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A Rare Case of Pellagra in a Chronic Alcoholic. | LitMetric

AI Article Synopsis

  • - This report details a rare case of pellagra in a 60-year-old man with a history of chronic alcoholism, showcasing symptoms like a rash and diarrhea.
  • - Laboratory tests showed significant niacin deficiencies, confirming the diagnosis, and initiating niacin supplements and dietary changes improved the patient's condition.
  • - The case highlights the importance of recognizing the classic symptoms of pellagra—rash, diarrhea, and malnutrition—especially in individuals with alcohol use disorder for better health outcomes.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683836PMC
http://dx.doi.org/10.7759/cureus.47909DOI Listing

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