Vasudevan Biju, Verma Rajesh, Pragasam Vijendran, Badad Ambresh
Department of Dermatology, Command Hospital, Pune, India.
Indian J Dermatol. 2014 May;59(3):317. doi: 10.4103/0019-5154.131462.
A two-year-old girl child was admitted with complaints of diarrhoea of one week duration in the paediatric ward. She was referred to the skin OPD for gradually progressive skin rashes on both lower limbs noticed since two days. Dermatological examination revealed finding of livedo reticularis. Dietary history revealed maize forming a significant portion of the child's diet since the age of nine months. The child was treated with a course of Niacin in the form of Nicotinamide 50 mg twice a day for 4 weeks and the parents were advised not to give her maize in the diet. The skin lesions and diarrhoea regressed in duration of two weeks. This is probably the first time that a case of pellagra causing livedo is being reported, that too in a child.
一名两岁女童因腹泻一周被收治于儿科病房。两天前发现双下肢逐渐出现进行性皮疹，遂被转诊至皮肤科门诊。皮肤科检查发现有网状青斑。饮食史显示，自九个月大以来，玉米在该患儿的饮食中占很大一部分。患儿接受了一个疗程的烟酰胺治疗，每天两次，每次50毫克，持续4周，并建议家长在饮食中不要给她吃玉米。皮肤病变和腹泻在两周内消退。这可能是首次报道因糙皮病导致网状青斑的病例，而且还是发生在一名儿童身上。
