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Alcohol Alcohol. 2014 Jan-Feb;49(1):38-41. doi: 10.1093/alcalc/agt070. Epub 2013 Aug 7.

Pellagra encephalopathy in the context of alcoholism: review and case report.

Author information

1
Corresponding author: Servicio de Psiquiatría, Hospital Meixoeiro, Complejo Hospitalario Universitario de Vigo, Avda. do Meixoeiro, s/n, 36214 Vigo, Spain. marta.lopez.almarza@gmail.com.

Abstract

AIMS:

The aim of the study was to review and describe the Alcoholic Pellagra Encephalopathy, a severe neuropsychiatric condition caused by a combination of niacin (vitamin B3) deficiency and alcohol abuse.

METHODS:

PsychInfo, Medline and Embase databases were searched for peer-reviewed studies addressing this illness.

RESULTS:

A historical and conceptual review of the psychopathological aspects of this condition is offered, followed by the report of a patient with a history of chronic alcohol consumption showing signs of pellagra, delusions and visual hallucinations, which was treated successfully with niacin.

CONCLUSION:

Pellagra encephalopathy should still be considered in the differential diagnosis of acute psychotic disorders seen in the context of chronic alcoholism.

PMID:
23926211
DOI:
10.1093/alcalc/agt070
[Indexed for MEDLINE]

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