Answer To “what Is Your Diagnosis?” On P.79

Answer To “what Is Your Diagnosis?” On P.79

Year 2013, Issue: 2, 107 - 108, 01.06.2013

Abstract

Specific treatment is usually with oral niacin 100-400 mg/day, until resolution of symptoms and healing of all the skin lesions. In severe cases niacin can be initially giv- en by parenteral route. The recommended daily mainte- nance dose of niacin is 5-20 mg. We treated our patient with 300 mg/day niacin along with B complex vitamins and a high quality protein diet. Regular application of sunscreens on exposed areas was recommended. After 6 weeks, the eruption was completely healed Figure 2 , and gastrointestinal and neuropsychiatric symptoms were dramatically regressed

References

Karthikeyan K, Thappa DM. Pellagra and skin. Int J Dermatol 2002;41:476-481.
Hegyi J, Schwartz RA, Hegyi V. Pellagra: Dermatitis, dementia, and diarrhea. Int J Dermatol 2004; 43:1-5.
Wan P, Moat S, Anstey A. Pellagra: a review with emphasis on photosensitivity. Br J Dermatol 2011;164:1188-1200.
Prakash R, Gandotra S, Singh LK, Das B, Lakra A. Rapid resolution of delusional parasitosis in pellagra with niacin augmentation therapy. Gen Hosp Psychiatry 2008;30:581-4.
Pipili C, Cholongitas E, Ioannidou D. The diagnostic importance of photosensitivity dermatoses in chronic alcoholism. Report of two cases. Dermatol Online J 2008;14:15.