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Human Body & Health

Why does vasodilation occur in wet beriberi, leading to edema?

A)Elevated cortisol increases vasoconstriction
B)Histamine directly constricts peripheral vessels
C)Epinephrine increases fluid retention directly
D)Thiamine deficiency impairs energy metabolism

💡 Explanation

Thiamine deficiency impairs pyruvate dehydrogenase, reducing ATP production in endothelial cells; because endothelial cells can't maintain vascular tone without sufficient energy, vasodilation occurs, increasing hydrostatic pressure, therefore edema results, rather than direct hormone influences causing vasoconstriction.

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