{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T12:59:59Z","timestamp":1774443599760,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T00:00:00Z","timestamp":1355184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T00:00:00Z","timestamp":1355184000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>Pellagra is a rare condition that has been known for many years to be related to niacin deficiency. Clinically known as the 4 \u201cD\u201d symptoms for dermatitis, diarrhea, dementia, and even death, skin changes remain one of the most important features of this pathology, leading frequently to the diagnosis. Pellagra is mostly seen in poor populations with a deficient diet; still, it is sporadically observed in developed countries, usually in association with digestive disorders. We report a new case of pellagra in a 29\u2010year\u2010old woman in whom the diagnosis of megaduodenum was made. Megaduodenum is a rare condition that can be idiopathic or secondary to visceral myopathy or neuropathy. Parenteral supplementation with niacin has resulted in a quick response of dermatological and psychiatric symptoms. To our knowledge, no case of pellagra due to megaduodenum has been reported in literature.<\/jats:p>","DOI":"10.1177\/0884533612464783","type":"journal-article","created":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T22:26:27Z","timestamp":1355264787000},"page":"218-222","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["A Case of Pellagra Associated With Megaduodenum in a Young Woman"],"prefix":"10.1002","volume":"28","author":[{"given":"In\u00e8s","family":"Zaraa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikram","family":"Belghith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dalenda","family":"EI Euch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samy","family":"Karoui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mourad","family":"Mokni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azza","family":"Fillali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amel","family":"Ben Osman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,11]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2010.10163.x"},{"key":"e_1_2_3_3_1","unstructured":"Niacin deficiency [pellagra] by country.World Health Organisation Statistical Information System.http:\/\/www.NationMaster.com\/graph\/mor_nia_def_pel\u2010mortality\u2010niacin\u2010deficiency\u2010pellagra"},{"key":"e_1_2_3_4_1","unstructured":"Centers for Disease Control.Outbreak of pellagra among Mozambican refugees\u2014Malawi 1990. MMWR Morb Mortal Wkly Rep.1991;40:209\u2013214.http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/00001945.htm"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.2002.01551.x"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.71.838.496"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2001.03659.x"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0b013e31815ae309"},{"issue":"2","key":"e_1_2_3_9_1","first-page":"180","article-title":"Pellagra may be a rare secondary complication of anorexia nervosa: a systematic review of the literature","volume":"8","author":"Prousky JE","year":"2003","journal-title":"Altern Med Rev"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-007-0613-4"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02090220"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2005.04.002"},{"key":"e_1_2_3_13_1","first-page":"92","article-title":"A rash imposition from a lifestyle omission: a case report of pellagra","volume":"75","author":"Das R","year":"2006","journal-title":"Ulster Med J"},{"key":"e_1_2_3_14_1","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1176\/ajp.156.4.660","article-title":"Isoniazid\u2010induced pellagra and the N\u2010acetyltransferase gene genotype","volume":"156","author":"Muratake T","year":"1999","journal-title":"Am J Psychiatry"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1993.tb00240.x"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.114077"},{"key":"e_1_2_3_17_1","first-page":"365","article-title":"Prevalence of HIV infection in patients with pellagra and pellagra\u2010like erythemas","volume":"59","author":"Pitche P","year":"1999","journal-title":"Med Trop"},{"key":"e_1_2_3_18_1","first-page":"320","article-title":"Mega\u2010duodenum due to isolated segmental duodenal aganglionosis","volume":"68","author":"Barmeda SH","year":"2006","journal-title":"Indian J Surg"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-006-9195-0"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2004.01959.x"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jps.2600660635"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nutr.28.061807.155443"},{"key":"e_1_2_3_23_1","first-page":"282","article-title":"Pellagra and pellagra like dermatoses: etiology, differential diagnosis, dermatopathology and treatment","volume":"10","author":"Hendricks WM","year":"1991","journal-title":"Semin Dermatol"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2005.01787.x"},{"key":"e_1_2_3_25_1","first-page":"695","article-title":"Half\u2010and\u2010half nail in a case of pellagra","volume":"16","author":"Cakmak SK","year":"2006","journal-title":"Eur J Dermatol"},{"key":"e_1_2_3_26_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.5070\/D35Z50C578","article-title":"Pellagra associated with esophageal carcinoma and alcoholism","volume":"15","author":"Nogueira A","year":"2009","journal-title":"Dermatol Online J"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0884533612464783","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0884533612464783","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0884533612464783","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:18:50Z","timestamp":1760966330000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533612464783"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,11]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1177\/0884533612464783"],"URL":"https:\/\/doi.org\/10.1177\/0884533612464783","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12,11]]}}}