Vitamin B3 Deficiency - Pellagra Flashcards
What causes Pellagra?
Nicotinic acid (Niacin) deficiency
Isoniazid therapy (Anti-TB)
Clinical triad of pellagra
3D
Dementia
Dermatitis
Diarrhoea
If not treated >> 4th D is Death
How does isoniazid cause pellagra?
It inhibits the conversion of tryptophan to niacin
What are the 3 main features of pellagra?
Dementia
Dermatitis
Diarrhoea
Psychiatric feature of Pellagra
Depression
How does dermatitis of pellagra look like?
Brown scaly rash
Sites of dermatitis in pellagra
Sun exposed areas
What is Casal’s necklace?
Brown scaly rash around the neck
(one of the sun-exposed areas)
Prognosis of pellagra, if not treated
Death
Findings and diagnosis of the pictorial
Findings: Casal’s necklace
Diagnosis: Pellagra