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  • Title: Pellagra in Zanzibar: a rare diagnosis.
    Author: Hassan HS, Pandu SM, Said SS.
    Journal: Int J Dermatol; 2023 May; 62(5):685-687. PubMed ID: 36459461.
    Abstract:
    BACKGROUND: Pellagra is a nutritional disease resulting from a deficiency of vitamin B3 (niacin) primarily due to corn consumption, especially in developing countries, but in developed countries, it can occur secondarily as a consequence of chronic alcoholism, malabsorption, certain drugs, and bariatric surgery. RESULTS: We present a case of a 32-year-old woman from a rural area in Zanzibar who was a heavy alcohol consumer and came in with features suggestive of pellagra. CONCLUSION: Our therapeutic approach consisted of niacin 500 mg once daily and betamethasone + salicylic acid ointment twice a day until lesions resolved and showed noticeable improvement.
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