PubMed · 5980313
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T Abe, K Nishida. 1966. [Pellagra].. https://pubmed.ncbi.nlm.nih.gov/5980313/
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Methylglyoxal is produced under both normal and pathological conditions and it is mainly eliminated by glyoxalases. This article gives an overview on the chemical properties, metabolism of methylglyoxal, and its role in acetone metabolism. Possible pathological role of that in diabetes mellitus and thiamine-deficiency is also discussed. Although the majority of data comes from animal experiments and relatively little is known of its human importance this review gives a new aspect to the understanding of its pathological role. With respect to the high incidence of diabetes mellitus the clinical investigation of alpha-oxoaldehydes is perspectivical.
A 21 month old female had voluntarily ingested 0.5-1.51 of isotonic sports drink daily from 10 months of age. She developed hyponatremia and beriberi heart disease, which resulted in metabolic acidosis and cardiogenic shock (shoshin beriberi). Mechanical ventilation was applied for pulmonary edema. Right heart failure was improved after administering vitamin B1. However, 5 days after the shock, hypoxemia and diffuse radiographic infiltrates progressed, and a diagnosis of adult respiratory distress syndrome (ARDS) was made. After the occurrence of an air leak, the patient died of respiratory failure. The cardiogenic shock and pulmonary edema due to cardiac beriberi may have triggered the ARDS.
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