DOI: 10.36347/sjmcr.2023.v11i02.021

Pages: 189-192

Beriberi is a Sinhalese phrase that means “I cannot, I cannot,” in reference to the profound weakness that may accompany the disorder, it is currently considered as an uncommon disease [1], caused by thiamine (vitamin B1) deficiency, this may result in under recognition of potentially treatable cases. Beriberi has two major sub-types or possible manifestation: Wet beriberi, when the predominant symptoms are related to the cardio-circulatory system leading to a high-output heart failure and even cardiogenic shock, and Dry beriberi in which the peripheral or central nervous systems are affected, but it is more likely to not see a full classic example of wet or dry beriberi, but rather a combination of symptoms that may lead in the absence of adequate treatment to the full picture of thiamine deficiency. One of the most important elements of diagnosis is the medical history, to look for factors that may cause or participate in the disorder (diet, alcohol consumption, pregnancy, hyperthyroidism, liver disease..) and eventually help treating the underlying causes. We report a case of an atypical beriberi disease associated with ST segment elevation with no obstructive coronary artery disease.