Thursday, May 11, 2006

Pellagra in Alcoholics

In Iraq, pellagra is only seen in sporadic cases in patients with alcoholism. I describe here a case of pellagra in 30 year old man who used to drink alcohol one litre a day of a local beverage called ARAK. In addition, his nutrition was poor. He developed a typical rash of pellagra in photosensitive area, some lesions are bullous together with beefy tongue. The rash resolved quickly after vitamin replacement but recurred when he resumed alcohol drinking.

I would like to ask my colleagues
1) how often see pellagra
2) what is the cause?


  1. photos of patient to attached soon

  2. I get to see at least one case every three months.
    Nicotinamide deficiency is the basic cause - be it alcohol-, INH-induced, or secondary to carcinoid syndrome.

  3. Please see my contribution in

  4. Thank you prof.ksharquie for this very intersting nice case. You drow attention for vitamines deficiency that can present clinicaly in a special way.
    Dermatologists should not miss pellagra , because the disease can reversed and without proper managment the disease may end with death


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