PSEUDOPELLAGRA. Presented by DR. WEIDMAN.
W. McD., aged 46, white, a carpenter, presented generalized pigmentation of thirteen months' duration, least marked on the face, and most extensive on the extensor surfaces. The patient was mentally clear, but had a marked diarrhea.
Examination revealed: Wassermann test, negative; blood counts, normal; blood sugar, 113 and 71; blood urea, 8 and 12; sputum, negative for tuberculosis; feces, negative for parasites; roentgenograms of lungs and intestines, negative but suggestive for tuberculosis.
The patient was widely travelled. On admission, his temperature was 105 F.; his blood pressure was 120 systolic and 70 diastolic. At one time there was a pigmentary macule on the interdental line. The abdomen was tender and rigid.
Antidiarrheal treatment (bismuth) had been given and he had been placed on a high purin diet including liver. Other treatment had consisted of colloid baths; 5 grains of epinephrine three times a day, ultraviolet
. . . [Full Text PDF of this Article]