Niacin deficiency: Difference between revisions
From IDWiki
(Created page with "== Background == * Deficiency in the water-soluble vitamin B3 * Also known as pellagra * Risk factors include: ** Resource-limited countries were diet is heavy in untreated corn or sorghum (India, parts of China, and Africa; in Mexico, corn is treated and pellagra is rare) ** Alcohol use disorder ** Complication of bariatric suerger ** Anorexia nervosa ** Malasorption * Can also be seen in carcinoid syndrome, prolonged use of isoniazid, and Hartnup disease...") |
No edit summary |
||
| Line 14: | Line 14: | ||
* Classic triad of photosensitive pigmented dermatitis, diarrhea, and dementia |
* Classic triad of photosensitive pigmented dermatitis, diarrhea, and dementia |
||
| + | * 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 |
||
== Investigations == |
== Investigations == |
||
Revision as of 12:09, 14 July 2024
Background
- Deficiency in the water-soluble vitamin B3
- Also known as pellagra
- Risk factors include:
- Resource-limited countries were diet is heavy in untreated corn or sorghum (India, parts of China, and Africa; in Mexico, corn is treated and pellagra is rare)
- Alcohol use disorder
- Complication of bariatric suerger
- Anorexia nervosa
- Malasorption
- Can also be seen in carcinoid syndrome, prolonged use of isoniazid, and Hartnup disease
Clinical Manifestations
- Classic triad of photosensitive pigmented dermatitis, diarrhea, and dementia
- 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
Investigations
- Urinary N-methylnicotinamide or erythrocyte NAD:NADP ratio
- Not readily available
