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Pellagra a review exploring causes and mechanisms, including isoniazid-induced pellagra
Dhanashree Prabhu1, Robert S Dawe1, Kelvin Mponda2
1Ninewells Hospital and Medical School, Dundee, Scotland.
Abstract:
Pellagra is a clinical syndrome caused by a deficiency of niacin (nicotinic acid) and/or its precursor tryptophan. The cardinal manifestations are 4 D's: dermatitis, diarrhoea, dementia and in worst case death. Increased use of isoniazid prophylaxis along with antiretroviral therapy in countries where latent tuberculosis is common has been associated with increased presentations with pellagra.
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