Pellagra, symptomaticE52.x
Synonym(s)
Prosperity Peakagra; secondary pellagra; Secondary pellagra
DefinitionThis section has been translated automatically.
pellagra as a result of a severe absorption disorder, e.g. in chronic alcoholism ("prosperity pellagra"), severe enteritis, in the context of a carcinoid syndrome), malabsorption or in the case of drug treatment.
EtiopathogenesisThis section has been translated automatically.
Drug-induced by drugs such as 5-fluorouracil, 6-mercaptopurine, azathioprine, diphenylhydantoin (anticonvulsants), benzodiazepines (diazepam), ethenzamide, ethionamide (synthetic tuberculostatics), isoniazid, paracetamol, phenobarbital, salicylamide.
TherapyThis section has been translated automatically.
Treatment of the underlying disease (e.g. alcoholism, enteritis), if necessary discontinuation of the medication causing the disease. Substitution therapy with nicotinamide, see below pellagra.
LiteratureThis section has been translated automatically.
- Hawn LJ et al (2003) A case of pellagra and a South Carolina history of the disorder. JSC Med Assoc 99: 220-223
- Heyer G et al (1998) Dose-dependent pellagroid skin reaction caused by carbamazepine. dermatologist 49: 123-125
- Karthikeyan K (2002) Pellagra and skin. Int J Dermatol 41: 476-481
- Stadler R et al (1982) Medication induced pellagra. Dermatologist 33: 276-280
- Stevens HP et al (1993) Pellagra secondary to 5-fluorouracil. Br J Dermatol 128: 578-580
- Wallengren J et al (2002) Pellagra-like skin lesions associated with Wernicke's encephalopathy in a heavy wine drinker. Acta Derm Venereol 82: 152-154