Pellagra: a rare complication of anorexia nervosa

@article{GabrielaJagielskaMD2007PellagraAR,
  title={Pellagra: a rare complication of anorexia nervosa},
  author={PhD Gabriela  Jagielska  MD and PhD Celina Elżbieta  Tomaszewicz-Libudzic  MD and PhD Agata  Brzozowska  MD},
  journal={European Child \& Adolescent Psychiatry},
  year={2007},
  volume={16},
  pages={417-420}
}
Pellagra is a potentially fatal, nutritional disease with cutaneous, gastrointestinal, and neuropsychiatric manifestations. Because of the diversity of pellagra’s signs and symptoms, diagnosis is difficult without an appropriate index of suspicion. A case of pellagra in a 14-year-old girl with anorexia nervosa is presented. Signs and symptoms of pellagra were resolved after niacin therapy and dietary treatment. 
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The risk factors for nutritional deficiency are detailed, the presentations of cutaneous disease are illustrated, diagnostic workups are reviewed, and suggestions for supplementation in the undernourished patient are provided.
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A 45-year-old male patient described in this case report had a classic case of pellagra and it took about six months for the patient to make a complete recovery.
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The cutaneous manifestations of macronutrients and micronutrient deficiency syndromes are reviewed as well as those populations of children that remain at risk for developing severe disease.
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Clinicians treating eating disorders should be aware of the potential for vitamin deficiencies and associated visual loss in patients with anorexia nervosa and the importance of a detailed dietary history to guide vitamin rehabilitation.
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TLDR
This review seeks to update the classification and phenotypic characterization of the various forms of niacin‐deficient photosensitivity and highlights research required to advance the understanding of this photosensitivity syndrome.
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References

SHOWING 1-10 OF 11 REFERENCES
Pellagra in a patient with anorexia nervosa.
  • M. Rapaport
  • Medicine, Psychology
    Archives of dermatology
  • 1985
A 20-year-old woman was seen with the associated disorders of pellagra and anorexia nervosa, both of which had been present for approximately six months. Treatment with niacin induced resolution of
Pellagra in a patient with an eating disorder
TLDR
Urinary 5‐hydroxy‐indole‐acetic acid was found to be low and it is suggested that this may be a useful screening test for an eating disorder.
PELLAGRA WITH PSYCHOSIS AND MINIMAL PHYSICAL SYMPTOMS
The prompt response of pellagra to nicotinic acid therapy, as recently reported by a number of writers,1affords an excellent therapeutic test and may show the presence of pellagra in many cases of
Dermatologic Signs in Patients with Eating Disorders
  • R. Strumia
  • Medicine
    American journal of clinical dermatology
  • 2005
TLDR
The role of the dermatologist in the management of eating disorders is to make an early diagnosis of the ‘hidden’ signs of these disorders in patients who tend to minimize or deny their disorder, and to avoid over-treatment of conditions which are overemphasized by patients’ distorted perception of skin appearance.
A long‐term follow‐up of adolescent anorexia nervosa
TLDR
Three variables were most significant in terms of poor long‐term prognosis: pre‐morbid obesity, pre-morbid eating disorders and complications during pregnancy.
Medical complications of eating disorders in adolescents.
TLDR
The need for adolescents and preadolescents with eating disorders to receive ongoing medical monitoring in concert with psychiatric treatment and the need for therapists and medical practitioners to become familiar with the potential medical sequelae of eating disorders are underscored by data.
Vitamin A deficiency and excess.
  • T. Moore
  • Medicine
    The Proceedings of the Nutrition Society
  • 1965
TLDR
Despite the enormous-and in many ways deeply satisfying body of knowledge about vitamin A the authors are still short of essential biochemical information, and the intellectual consummation of half a century of research has still to come.
Newer laboratory methods for assessing nutriture of selected B-complex vitamins.
TLDR
Progress in the development of new or improved laboratory procedures to assess the nutriture of thiamin, riboflavin, niacin, vitamin B6, and folic acid is limited.
Anorexia nervosa: a form of subclinical pellagra
Fauci AS, Braunwald E, Isselbacher KJ, et al
  • (eds) Harrison’s principles of internal medicine, vol 1,14th edn. McGraw-ill Co, Inc, New York, NY, pp 480–489 420 European Child & Adolescent Psychiatry
  • 2007
...
1
2
...