Pellagra as a differential diagnosis in the confused patient on the acute medical unit

Author:

Tew Jennifer Catherine,Harrington Laura,Elsayed Haythum,Mlawa Gideon

Abstract

A man in his 80s was admitted via the acute medical take after presenting with increased confusion and features of alcohol withdrawal. He had a several-month history of a worsening pruritic rash surrounding his neck, arms and legs in addition to new, profuse diarrhoea. In view of the background of known chronic alcoholism and the coexisting symptoms of rash, confusion and diarrhoea, pellagra was diagnosed via a multidisciplinary approach. Oral nicotinamide supplementation was commenced and his symptoms responded rapidly. The bias and challenge of reaching a unified diagnosis in the context of a multisystem condition are exemplified in this case report.

Publisher

BMJ

Subject

General Medicine

Reference11 articles.

1. Pellagra a review exploring causes and mechanisms, including isoniazid-induced pellagra;Prabhu;Photodermatol Photoimmunol Photomed,2021

2. Prostaglandin E₂ is critical for the development of niacin-deficiency-induced photosensitivity via ROS production;Sugita;Sci Rep,2013

3. Boloor A , Nayak R . Exam preparatory manual for undergraduates: medicine. India: Jaypee Brothers Medical Publishers Pvt Ltd, 2018.

4. Corn, niacin, and the history of pellagra;Berdanier;Nutr Today,2019

5. Pellagrous encephalopathy presenting as alcohol withdrawal delirium: A case series and literature review

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