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[e-drug] Are vitamin B1 injections essential? (cont)
E-drug: Are vitamin B1 injections essential? (cont)
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Parenteral Thiamine [vitamin B1] is necessary if only to prevent encephalopathy
Alistair Bolt
Norfolk & Norwich Hospital
UK
alistair.bolt@norfolk-norwich.thenhs.com
[Even in cases of severe thiamine deficiency (beri-beri) as found in
refugee populations, food fortification or oral drug therapy is
usually sufficient. However severe cases of 'wet beri-beri' may
require parenteral therapy and respond quickly but peripheral
neuropathy associated with 'dry beri-beri' can prove more resistant.
MSF and UNHCR provide the reference: Garrow JS, James WPT. Human
nutrition and diet fat soluble vitamins and water soluble vitamins.
London: Churchill Livingstone, 1993, 208-238. BS]
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