Priani Egidio
University of Leicester, UK.
Hist Psychiatry. 2017 Jun;28(2):166-181. doi: 10.1177/0957154X17693724. Epub 2017 Feb 1.
The debate on the causes and the nature of pellagra in Italy during the nineteenth century resembles and evokes the similar debate on General Paralysis of the Insane (GPI) that was growing at the same time in the United Kingdom. Pellagra and GPI had a massive and virulent impact on the populations of Italy and the UK, respectively, and contributed to a great extent to the increase and overcrowding of the asylum populations in these countries. This article compares the two illnesses by examining the features of their nosographic positioning, aetiology and pathogenesis. It also documents how doctors arrived at the diagnoses of the two diseases and how this affected their treatment.
19世纪意大利关于糙皮病病因及本质的争论，类似于并引发了同一时期在英国愈演愈烈的关于麻痹性痴呆（GPI）的类似争论。糙皮病和麻痹性痴呆分别对意大利和英国的民众产生了巨大且致命的影响，在很大程度上导致了这两个国家精神病院收容人数的增加和过度拥挤。本文通过研究两种疾病在疾病分类定位、病因学和发病机制方面的特征来比较这两种疾病。文章还记录了医生如何对这两种疾病进行诊断以及这对治疗产生了怎样的影响。
