Pellagra in patient with schizophrenia: a case report and review of literature
Background: Pellagra, called the disease of 4D'S- dermatitis, diarrhoea, dementia and death, is seen in patients of chronic alcohol dependence, mal absorption syndrome, and psychiatric illnesses like schizophrenia. Mostly a clinical diagnosis, its treatment includes balanced diet and niacin sup...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Archives of Mental Health |
| Subjects: | |
| Online Access: | http://www.amhonline.org/article.asp?issn=2589-9171;year=2013;volume=14;issue=1;spage=50;epage=52;aulast=Mothukuri;type=0 |
| _version_ | 1828785337288097792 |
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| author | Jaya Madhuri Mothukuri Siva Kumar Chennamsetty Anand Bhogaraju |
| author_facet | Jaya Madhuri Mothukuri Siva Kumar Chennamsetty Anand Bhogaraju |
| author_sort | Jaya Madhuri Mothukuri |
| collection | DOAJ |
| description | Background: Pellagra, called the disease of 4D'S- dermatitis, diarrhoea, dementia and death, is seen in patients of chronic alcohol dependence, mal absorption syndrome, and psychiatric illnesses like schizophrenia. Mostly a clinical diagnosis, its treatment includes balanced diet and niacin supplementation. There are hardly any case reports about pellagra in schizophrenia patients.
Case description: A young Asian woman with complaints of abusing and assaulting, talking to self since three years and loose motions since fifteen days presented to psychiatric outpatient department with signs of dehydration, sharply defined symmetrical, desquamating rash in the neck area and in the sun exposed parts of forearms and legs with mental status examination findings of muttering to self, impaired recent and immediate memory and inability to do simple calculations. Patient showed significant improvement with supportive therapy, antipsychotics, niacin supplementation and balanced diet.
Discussion: Pellagra can be seen in psychiatric illnesses like alcohol dependence syndrome, eating disorders and schizophrenia. It occurs along with other vitamin deficiencies which improve with medication and balanced diet.
Conclusions: Early identification of vitamin deficiency along with proper education to patients and family regarding the need of balanced diet and adequate vitamin supplementation will prevent further complications. Thus, pellagra seen in schizophrenia patients requires medication and balanced diet. |
| first_indexed | 2024-12-11T23:49:17Z |
| format | Article |
| id | doaj.art-7f7e0c6e0767431593f7ae23320324bd |
| institution | Directory Open Access Journal |
| issn | 2589-9171 2589-918X |
| language | English |
| last_indexed | 2024-12-11T23:49:17Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Archives of Mental Health |
| spelling | doaj.art-7f7e0c6e0767431593f7ae23320324bd2022-12-22T00:45:32ZengWolters Kluwer Medknow PublicationsArchives of Mental Health2589-91712589-918X2013-01-011415052Pellagra in patient with schizophrenia: a case report and review of literatureJaya Madhuri MothukuriSiva Kumar ChennamsettyAnand BhogarajuBackground: Pellagra, called the disease of 4D'S- dermatitis, diarrhoea, dementia and death, is seen in patients of chronic alcohol dependence, mal absorption syndrome, and psychiatric illnesses like schizophrenia. Mostly a clinical diagnosis, its treatment includes balanced diet and niacin supplementation. There are hardly any case reports about pellagra in schizophrenia patients. Case description: A young Asian woman with complaints of abusing and assaulting, talking to self since three years and loose motions since fifteen days presented to psychiatric outpatient department with signs of dehydration, sharply defined symmetrical, desquamating rash in the neck area and in the sun exposed parts of forearms and legs with mental status examination findings of muttering to self, impaired recent and immediate memory and inability to do simple calculations. Patient showed significant improvement with supportive therapy, antipsychotics, niacin supplementation and balanced diet. Discussion: Pellagra can be seen in psychiatric illnesses like alcohol dependence syndrome, eating disorders and schizophrenia. It occurs along with other vitamin deficiencies which improve with medication and balanced diet. Conclusions: Early identification of vitamin deficiency along with proper education to patients and family regarding the need of balanced diet and adequate vitamin supplementation will prevent further complications. Thus, pellagra seen in schizophrenia patients requires medication and balanced diet.http://www.amhonline.org/article.asp?issn=2589-9171;year=2013;volume=14;issue=1;spage=50;epage=52;aulast=Mothukuri;type=0pellagraschizophrenianiacindiet |
| spellingShingle | Jaya Madhuri Mothukuri Siva Kumar Chennamsetty Anand Bhogaraju Pellagra in patient with schizophrenia: a case report and review of literature Archives of Mental Health pellagra schizophrenia niacin diet |
| title | Pellagra in patient with schizophrenia: a case report and review of literature |
| title_full | Pellagra in patient with schizophrenia: a case report and review of literature |
| title_fullStr | Pellagra in patient with schizophrenia: a case report and review of literature |
| title_full_unstemmed | Pellagra in patient with schizophrenia: a case report and review of literature |
| title_short | Pellagra in patient with schizophrenia: a case report and review of literature |
| title_sort | pellagra in patient with schizophrenia a case report and review of literature |
| topic | pellagra schizophrenia niacin diet |
| url | http://www.amhonline.org/article.asp?issn=2589-9171;year=2013;volume=14;issue=1;spage=50;epage=52;aulast=Mothukuri;type=0 |
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