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Although full\u2010blown pellagra with all 3D features has become rare, pellagra still exists, especially in high\u2010risk populations, which is actually more prevalent than we think. We report that a recently treated patient with the full spectrum of 3D clinical features of pellagra presents as chronic diarrhea of unknown etiology for 1 year. It reminds us that keeping a high index of suspicion and maintaining a broad differential diagnosis are critical for recognition and management of this potentially fatal but treatable condition.<\/jats:p>","DOI":"10.1002\/ncp.10418","type":"journal-article","created":{"date-parts":[[2019,10,10]],"date-time":"2019-10-10T01:33:24Z","timestamp":1570671204000},"page":"860-863","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Pellagra, an Almost\u2010Forgotten Differential Diagnosis of Chronic Diarrhea: More Prevalent Than We Think"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9151-9120","authenticated-orcid":false,"given":"Shanjin","family":"Cao","sequence":"first","affiliation":[{"name":"Department of Hospitalist Charlton Memorial Hospital  Fall River MA USA"},{"name":"Department of Hospitalist Prima CARE, P.C.  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