{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T23:20:22Z","timestamp":1756682422396,"version":"3.37.3"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Pathology"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>Cardiovascular beriberi presents as either the fulminant (Shoshin beriberi) or chronic form. Shoshin beriberi is a rare disease that may lead to a fatal outcome if the patient does not receive appropriate treatment. In the present report, we describe the case of a 66-year-old man presenting with leg edema and dyspnea at rest. Clinical presentations were nonalcoholic Shoshin beriberi and lactate accumulation; however, clinical improvement was observed after the administration of thiamine. His pretherapy thiamine level (2.1\u2009<jats:italic>\u03bc<\/jats:italic>g\/dL) was consistent with a diagnosis of beriberi. Based on the findings of the present case, we believe that a diagnosis can be made in patients with a clinical history that is consistent with that of Shoshin beriberi, combined with low thiamine levels, lactate accumulation, and colliquative myocytolysis.<jats:italic>Learning Objective.<\/jats:italic>Shoshin beriberi is often misdiagnosed because of its rarity; a detailed clinical history and characteristic myocardial histopathology changes may be useful for making a definite diagnosis.<\/jats:p>","DOI":"10.1155\/2014\/506072","type":"journal-article","created":{"date-parts":[[2014,5,7]],"date-time":"2014-05-07T17:13:12Z","timestamp":1399482792000},"page":"1-3","source":"Crossref","is-referenced-by-count":5,"title":["Clinical History and Colliquative Myocytolysis Are Keys to the Diagnosis of Shoshin Beriberi"],"prefix":"10.1155","volume":"2014","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2487-8366","authenticated-orcid":true,"given":"Toshiki","family":"Kuno","sequence":"first","affiliation":[{"name":"Department of Cardiology, Ashikaga Red Cross Hospital, 284-1 Yobe-cho, Ashikaga City, Tochigi 326-0843, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Community Health and Medicine, School of Medicine, Yamaguchi University, Yamaguchi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ashikaga Red Cross Hospital, 284-1 Yobe-cho, Ashikaga City, Tochigi 326-0843, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kohei","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ashikaga Red Cross 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