Pellagrous encephalopathy and alcohol withdrawal delirium: A case report

被引:0
作者
Mahindru, Aditya [1 ]
Suresh, Ruthshee [2 ]
Patil, Pradeep Shriram [1 ]
机构
[1] Datta Meghe Inst Higher Educ & Res, Jawaharlal Nehru Med Coll, Dept Psychiat, Wardha, Maharashtra, India
[2] Natl Inst Mental Hlth & Neurosci, Dept Psychiat, Bangalore, Karnataka, India
关键词
Alcohol withdrawal syndrome; delirium tremens; alcohol dependence; pellagrous encephalopathy; pellagra;
D O I
10.54905/disssi/v27i133/e166ms2742
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Chronic alcohol consumption is a common etiology, for pellagra is frequently under-diagnosed and thus not adequately treated. A 30-year-old gentleman presented with a history of consumption of alcohol in a dependence pattern for the previous 10 years with altered sensorium and hallucinatory behavior for 3 days. He exhibited skin lesions over sun-exposed regions of both the upper and lower extremities. He was diagnosed to have complicated alcohol withdrawal syndrome and alcoholic pellagra. He was treated with oral diazepam and multivitamins containing thiamine and niacin. The patient's behavioral problems and skin lesion improved gradually. Pellagrous encephalopathy was most likely a contributing cause of behavioral abnormalities and altered sensorium in our case and it could be recognized due to the presence of the typical rash. Pellagrous encephalopathy may manifest even without skin lesion. Niacin supplementation along with standard thiamine therapy is recommended in all cases of altered sensorium in heavy alcohol users.
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页数:5
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