Posts

Beriberi Disease: Vitamin B1 (Thiamine) Deficiency

Introduction Beriberi is a serious and potentially life-threatening disease caused by a severe and prolonged deficiency of vitamin B1, also known as thiamine. Thiamine is an essential water-soluble vitamin that plays a fundamental role in energy metabolism, nerve function, and cardiovascular health. Without sufficient thiamine, the body cannot efficiently convert carbohydrates into energy, and critical organs such as the brain, nerves, and heart begin to malfunction. The name “beriberi” originates from the Sinhalese language and means “I cannot, I cannot,” reflecting the profound weakness experienced by affected individuals. Although beriberi is uncommon in developed countries due to food fortification and improved nutrition, it remains a significant health problem in populations with malnutrition, chronic alcoholism, or certain medical conditions that impair nutrient absorption. Beriberi can develop rapidly, sometimes within as little as two to three weeks of severely reduced thiam...

Immune-Mediated Necrotizing Myopathy (IMNM)

Also Known As: Necrotizing Autoimmune Myopathy (NAM) Immune-mediated necrotizing myopathy (IMNM) —also called necrotizing autoimmune myopathy (NAM) —is a rare but severe inflammatory muscle disease. It is characterized by rapidly progressive proximal muscle weakness , markedly elevated muscle enzymes, and extensive muscle fiber necrosis with minimal inflammatory cell infiltration on biopsy. Unlike inherited muscular dystrophies, IMNM is an acquired autoimmune condition in which the immune system mistakenly attacks muscle tissue. What Is IMNM? IMNM belongs to the group of idiopathic inflammatory myopathies , but it differs from other forms such as polymyositis or dermatomyositis because: Muscle cell death (necrosis) is prominent Inflammatory cells are sparse on biopsy Specific autoantibodies are commonly present The disease often progresses quickly Without treatment, IMNM can lead to significant disability. Is IMNM Genetic? IMNM is not a directly inherited genetic disor...