Psychosomatic Medicine, Department of Psychiatry, Audie L. Murphy Memorial VAMC, San Antonio, TX 78229, USA.
Psychosomatics. 2010 Mar-Apr;51(2):93-7. doi: 10.1176/appi.psy.51.2.93.
In the United States, pellagra is infrequently reported. Yet this disorder does occur among malnourished persons.
The author seeks to clarify diagnosis and treatment.
The author describes various presentations and effects of this disorder.
Knowledge of classic and atypical presentations can assist in making the diagnosis. The author presents two cases of pellagra that exemplify the classic and atypical presentations.
The typically robust response of the disorder to physiologic doses of niacin can assist in confirming the diagnosis.
在美国，糙皮病的报告并不常见。然而，这种疾病确实发生在营养不良的人群中。
作者旨在阐明诊断和治疗方法。
作者描述了这种疾病的各种表现和影响。
对经典和非典型表现的认识有助于做出诊断。作者介绍了两例糙皮病病例，这些病例体现了经典和非典型的表现。
该疾病对生理剂量烟酰胺的典型强反应有助于确认诊断。
