A Rare Case of Pellagra in a Chronic Alcoholic.
| Autor: | Navari Y; Internal Medicine, Michigan State University, Flint, USA., Bagheri A; Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, USA., Foreback J; Internal Medicine, Michigan State University at Hurley Medical Center, Flint, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Oct 29; Vol. 15 (10), pp. e47909. Date of Electronic Publication: 2023 Oct 29 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.47909 |
| Abstrakt: | This case report documents a rare occurrence of pellagra in a chronic alcoholic individual, characterized by a pruritic rash and gastrointestinal symptoms. The patient, a Caucasian male in his 60s, with a history of alcohol use disorder, presented with worsening skin lesions and non-bloody diarrhea. Laboratory findings revealed significant deficiencies in niacin and related metabolites, confirming the diagnosis. Prompt initiation of niacin supplementation, dietary adjustments, and supportive care led to notable improvements. This case shows the critical importance of recognizing pellagra in chronic alcoholism, emphasizing the triad of symptoms - rash, diarrhea, and malnutrition - as key diagnostic markers. Early intervention holds the potential to significantly enhance the patient's well-being and prevent disease progression. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Navari et al.) |
| Databáze: | MEDLINE |
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