficiency may impair cardiac and neurological functioning and can present as a neurological syndrome known as Wernicke’s encephalopathy, which is a medical emergency.

Management of thiamine deficiency is most commonly required when dealing with patients who drink heavily. The rise in alcohol related deaths in the United Kingdom suggests that doctors may increasingly be treating conditions caused by thiamine deficiency.1 However, thiamine deficiency can affect patients with a wide range of medical and surgical problems, making it a challenge in any specialty.

Records dating back to 2700 BC in China refer to symptoms of thiamine deficiency, including muscle weakness and paralysis. This disease was called beriberi meaning “wasted, wasted.” It was common in Asia and was thought to be an infectious disease.2 It wasn’t until the late 1800s that the

To read the rest of this article sign in or complete a FREE registration.

Registration is quick, you only need to do this once and you get FREE access to all the Student BMJ content online.

Go to notice board