Toe drop

Introduction Ascending symmetry peripheral neuritis, sensory and dyskinesia, decreased muscle strength, muscle soreness, especially the gastrocnemius muscle. In some cases, foot and sag are found, and walking is a threshold gait.

Cause

Causes:

1 Long-term consumption of polished white rice or rice is not steamed properly.

2 chronic gastroenteritis malabsorption.

3 long-term nutritional deficiencies.

4 chronic wasting diseases.

5 chronic alcoholism.

an examination

Related inspection

ECG neurological examination

Clinical manifestations:

Ingestion of vitamin B1 deficiency for more than 3 months, or long-term diarrhea, alcohol abuse, taking diuretics and sneak attack patients, short-term heart enlargement, elevated systemic venous pressure, edema, no other evidence of heart disease should be suspected and the disease . May be accompanied by or without peripheral neuritis and pellagra. The blood transketolase activity decreased, the heart was reduced after vitamin B1 supplementation, the edema disappeared, and the blood transketolase activity increased, which further confirmed the disease.

Differential diagnosis

To distinguish from hyperthyroidism, anemia, and other diseases:

Hyperthyroidism

Excessive thyroid hormone acts directly and/or indirectly on the myocardium and peripheral vasculature, causing the heart to be in a state of high blood output, causing hyperthyroidism, leading to cardiac insufficiency, which is quite similar to this disease. However, hyperthyroidism can have a variety of arrhythmias, especially pre-contraction, atrial fibrillation and atrial flutter. In addition, hyperthyroidism is the first heart sound, and can be associated with goiter or nodular goiter. The first heart sound of the disease is weakened, and there is a history of nutritional deficiencies and vitamin B1 test treatment and laboratory tests can be identified.

2. Anemia heart disease

Severe and prolonged anemia causes insufficient blood oxygen supply, accelerated heart rate compensation, and reduced peripheral circulation resistance, which can lead to high blood output status and need to be differentiated from the disease. However, patients with anemic heart disease have a history of severe anemia and have laboratory changes with severe anemia. After correction for anemia, clinical manifestations can be alleviated. In addition, the first and second heart sounds of patients with anemia heart disease are enhanced, which are helpful for the identification of this disease.

diagnosis:

Ingestion of vitamin B1 deficiency for more than 3 months, or long-term diarrhea, alcohol abuse, taking diuretics and sneak attack patients, short-term heart enlargement, elevated systemic venous pressure, edema, no other evidence of heart disease should be suspected and the disease . May be accompanied by or without peripheral neuritis and pellagra. The blood transketolase activity decreased, the heart was reduced after vitamin B1 supplementation, the edema disappeared, and the blood transketolase activity increased, which further confirmed the disease.

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