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酒精中毒背景下的糙皮病脑病:综述与病例报告

Pellagra encephalopathy in the context of alcoholism: review and case report.

作者信息

López Marta, Olivares José M, Berrios German E

机构信息

Corresponding author: Servicio de Psiquiatría, Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Avda. do Meixoeiro, s/n, 36214 Vigo, Spain.

出版信息

Alcohol Alcohol. 2014 Jan-Feb;49(1):38-41. doi: 10.1093/alcalc/agt070. Epub 2013 Aug 7.

Abstract

AIMS

The aim of the study was to review and describe the Alcoholic Pellagra Encephalopathy, a severe neuropsychiatric condition caused by a combination of niacin (vitamin B3) deficiency and alcohol abuse.

METHODS

PsychInfo, Medline and Embase databases were searched for peer-reviewed studies addressing this illness.

RESULTS

A historical and conceptual review of the psychopathological aspects of this condition is offered, followed by the report of a patient with a history of chronic alcohol consumption showing signs of pellagra, delusions and visual hallucinations, which was treated successfully with niacin.

CONCLUSION

Pellagra encephalopathy should still be considered in the differential diagnosis of acute psychotic disorders seen in the context of chronic alcoholism.

摘要

目的

本研究的目的是回顾和描述酒精性糙皮病脑病,这是一种由烟酸(维生素B3)缺乏和酒精滥用共同引起的严重神经精神疾病。

方法

检索了PsychInfo、Medline和Embase数据库,以查找针对该疾病的同行评审研究。

结果

对该疾病的精神病理学方面进行了历史和概念性回顾,随后报告了一名有慢性饮酒史的患者,该患者表现出糙皮病、妄想和视幻觉症状,经烟酸治疗成功。

结论

在慢性酒精中毒背景下出现的急性精神障碍的鉴别诊断中,仍应考虑糙皮病脑病。

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