Rapid resolution of delusional parasitosis in pellagra with niacin augmentation therapy

Prakash, Ravi; Gandotra, Sachin; Singh, Lokesh Kumar; Das, Basudeb; Lakra, Anuja

doi:10.1016/j.genhosppsych.2008.04.011

Cited by 51 publications

(25 citation statements)

References 10 publications

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“…First, most of the patients in our cohort were married and thus were not socially isolated as has been reported previously. 6,7 Second, a larger proportion of patients were white than reported in previous studies [20][21][22][23][24][25] ; this finding may simply reflect the geographic location and midwestern referral base in and around Rochester, Minnesota.…”

Section: Characteristicsmentioning

confidence: 92%

Delusional infestation: Clinical presentation in 147 patients seen at Mayo Clinic

Foster¹,

Hylwa²,

Bury³

et al. 2012

Journal of the American Academy of Dermatology

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Section: Characteristicsmentioning

confidence: 92%

Delusional infestation: Clinical presentation in 147 patients seen at Mayo Clinic

Foster¹,

Hylwa²,

Bury³

et al. 2012

Journal of the American Academy of Dermatology

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“…Indeed, numerous studies showed improved depressive and anxiety reactions following niacin supplementation [45]. In recent years, other than niacin effectively treating delusion [84], limited studies have determined the link between niacin and depression. However, in 30 patients with recurrent unipolar depressive disorder, treatment with aqueous niacin skin flushing significantly improved depression, anxiety and somatic symptoms [85].…”

Section: Vitamin B3 (Niacin)mentioning

confidence: 99%

The Effects of Vitamin B in Depression

Mikkelsen¹,

Stojanovska²,

Apostolopoulos

2016

CMC

137

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Abstract:Vitamins are dietary components which are necessary for life. They play a major role in health and their deficiency may be linked to symptoms of psychiatric disorders. B vitamins are required for proper functioning of the methylation cycle, monoamine oxidase production, DNA synthesis and the repair and maintenance of phospholipids. Vitamin B deficiency could influence memory function, cognitive impairment and dementia. In particular, vitamins B1, B3, B6, B9 and B12 are essential for neuronal function and deficiencies have been linked to depression. We discuss the causes of depression and the neurochemical pathways in depression. In particular, we provide evidence that vitamin B contributes to the complexity of depressive symptoms.

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“…Ces formes s'expliqueraient par le retard à la consultation, fréquent dans notre pays. Concernant les patients admis en premier lieu en psychiatrie, nos résultats étaient comparables aux données de la littérature [11].…”

Section: Discussionunclassified

“…Le traitement de la pellagre est classiquement efficace [1,3,11,12]. Chez nous, les patients ne reviennent pas souvent au contrôle médical en cas d'évolution favorable d'une maladie; cela expliquerait nos perdus de vue.…”

Section: Signes Nombre De Cas Pourcentage (%)unclassified

Pellagra: epidemiological and clinical features in the western region of Burkina Faso

Barro-Traoré¹,

Diallo²,

Tapsoba³

et al. 2013

Our Dermatol Online

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RésuméIntroduction: La pellagre est une carence en vitamine PP qui regroupe l'acide nicotinique ou niacine et le nicotinamide. Elle est encore fréquente dans notre pays. Le but de cette étude était de décrire les aspects épidémiologiques et cliniques de la pellagre dans la région Ouest du Burkina Faso. Patients et Méthodes: Il s'est agi d'une étude rétrospective, descriptive à partir des dossiers des patients ayant consulté ou ayant été hospitalisés dans les services de dermatologie-vénéréologie et de psychiatrie à Bobo-Dioulasso, de 2005 à 2012. Résultats: Durant la période, 223 cas de pellagre ont été enregistrés. L'âge moyen des patients était de 37,7+17,2 ans avec des extrêmes de 6 et 85 ans et un sex-ratio de 1/3. Ces cas ont été observés dans les zones aussi bien rurales qu'urbaines de l'Ouest du Burkina Faso. Les femmes étaient les plus atteintes (76,7%), particulièrement les femmes au foyer (47,1%). Les formes ulcéreuses représentaient 6,3% des cas, les atteintes neurologiques 62% et la diarrhée chronique (6,5%). Trois patients sont décédés (1,3%). Conclusion: La pellagre est une affection fréquente chez les femmes dans l'Ouest du Burkina Faso où le maïs constitue la céréale de base dans l'alimentation des populations. Les formes ulcéreuses pouvaient égarer le diagnostic. Une sensibilisation de la population est indispensable pour prévenir cette affection. AbstractIntroduction: Pellagra is a deficiency of vitamin PP which include nicotinic acid or niacine and nicotinamide. It is yet frequent in our country. The purpose of this study was to describe the epidemiological and clinical features of pellagra in the Western region of Burkina Faso. Patients and Methods: It was a retrospective, descriptive survey led through patients admitted in dermatology and psychiatry departments of Bobo-Dioulasso, from 2005 to 2012. Results: During this period, pellagra was diagnosed in 223 patients with a mean age of 37.7 + 17.2 years (range: six to 85 years) and a sex-ratio of 1/3. The cases were registered in rural as well as urban areas of the western region of Burkina Faso. It concerned mainly women (76.7%), especially the house-wife (47.1%). Cutaneous, ulcerous forms represented 6.3% of the cases, neurologic signs were 62% and chronic diarrhea was 6.5%. Three patients died (1.3%). Conclusion: This survey showed that pellagra is frequent, affecting mainly women of western region of Burkina Faso where the maize constitutes the basic cereal in the people's diet. Ulcerous forms could cause mistake in the diagnosis. Sensibilization of the population is essential to prevent this affection.

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Rapid resolution of delusional parasitosis in pellagra with niacin augmentation therapy

Cited by 51 publications

References 10 publications

Delusional infestation: Clinical presentation in 147 patients seen at Mayo Clinic

Delusional infestation: Clinical presentation in 147 patients seen at Mayo Clinic

The Effects of Vitamin B in Depression

Pellagra: epidemiological and clinical features in the western region of Burkina Faso

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