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Dr. Aruna Prasad | Appointment booking number : 080 4098 8156 Consultant Dermatologist & Cosmetologist | Pranav Skin Clinic, Kalyan Nagar, Bengaluru Pellagra is a nutritional disorder. It is because of the Niacin that is Vitamin B3 deficiency. It is most commonly seen in somebody who has any gastrointestinal problems who are unable to absorb the regular Niacin or Vitamin B3 in the diet or alcoholics or chronic liver disease. These are the individuals which we see that Vitamin B3 is not absorbed or Niacin is not absorbed into the system. The 3 D stand for one is Dementia. It can be acute so they start forgetting things. Second is diarrhoea. Since they have gastrointestinal problems so they have continuous painful diarrhoea. Third is dermatitis. Dermatitis is a picture the inflammation of the skin. They present with pigmented black and dry scaly patches on the exposed area like a necklace on the neck. Can have it on the hands and the neck and shoulders if it is exposed. So immediate medication with Vitamin B3 and a good nutrition. If they are alcoholic then stop alcohol and treat underlying liver disease. All these will help a patient with pellagra. Nowadays we see pellagra mostly in alcoholics. #expertkisuno #pellagra #nutrition #wellness #health #vitamin #deficiency #healthylifestyle