Hidden in the Rash - Alcoholic Pellagra Encephalopathy
Pellagra Encephalopathy is a recognised medical condition due to niacin deficiency. Patients with alcohol dependence invariably have vitamin deficiencies, including niacin. Pellagra Encephalopathy can be challenging to diagnose alongside withdrawal delirium. Diarrhoea, skin rashes, memory and attent...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Indian Psychiatric Society (Kerala State Branch
2021-03-01
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| Series: | Kerala Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://kjponline.com/index.php/kjp/article/view/247 |
| _version_ | 1818865167778185216 |
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| author | M D Praveen Das Sheena Varughese Mithun S Acharya Chandrashekar B Huded |
| author_facet | M D Praveen Das Sheena Varughese Mithun S Acharya Chandrashekar B Huded |
| author_sort | M D Praveen Das |
| collection | DOAJ |
| description | Pellagra Encephalopathy is a recognised medical condition due to niacin deficiency. Patients with alcohol dependence invariably have vitamin deficiencies, including niacin. Pellagra Encephalopathy can be challenging to diagnose alongside withdrawal delirium. Diarrhoea, skin rashes, memory and attention deficits, paraesthesia and proximal muscle weakness were noted in four patients diagnosed with delirium tremens. Atypical features such as cognitive and neurological deficits were understood as the presentation of pellagra encephalopathy. The presence of neuro-cognitive symptoms in addition to typical dermatological presentation guided consideration of pellagra encephalopathy comorbid with delirium due to alcohol withdrawal. Subtle neurological symptoms indicative of pellagra encephalopathy may be overlooked in patients with delirium. |
| first_indexed | 2024-12-19T10:43:15Z |
| format | Article |
| id | doaj.art-a7bc9e32039b48efa4750e07f573bb09 |
| institution | Directory Open Access Journal |
| issn | 0377-0699 2395-1486 |
| language | English |
| last_indexed | 2024-12-19T10:43:15Z |
| publishDate | 2021-03-01 |
| publisher | Indian Psychiatric Society (Kerala State Branch |
| record_format | Article |
| series | Kerala Journal of Psychiatry |
| spelling | doaj.art-a7bc9e32039b48efa4750e07f573bb092022-12-21T20:25:22ZengIndian Psychiatric Society (Kerala State BranchKerala Journal of Psychiatry0377-06992395-14862021-03-0110.30834/KJP.34.1.2021.247203Hidden in the Rash - Alcoholic Pellagra EncephalopathyM D Praveen Das0Sheena Varughese1Mithun S Acharya2Chandrashekar B Huded3Consultant Psychiatrist, Victorian Institute of Forensic Mental Health (Forensicare), Fairfield, Melbourne, AustraliaAssistant Professor Department of Psychiatry, Pushpagiri Medical College, Thiruvalla, IndiaAssistant Professor, Department of Psychiatry, Srinivas Institute of Medical Sciences, Mangalore, IndiaAssistant Professor, Department of Psychiatry, Gulbarga Institute of Medical Sciences, IndiaPellagra Encephalopathy is a recognised medical condition due to niacin deficiency. Patients with alcohol dependence invariably have vitamin deficiencies, including niacin. Pellagra Encephalopathy can be challenging to diagnose alongside withdrawal delirium. Diarrhoea, skin rashes, memory and attention deficits, paraesthesia and proximal muscle weakness were noted in four patients diagnosed with delirium tremens. Atypical features such as cognitive and neurological deficits were understood as the presentation of pellagra encephalopathy. The presence of neuro-cognitive symptoms in addition to typical dermatological presentation guided consideration of pellagra encephalopathy comorbid with delirium due to alcohol withdrawal. Subtle neurological symptoms indicative of pellagra encephalopathy may be overlooked in patients with delirium.https://kjponline.com/index.php/kjp/article/view/247pellagra, encephalopathy, alcohol withdrawal |
| spellingShingle | M D Praveen Das Sheena Varughese Mithun S Acharya Chandrashekar B Huded Hidden in the Rash - Alcoholic Pellagra Encephalopathy Kerala Journal of Psychiatry pellagra, encephalopathy, alcohol withdrawal |
| title | Hidden in the Rash - Alcoholic Pellagra Encephalopathy |
| title_full | Hidden in the Rash - Alcoholic Pellagra Encephalopathy |
| title_fullStr | Hidden in the Rash - Alcoholic Pellagra Encephalopathy |
| title_full_unstemmed | Hidden in the Rash - Alcoholic Pellagra Encephalopathy |
| title_short | Hidden in the Rash - Alcoholic Pellagra Encephalopathy |
| title_sort | hidden in the rash alcoholic pellagra encephalopathy |
| topic | pellagra, encephalopathy, alcohol withdrawal |
| url | https://kjponline.com/index.php/kjp/article/view/247 |
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