There are hospital protocols for prevention, supplementing with thiamine in the presence of: history of alcohol misuse or related seizures, requirement for IV glucose, signs of malnutrition, poor diet, recent diarrhea or vomiting, peripheral neuropathy, intercurrent illness, delirium tremens or treatment for DTs, and others [REF].
In the clinical diagnosis should be remembered that early symptoms are nonspecific,[REF][REF] and it has been stated that WE may present nonspecific findings [REF].