Advertisement
Images in the Medical Sciences| Volume 346, ISSUE 5, P421, November 2013

The Peeling Dermatitis With a Peculiar Demarcation

      A 28-year-old Malawian man presented with a 6-month history of dermatitis associated with chronic diarrhea and personality change. He was taking isoniazid to treat tuberculosis. His skin was inflamed, particularly in sun-exposed sites, with dryness, hyperpigmentation and desquamation. The eruption around his neck formed a well-circumscribed band (Figure 1A). A diagnosis of pellagra was assumed. A high-protein diet along with nicotinamide and vitamin B therapy was initiated, and his symptoms markedly improved.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of the Medical Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      REFERENCES

        • Hegyi J.
        • Schwartz R.A.
        • Hegyi V.
        Pellagra: dermatitis, dementia, and diarrhea.
        Int J Dermatol. 2004; 43: 1-5
        • Malfait P.
        • Moren A.
        • Dillon J.C.
        • et al.
        An outbreak of pellagra related to changes in dietary niacin among Mozambican refugees in Malawi.
        Int J Epidemiol. 1993; 22: 504-511