Pellagra
is a
vitamin
deficiency diseasemost commonly caused by a chronic lack of
niacin(vitamin B
3) in the diet. It can be caused by decreased intake of niacin or
tryptophan,
and possibly by excessive intake of
leucine.
It may also result from alterations in protein metabolism in disorders such as
carcinoid syndrome.
Pellagra is classically described by "the four D's": diarrhea,dermatitis,dementiaanddeath.A more comprehensive list of symptoms includes:
Frostig and Spies (acc. to Cleary and Cleary) described more specific psychological symptoms of pellagra as:]
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