Pellagra may be a rare secondary complication of anorexia nervosa: a systematic review of the literature.

@article{Prousky2003PellagraMB,
  title={Pellagra may be a rare secondary complication of anorexia nervosa: a systematic review of the literature.},
  author={Jonathan E. Prousky},
  journal={Alternative medicine review : a journal of clinical therapeutic},
  year={2003},
  volume={8 2},
  pages={180-5}
}
Pellagra is a nutritional wasting disease attributable to a combined deficiency of tryptophan and niacin (nicotinic acid). It is characterized clinically by four classic symptoms often referred to as the four Ds: diarrhea, dermatitis, dementia, and death. Prior to the development of these symptoms, other nonspecific symptoms insidiously manifest and mostly affect the dermatological, neuropsychiatric, and gastrointestinal systems. A review of the literature reveals several case reports… CONTINUE READING

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