Pellagra

From IDWiki
  • Caused by deficiency of niacin (vitamin B3)
  • Causes symmetric hyperpigmented rash that looks like a sunburn, on sunexposed skin ("Casal necklace")
  • Also: red tongue, diarrhea, vomiting, insomnia, anxiety, disorientation, delusions, dementia, and encephalopathy
  • May be caused by carcinoid syndrome or long-term isoniazid