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Pellagra information


Pellagra
The skin features of pellagra including peeling, redness, scaling, and thickening of sun-exposed areas.
SpecialtyDermatology
SymptomsInflammation of the skin, diarrhea, dementia, sores in the mouth[1]
TypesPrimary, secondary[1]
CausesNot enough niacin[2]
Diagnostic methodBased on symptoms[3]
Differential diagnosisKwashiorkor, pemphigus, photodermatitis, porphyria[3]
PreventionConsuming Niacin
TreatmentNiacin or nicotinamide supplementation.[1]
PrognosisGood (with treatment), death in ~ 5 years (without treatment)[3]
FrequencyRare (developed world), relatively common (developing world)[3]

Pellagra is a disease caused by a lack of the vitamin niacin (vitamin B3).[2] Symptoms include inflamed skin, diarrhea, dementia, and sores in the mouth.[1] Areas of the skin exposed to friction and radiation are typically affected first.[1] Over time affected skin may become darker, stiffen, peel, or bleed.[1][3]

There are two main types of pellagra, primary and secondary.[1] Primary pellagra is due to a diet that does not contain enough niacin and tryptophan.[1] Secondary pellagra is due to a poor ability to use the niacin within the diet.[1] This can occur as a result of alcoholism, long-term diarrhea, carcinoid syndrome, Hartnup disease, and a number of medications such as isoniazid.[1] Diagnosis is typically based on symptoms and may be assisted by urine testing.[3]

Treatment is with either niacin or nicotinamide supplementation.[1] Improvements typically begin within a couple of days.[1] General improvements in diet are also frequently recommended.[3] Decreasing sun exposure via sunscreen and proper clothing is important while the skin heals.[1] Without treatment death may occur.[3] The disease occurs most commonly in the developing world, often as a disease of poverty associated with malnutrition, specifically sub-Saharan Africa.[3]

  1. ^ a b c d e f g h i j k l m Ngan, Vanessa (2003). "Pellagra". DermNet New Zealand. Archived from the original on 9 April 2017. Retrieved 10 June 2017.
  2. ^ a b "Orphanet: Pellagra". orpha.net. Archived from the original on 17 April 2017. Retrieved 10 June 2017.
  3. ^ a b c d e f g h i Pitche P (2005). "Pellagra". Santé. 15 (3): 205–08. PMID 16207585.

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Pellagra is a disease caused by a lack of the vitamin niacin (vitamin B3). Symptoms include inflamed skin, diarrhea, dementia, and sores in the mouth....

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dietary supplement is used to treat pellagra, a disease caused by niacin deficiency. Signs and symptoms of pellagra include skin and mouth lesions, anemia...

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dietary supplement is used to treat pellagra, a disease caused by niacin deficiency. Signs and symptoms of pellagra include skin and mouth lesions, anemia...

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are made more available for human absorption, thus helping to prevent pellagra.: §5.2  Some of the corn oil is broken down into emulsifying agents (monoglycerides...

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four times for the Nobel Prize for his important work on the link between pellagra and poor diet. Goldberger was born in Girált, Sáros County, Kingdom of...

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supplement, it is used orally (swallowed by mouth) to prevent and treat pellagra (niacin deficiency). While nicotinic acid (niacin) may be used for this...

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Hartnup disease

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Hartnup disease (also known as "pellagra-like dermatosis" and "Hartnup disorder") is an autosomal recessive metabolic disorder affecting the absorption...

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erythematosus. More rarely, it is also seen in other diseases, such as pellagra, dermatomyositis, and Bloom syndrome. A malar rash of lupus is red or purplish...

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source of caloric intake. Though pellagra predominantly occurs in developing countries, sporadic cases of pellagra may be observed within industrialized...

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niacin, the lack of which caused pellagra. Once alkali processing and dietary variety were understood and applied, pellagra disappeared in the developed world...

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B1). Funk proposed the hypothesis that other diseases, such as rickets, pellagra, coeliac disease, and scurvy could also be cured by vitamins. Max Nierenstein...

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water, and a diet heavily reliant on its consumption is a risk factor for pellagra. The ground product can be called masa nixtamalera. In Central American...

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Riboflavin

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deficiency in humans the condition was sometimes called "pellagra sine pellagra" (pellagra without pellagra). In 1935, Paul Gyorgy, in collaboration with chemist...

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Kidney

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deficiency of the tryptophan amino acid transporter, which results in pellagra. Secretion is the reverse of reabsorption: molecules are transported from...

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Micronutrient deficiency The skin rash of pellagra, due to not enough niacin....

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Casal collar

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redness and darkening of the skin around the neck, seen in people with pellagra. It becomes prominent following exposure to sun, and can be itchy with...

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the full range of essential nutrients. The nutrient-deficiency disease pellagra is associated with a diet consisting primarily of maize, while the disease...

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HIV, influenza, or neurosyphilis. Certain vitamin deficiencies such as pellagra (niacin deficiency), vitamin B12 deficiency, folate deficiency, and Wernicke–Korsakoff...

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theories on the nature of diseases such as sleeping sickness, malaria, pellagra, and cancer. Sambon was born in Milan to an Italian father and an English...

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informants from the Southern United States, speculated that the prevalence of pellagra in the region during the Great Depression may have contributed to the rise...

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general in the Israel Defense Forces Joseph Goldberger, discovered cure for pellagra Juraj Herz, actor and film director Ignác Kolisch, chess player Peter Lorre...

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Hypersalivation

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vomit). Conditions that can cause saliva overproduction include: Rabies Pellagra (niacin or Vitamin B3 deficiency) Gastroesophageal reflux disease, in such...

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started), a program which substantially reduced the incidence of pellagra. Pellagra was seen amongst poor families who used corn as their main dietary...

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I; Dibari, Filippo; et al. (2007). "Low and deficient niacin status and pellagra are endemic in postwar Angola". The American Journal of Clinical Nutrition...

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contribute to fatigue. Less common symptoms include malabsorption (leading to pellagra), fatigue, muscle loss, and cognitive impairment. Late complications may...

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(NR) as an NAD precursor in eukaryotes developed out of the study of pellagra. Pellagra was the first disease to be associated with NAD+ deficiency. It was...

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