PELLAGRA (?). Presented by DR. SENEAR and DR. WEBBER.
A man, aged 50, presented a dermatitis of one month's duration, which was confined to the dorsal surfaces of the hands. The neurologic examination was negative. The tongue showed smooth areas along the margin. He passed one stool a day. Examination of the lungs revealed pulmonary tuberculosis involving the right upper lobe. The patient said that a month before the eruption appeared he had lived on soup and "moonshine."
DISCUSSION
DR. MCEWEN: I believe this is a case of pellagra.
DR. ORMSBY: The limitation of the lesions to the dorsal surfaces of the hands is not the rule in pellagra. The dermatitis usually extends over the extensor surface of the wrists, then sweeps around and involves about two thirds of the flexor surface. This involvement of the wrist was a characteristic picture in many cases studied some years ago in the state
. . . [Full Text PDF of this Article]