{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:08:10Z","timestamp":1777896490945,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2002,1,1]],"date-time":"2002-01-01T00:00:00Z","timestamp":1009843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:p>Selenium deficiency is a rare cause of cardiomyopathy that may be encountered by the forensic pathologist. Selenium deficiency is associated with a cardiomyopathy, myopathy and osteoarthropathy. In Asia and Africa, dietary selenium deficiency is associated with a cardiomyopathy known as Keshan disease and an osteoarthropathy called Kashin-Beck disease. Chronic selenium deficiency may also occur in individuals with malabsorption and long term selenium-deficient parenteral nutrition. Selenium deficiency causes myopathy as a result of the depletion of selenium-associated enzymes which protect cell membranes from damage by free radicals.<\/jats:p>\n                  <jats:p>We present a case of fulminant heart failure in a middle aged woman with a complex medical and surgical history including documented malabsorption and selenium deficiency. Pathological examination of the heart showed features consistent with Keshan disease.<\/jats:p>","DOI":"10.1177\/002580240204200103","type":"journal-article","created":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T22:05:50Z","timestamp":1484949950000},"page":"10-13","source":"Crossref","is-referenced-by-count":55,"title":["Fulminant Heart Failure Due to Selenium Deficiency Cardiomyopathy (Keshan Disease)"],"prefix":"10.1177","volume":"42","author":[{"given":"Michael Philip","family":"Burke","sequence":"first","affiliation":[{"name":"Victorian Institute of Forensic Medicine\/Department of Forensic Medicine \u2014 Monash University, 57-83 Kavanagh Street, Southbank, Victoria, Australia, 3006"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Opeskin","sequence":"additional","affiliation":[{"name":"Victorian Institute of Forensic Medicine\/Department of Forensic Medicine \u2014 Monash University, 57-83 Kavanagh Street, Southbank, Victoria, Australia, 3006"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,1,1]]},"reference":[{"key":"bibr1-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1159\/000241110"},{"key":"bibr2-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-199907000-00005"},{"key":"bibr3-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.23.2638"},{"key":"bibr4-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1007\/BF02778980"},{"key":"bibr5-002580240204200103","doi-asserted-by":"publisher","DOI":"10.3109\/10408368909114596"},{"key":"bibr6-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(85)80110-6"},{"key":"bibr7-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.6.696"},{"issue":"7","key":"bibr8-002580240204200103","first-page":"699","volume":"42","author":"Marcus R.W.","year":"1993","journal-title":"Md. Med. J"},{"key":"bibr9-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7121.1520"},{"key":"bibr10-002580240204200103","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199810153391611"}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/002580240204200103","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/002580240204200103","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:27:12Z","timestamp":1777624032000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/002580240204200103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2002,1]]}},"alternative-id":["10.1177\/002580240204200103"],"URL":"https:\/\/doi.org\/10.1177\/002580240204200103","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,1]]}}}