THIAMIN AND THIAMIN PHOSPHATE ESTER DEFICIENCY ASSESSED BY HIGH-PERFORMANCE LIQUID-CHROMATOGRAPHY IN 4 CLINICAL CASES OF WERNICKE ENCEPHALOPATHY

被引：54

作者：

TALLAKSEN, CME ^{[1
]}

BELL, H ^{[1
]}

BOHMER, T ^{[1
]}

机构：

[1] AKER UNIV HOSP, DEPT MED, OSLO, NORWAY

来源：

ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH | 1993年 / 17卷 / 03期

关键词：

THIAMIN; THIAMIN MONOPHOSPHATE; THIAMIN DIPHOSPHATE; WERNICKE ENCEPHALOPATHY; CEREBROSPINAL FLUID; HIGH PERFORMANCE LIQUID CHROMATOGRAPHY;

D O I：

10.1111/j.1530-0277.1993.tb00825.x

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

The concentrations of thiamin and thiamin phosphate esters were determined by high performance liquid chromatography in four patients with clinical Wernicke encephalopathy. Three were alcohol abusers, and one had prolonged vomiting and anorexia. Thiamin and thiamin monophosphate were assessed in plasma and whole blood (four patients) and in cerebrospinal fluid (two patients) before and during thiamin treatment. Thiamin diphosphate was also assessed in whole blood in the four patients. Before treatment, thiamin monophosphate was significantly decreased in all patients, and thiamin diphosphate in three. A poor increase in thiamin mono- and diphosphate was paralleled by a slow clinical improvement in one patient, while an increase in all thiamin compounds was observed in two patients with a rapid recovery. Thiamin monophosphate was a more sensitive marker of deficiency than thiamin diphosphate and unphosphorylated thiamin.

引用

页码：712 / 716

页数：5

共 31 条

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[2]

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[3]

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