Niacin deficiency

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Revision as of 16:09, 14 July 2024 by Aidan (talk | contribs) (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...")
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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

Investigations

  • Urinary N-methylnicotinamide or erythrocyte NAD:NADP ratio
    • Not readily available